HomeMy WebLinkAbout11-05-08 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
DEPEW L C
1440 YOCUMTOWN ROAD
ETTERS, PA 17319
fold
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
51 1 1.31
ESTATE INFORMATION: SSN: ~ 89-~ 8-7223
FILE NUMBER: 2108-0889
DECEDENT NAME: DEPEW LINDSAY C SR
DATE OF PAYMENT: 1 1 /05/2008
POSTMARK DATE: 1 1 /05/2008
COUNTY: CUMBERLAND
DATE OF DEATH: 08/ 1 3/2008
TOTAL AMOUNT PAID:
REMARKS:
CHECK# 3735
SEAL
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
INITIALS: CJ
5111.31
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER CIF WILLS
REV-1162 EX(11-96)
NO. CD 010491
REGISTER OF WILLS
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES AND FILE N0. 21 08-0889
Po Box zeocol TAXPAYER RESPONSE ACN 08148652
HARRISBURG PA 17128-0601
* * * REVISED NOTICE * * * DATE 11-05-2008
REV-1543 E% AFP COB-087 ~.
TYPE OF ACCOUNT
~~' ~ ~''~ ;j;y ~~~ OF LINDSAY C DEPEW ® SAVINGS
SSN 189- 18-7223 ^ CHECKING
I - DATE OP DEATH 08-13-2008 ^ TRUST
i1~ , ~;<. ~;~-~~ :.,rn£DUNTY CUM BE RLAND ^ CERTIF.
(~~ +~ IT PAYMENT AND FORMS T0:
~/,
L C DEPEW REGISTER OF WILL'S
1440 YOCUMTOWN RD CUMBERLAND CO COURT HOUSE
ETTERS PA 17319 CARLISLE, PA 17013
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 point 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 C717) 787-8327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMEINT INSTRUCTIONS
Account No. 000005130123431 Date 03-05-1984 To ensure proper credit to the account, two
Established copies of this notice must accompany
payment to the Register of Wills. Make check
ACCOUnt Balance $ 14,841.30 payable to "Register of Wills, Agent".
Percent Taxable X 5.000
NDTE: If tax payments are made within three
Amount Subject to Tax $ 742.07 months of the decedent's date of death,
Tax Rate X 15 deduct a 5 percent discount on the tax due.
Any Inheritance Tax due will become delinquent
Potential Tax Due $ 111.31 nine months after the date of death.
PART TAXPAYER RESPONSE
AILURE 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 H E C K a discount or avoid interest, or check box "A" and return this notice to the Register of
Wills and an official assessment will be issued by the PA Department of Revenue.
C ONE
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 tiled by the estate representative.
C. ^.The above informs ion is incorrect and/or debts and deductions were paid.
Complete PART 2~ and/or PART ~ below.
PART If indicating a different tax rate, please state
relationship to decedent:
TAX RETURN - COMPUTATION DF TAX ON JOINT/TRUST ACCOUNTS PAD
LINE i. irate Established 1 I
2. Account Balance
3. Percent Taxable
4. Amount Subject to Tax
5. Debts and Deductions
6. Amount Taxable
7. Tax Rate
8. Tax Due
2
3 X
4 +fi
5
6
7 X
8
OFFICIAL U5E ONLY ^ AAF
PA DEPARTMENT OF REVENUE
1
2
3
4
5
6
7
8
PART DEBTS AND DEDUCTIONS CLAIMED
^3
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
TOTAL CEnter on Line 5 of Tax Computation) S
Under Pena ties of perju , declare that the facts I have reported abo~v7e are /t~rlue, correct and
complet o the best o mY nowledge d belief. HOME C~~ / :I 7 J ~- .~' ~s''f`
~,
WORK ( :I
TAXPAYER SI NATURE TELEPHONE NUMBER DATE