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HomeMy WebLinkAbout12-04-08COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280607 HARRISBURG, PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX~11-961 N0. CD 010592 MILLER GARY L 434 OAKVILLE ROAD SHIPPENSBURG, PA 17257 -------- fold ESTATE INFORMATION: sSN: FILE NUMBER: 2108-1202 DECEDENT NAME: CORKLE-MILLER BETTY DATE OF PAYMENT: 1 2/04/2008 POSTMARK DATE: 1 2/03/2008 COUNTY: CUMBERLAND DATE OF DEATH: 1 1 /08/2008 REMARKS: CHECK# 8448 ACN ASSESSMENT AMOUNT CONTROL NUMBER 08155373 ~ 57.97 TOTAL AMOUNT PAID: 57.97 INITIALS: CJ SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS BUREAU OF INDIVIDUAL TAXES PO BOX 280601 HARRISBURG PA 17128-0601 RE OR ~ ~pA KENDRA L MILLER 1 434 OAKVILLE ROAD SHIPPENSBURG PA 17257 PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE AND FILE N0. 21 '(.~~'/.~~~ ., .: ~~. ,_ ~' ~~ TAXPAYER RESPONSE ACN 08155373 ' DATE 11-24-2008 v; 1s48 sXi~Y.cae-reef . EST. OF BETTY CORKLEMILLER SSN DATE OF DEATH 11-08-2008 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 TYPE OF ACCOUNT ® SAVINGS CHECKING TRUST CERTIF. 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 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 (717) 787-8327 with questions. COMPLETE PART 1 BELOW SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS NOTE: If tax payments are made within three Amount Subject to Tax $ 186.48 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 $ 8.39 nine months after the date of death. PART TAXPAYER RESPONSE FAILURE TO RESPOND WILL RESULT IH AN OFFICIAL TAX A55E55MENT A. ~ The above information and tax due is correct. Remit payment to the Register of Wills with two copies of this notice to obtain CHECK 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 BLOC 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. Account No. 182737-00 Date 03-20-1999 To ensure proper credit to the account, two Established copies of this notice must accompany Account Balance 1 , 118.88 payment to the Register of Wills. Make check ~` payable to "Register of Wills, Agent". Percent Taxable X 16.667 C. ~ The above informs ion is incorrre-ct~ and/or debts and deductions were paid. Complete PART 2~ and/or PART ~a ~ below. 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 PART If indicating a different tax rate, please state relationship to decedent: OF TAX ON JOINT/TRUST ACCOUNTS 1 2 $ 3 X 4 5 6 7 X 8 7. Tax Rate 8. Tax Due PAD OFFICIAL USE ONLY ~ AAF PA DEPARTMENT OF REVENUE 1 2 3 4 5 6 7 8 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, correct and complete to the best of my knowledge and belief. HOME C ~~ 7 ) 7 ~ (;~ - ~-.31:(;2 woRK c ) ~ ~ TAXPAYER SIGNATURE TELEPHONE NUMBER DATE TOTAL (Enter on Line 5 of Tax Computation) 5 ~, , ~. .. ~ ~~ f J_. ~ c { . ...! r y~, ~ ,µ 2D08 OEC - 4 PM I ~ 19 ff k" -.1~ , ~. ~~ ~~, CLERK 0~' ~ ~~. ~~ ~T' l ~ : ~ £° ~ ~ ~ ~~ , .~.. PA .~ ~~. ;" ^`i .-2 .~ :'.,, `; ;~ "~ ~ 4~ T.. '- --~-- .1ti ~ ~ ~ __ ~ J ~ `~ ~y ~ .3 a ~~ ~; J, ~ J .~ r ~~ ^S r~ ~ G a-- a ~ J ~ ~~ T 3 ~ J ~ ? ~'