HomeMy WebLinkAbout11-05-08COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX(11-96)
N0. CD 010490
DEPEW L C
1440 YOCUMTOWN ROAD
ETTERS, PA 17319
fold
ESTATE INFORMATION: ssrv: gas-is-7223
FILE NUMBER: 2108-0889
DECEDENT NAME: DEPEW LINDSAY C SR
DATE OF PAYMENT: 11/05/2008
POSTMARK DATE: 1 1 /05/2008
COUNTY: CUMBERLAND
DATE OF DEATH: 08/13/2008
REMARKS:
CHECK# 3734
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
0~ ~ a $54.46
TOTAL AMOUNT PAID: 554.46
INITIALS: CJ
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAxes AND FILE N0. 21 08-0889
PD Box zeo6ol TAXPAYER RESPONSE ACN 08148652
HARRISBURG PA 17128-0601
REV-1543E%pFP(OB-OB) * * * REVISED NOTICE: * * * DATE 11-05-2008
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L C DEPEW
1440 YOCUMTOWN RD
ETTERS PA 17319
EST. OF LINDSAY C DEPEW
SSN 189-18-7223
DATE OF DEATH 08-13-2008
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
TYPE OF ACCOUNT
® SAVINGS
CHECKING
TRUST
CERTIF.
PNC BANK NA 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 joint owner/beneficiary of this account
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 call (717) 787-8327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 000005130123431 Date 03-05-1984 To ensure proper credit to the account, two
Established copies of this notice must accompany
Account Balance $ 4 ~ $41.30 payment to the Register of Wills. Make check
payable to "Register of Wills, Agent".
Percent Taxable X 25.000
NOiE: If tax Dayments are made within three
Amount Subject to Tax $ 1 ~ 210.33 months of the decedent's date of death,
Tax Rate X .045 deduct a 5 percent discount on the tax due.
Any Inheritance Tax due will become delinquent
Potential Tax Due $ 54.46 nine months after the date of death.
PaT TAXPAYER RESPONSE
~ FAILURE TO RESPOND WILL RESULT IH AN OFFICIAL TAX AS5E55MENT
A. ~/I The above information and tax due is correct.
j1~1 Remit payment to the Register of Wills with two copies of this notice to obtain
C H E C K 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.
B L 0 C K ~ B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
D 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 lr inaicating a different tax rate, please state
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
OF TAX ON JOINT/TRUST ACCOUNTS
1
2 +fi
3 X
4 $
5
6 $
~ X
8 $
PAD
OFFICIAL U5E ONLY Q AAF
PA DEPARTMENT OF REVENUE
1
2
3
4
5
6
7
8
PART DEBTS AND DEDUCTIONS CLAIMED
0
DATE PAID PAYEE DESCRIPTION eMniiNr pern
Under penalti s of perjury I d Clare that the facts I have reported above are true, correct_ and
complete a bes/tJ of m kno edge and belief. HOME C ,7/"~ ) ~/,)j~- J7 %~ 66
l ~ WORK ( ~
TAXPAYER SIG TURE TELEPHONE NUMBER DATE
iw:t~~. •encer on ~lne 5 of iax Computation) S