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Home My WebLink About10-30-08COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96) DEPAR OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT N0. CD 010474 SPAHR EDWARD H 3925 RIDGELAND BLVD MECHANICSBURG, PA 17050 ACN ASSESSMENT AMOUNT CONTROL NUMBER told ---------- ESTATE INFORMATION: Ssty: FILE NUMBER: 2108-1012 DECEDENT NAME: SPAHR JANE E DATE OF PAYMENT: 10/30/2008 POSTMARK DATE: 10/29/2008 COUNTY: CUMBERLAND -~ DATE OF DEATH: 09/23/2008 REMARKS: EDWARD SPAHR SEAL CHECK# 6767 08149330 ~ 580.36 08149331 ~ 549.85 TOTAL AMOUNT PAID: 5130.21 INITIALS: WZ RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS I ,-~ E~`, .»~ G: c~-' rr~~ "t+.~ F•' ~~dd ,~ S-i- ~ +wU ~ tl ~~ f_~^q ~~ ~ \' ~~ `V1 \)~ \J ~ O v `~ f.~ ~ ~ ~ v ~ . ~, ~ ~ ~ .. ~ ~ ~ ^~ ~ ~ v ( \1 ~~. V ~•~.~ i7•, {, ~ :t `r• .i..} C b ~ > ,~ ~a 3 ~ 'D b~ w ,., M y ICI PEN BUREAU OF INDIVIDUAL TAXES PD BOX 280601 HARRISBURG PA 17128-0601 -~,- _ REV-15(3~,F$j ,'qF() (b9-0 NSYLVANIA INHERITANCE TAX INFORMATION NOTICE AND FILE: TAXPAYER RESPONSE ACN DATE N0. 21 ~~b`- IU~~ 08149330 10-21-2008 0, _ ~`' TYPE OF ACCOUNT r;,- ~~~-~ EST. OF JANE E SPAHR ~~~, ~ ^ savlNGs -,(/iJ~~`T SSN ^ CHECKING ~;i ;•,~, DATE OF DEATH 09-23-2008 ^ TRUST COUNTY CUMBERLAND ~ CERTIF. REMIT PAYMENT AND FORMS T0: EDWARD H SPAHR 3925 RIDGELAND BLVD REGISTER OF WILLS MECHANICSBURG PA 17050 CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 MEMBERS 1ST FCU potential tax due. Records indicate that pat the de th of the above tnamed decedent ,1 you were, a point owner/benef ciary of this ac ount. If you feel the information is incorrect, please obtain written correction from the financial institution, attach a copy to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Commonwealth of Pennsylvania. Please caii (717) 787-8327 with questions. COMPLETE PART 1 BELOW ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 1 65948-47 Date 03-10-1997 To ensure proper credit to the account, two Established copies of this notice must accompany Account Balance payment to the Register of Wills. Make check $ 3,571.33 Percent Taxable X payable to "Register of Wills, Agent". 50.000 Amount Subject to Tax $ 1,785.67 NOTE: If tax payments are made within three TaX Rate X months of the decedent's date of death, . 0 4 5 deduct a 5 percent discount on the tax due. Potential Tax Due $ Any Inheritance Tax due will become delinquent 80.36 PART nine months after the date of death. TAXPAYER RESPONSE FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT A• (~( The above information and tax due is correct. ~=4 Remit payment to the Register of Wills with two copies of this notice to obtain C CHECK a discount or avoid interest, or check box "A" and return this notice to the Regiister of 0 N E ~ Wills and an official assessment will be issued by the PA Department of Revenue. B L 0 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 estate representative. C• ^ The above informs ion is incorrect and/or debts and deductions were paid. Complete PART 2~ and/or PART 3^ below. PART If indicwr;.,,, ~ .::r~___ ^ - - --~~=~=..c cax rate, please state 2 relationship to decedent: TAX RETURN - COMPUTATION LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due PART DEBTS AND DEDUCTIONS CLAIMED DESCRIPTION TOTAL CEnter on Line 5 of Tax Computation) Under penalties of ~ perjury, I declare that the facts I have reported above are true, correct and c ~Qlete to t/h/e best o my knowledge and belief. Gf I+V LL.e~EY ~. n H O M E C '7 / 7) 7 ~jZ - ~C3 ~L i` k~ WORK ( ) TAXPAYER SIGNATURE /(1 /.) ! p ~~ ~ TELEPHONE NLIMRF ____ OF TAX ON JOINT/TRUST ACCOUNTS 1 2 +;` 3 X 4 5 - 6 7 X 8 $ OFFICIAL U5E DNLY ^ AAF PA DEPARTMENT OF REVENUE PAD I 1 2 3 4 5 fi 7 8 DATE PAID PAYEE PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES PD Box zaocol AND FILE: N0. 21 _ vg _ i ~1~ HARRISBURG PA 17128-0601 TAXPAYER R E S P O N S E ACN 08149331 REV-1543 EX AFP (OB-On) DATE 10 - 21 - ° 0 08 '..'_ ~J„ I •' ~ f" ~`'• _'~ TYPE OF ACCOUNT EST. OF JANE E SPAHR SSN ~ SAVINGS ~ CHECKING ' DATE OF DEATH 09-23-2008 ~'C i ^ rRUSr COUNTY CUMBERLAND ^i ~~ ~ CERTIF. v~ ~ ,',1 REMIT PAYMENT AND FORMS T0: EDWARD H SPAHR 3925 RIDGELAND BLVD REGISTER OF WILLS MECHANICSBURG PA 17050 CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 MEMBERS 1ST FCU provided the Department with the information below, which has been used in calculating the potential tax due. Records indicate that at the death of the above-named decedent, you were a If you feel the information is incorrect, please obtain written correction from the financial institution, attach a copy to this form and return it to the above address. This account is taxable in accordance with the Inheritance,TaxtlawseofbthefCoinmonwealthlofaccount. Pennsylvania. Please call C717) 767-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 165948-48 Date 02-13-1997 Established To ensure proper credit to the account, two Account Balance copies of this notice must accompany 2, 520.50 Payment to the Register of Wills. Make check Percent Taxable X payable to "Register of Wills, Agent". Amount Subject to Tax 50.000 1 , 26U . 25 NOTE: If tax payments are invade within three TaX Rate X months of the decedent's date of death, Potential Tax Due • 045 deduct a 5 percent discount on the tax due. $ 5 6. 7 1 Any Inheritance Tax due wi1:L become delinquent PART nine months after the date of death. 1~ TAXPAYER RESPONSE FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT A• ~ The above information and tax due is correct. Remit payment to the Register of Wills with two copies of this notice to obtain C CHECK a discount or avoid interest, or check box "A" and return this notice to the Register of 0 N E Wills and an official assessment will be issued by the PA Department of Revenue. BLOCK B 0 N L Y ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return to be filed by the estate representative. C• ~ The above informs ion is incorrlec~t and/or debts and deductions were paid. Complete PART ~ and/or PART is i below. PART If indicating a rlifiF.. ....-~ ~ ~~~111 LJ u relationship to decedent: raze, please state TAU X RETURN - COMPUTATION LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due PART 0 DATE PAID PAYEE DEBTS AND DEDUCTIONS CLAIMED Under pe naltie TOTAL CEnter on Line 5 of Tax Computation) ~ s of perjury, I com to the best of my k declare that the facts wledge and beli f I have reported above are true corr t p ~>u~ ~, e . / j ~ , ec and HOME C 7C ~ ) •7 3 Z-- 71J~ TAXPAYER SIGNATURE t- u~ WORK ( ~ ~,r ~ `Q ~$ Q TELEPHONE NUMBER "- DATE OF TAX ON JOINT/TRUST ACCOUNTS 1 2 ~` 3 X 4 $` 5 6 +fi 7 X B $ OFFICIAL USE ONLY ~ AAF PA DEPARTMENT OF REVENUE PAD l 2 3 4 5 6 7 8