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HomeMy WebLinkAbout09-17-08COMMONWEF~LTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 010282 PETERS JANET M 135 AMITY ROAD DUNCANNON, PA 17020 ------- fold ESTATE INFORMATION: ssrv: 1s~-34-2o4s FILE NUMBER: 2108-0744 DECEDENT NAME: LANTZY LOIS M DATE OF PAYMENT: 09/ 1 7/2008 POSTMARK DATE: 09/16/2008 couNTY: CUMBERLAND DATE OF DEATH: 07/03/2008 REMARKS: C;HECK# 2789 SEAL REGISTER OF WILLS ACN ASSESSMENT AMOUNT CONTROL NUMBER 08501117 ~ 5774.41 TOTAL AMOUNT PAID: INITIALS: AJW REV-1162 EX(11-96) $774.41 RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS `~` ~` COMMONWEALTIi OF PENNSYLVANIA DEPARTMENT I)F REVENUE INFORMATION NOTICE BUREAU OF IINDIVIDUAL TAXES FILE N0. 21 08-0744 PO BOX 280601 AND ACN 08501117 HARRISBURG PA 1712a-o6o1 TAXPAYER RESPONSE Rev-154uAFP (7-40) DATE 09-09-2008 TYPE OF ACCOUNT EST. OF LOIS M LANTZY ^ SECURITY S.S. N0. 161-34-2046 0 sEC ACCT DATE OF DEATH 07-03-2008 ^ sTOCK COUNTY CUMBERLAND ^ BoNDs REMIT PAYMENT AND FORMS T0: JANET M PETERS REGISTER OF WILLS 135 AMITY ROAD CUMBERLAND CO COURT HOUSE DUNCANNON PA 17020 CARLISLE, P~ 17013 C a~ to _._ ~~_ ~ n ~ _ ~ m --- '' WACHOVIA has provided the Department with the information listed below whict~_,~a4~b~ used'~n - calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a-'V~€ iary of this~-a5set., If you feel this information is incorrect, please obtain written correction from the transfer agent, attach u~ thi~orm and'...'. return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the{Cel~ignwealth D'~"Pennsylvan8. Questions may be answered by calling (717) 787-8327. - _~ ..... COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT.~lNSTRUCT30NS'~~"~i Account No. 4950-2826 ~ To insure proper credit to your account, two C2) copies of this notice must accompany your payment to the Register of Wills Make chec DOD 'Valuation 20 , 379.50 a o: egister of Wills, Agent" Percent Taxable X 33.333 NOTE: If tax payments are made within three Amount Subject to Tax 6, 793.10 (3) months of the decedent's date of death, TaX Rate X 12 You may deduct a 5Y. discount of the tax due. Any inheritance tax due will become delinquent Potential TaX Due 815 • 17 nine (9) months after the date of death. P~T TAXPAYER RESPONSE 1 =FAILURE TO ~ ~ .. I+TESt! ~~~. Id+l AN E)FFICI~I.. Tf~?C ItS~SE~SAk .' ;,. ~ED ON T S N:QT«I CE A. The above information and tax due is correct. 1. You may choose to remit payment to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, or you may check box "A" and return this notice to the Register of C C H E C K Wills and an official assessment will be issued by the PA Department of Revenue. ONE B L D C K B. ^ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return 0 N L Y to be filed by the decedent's representative. C. ^ The above information is incorrect and/or debts and deductions were paid by you. Yau must complete PAR7 ~ and/or PART ~ below. PART If you indicate a different tax rate, please state your Q ''~j~jAL USA EJNLY ^ AAF © relationship to decedent: pA DEPARTMENT OF REVENt1E TAX RETURN - COMPUTATION OF TAX ON ABOVE ASSET(S) AD LINE 1 . DOD Valuation 1 - z - - - - -- ~_... .._. ~.:.,.., _ 2. Percent Taxable 2 X Z 3. Amount Subject to Tax 3 3 4. Debts and Deductions 4 - 4 5. Amount Taxable 5 ~ 5 6. Tax Rate 6 X g 7. Tax Due 7 ~ ~,. $ ~ PART DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION AMOUNT PAID Under penalties of perjury. I declare that the facts I have reported above are //true, cor/rect and complete to the best of m wledge and belief. HOME C ~~~) ~37-~3 (~ TELEPHONE NUMBER DATE 4 r ,,.- w i r r --~--• -' w r a t ~ ~. _ \ v ~ ~ ~ ~l ~ ..w ~^`. ~ ~ "~ ~, ~~ ~ ~ ~.; .,.- r _. ~- .~ ~,~~ ~ r .. , v "3 (r%7 ~~ r L...> tt 'L- t ~ '~ Q'+ as Y. •~•~$ i w ~ ~+ /~ ~J A~ ~+~, --~,~. ~ ;;t~.~-. ,~, ,~ ~f, :, e• t i~'t e}~~ ~ r'~ ~.~; ~~ra