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
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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
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