HomeMy WebLinkAbout12-08-08COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 010606
DUPLICATE
GALBRAITH ALAN D
14 BEECHER DRIVE
CALRISLE, PA 17015
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ESTATE INFORMATION: ssrv: 2o5-~z-4599
FILE NUMBER: 2108-1221
DECEDENT NAME: GALBRAITH MELVIN
DATE OF PAYMENT: 12/08/2008
POSTMARK DATE: 1 2/06/2008
COUNTY: CUMBERLAND
DATE OF DEATH: 08/09/2008
REMARKS:
CHECK# 4347
SEAL
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
08136538 ~ $24.62
TOTAL AMOUNT PAID:
INITIALS: AJW
REV-1162 EX111-96)
$24.62
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE INFORMATION NOTICE FILE ND. 21 ~~~ ,~~
BUREAU OF INDIVIDUAL TAXES AND ACN 08136538
DEPT. 280101 TAXPAYER RESPONSE
HARRISBURG, PA lnzB-BCOI DATE 08-20-2008
REV-1543 E% AFP (09-00)
~~~~~~~c-s ~r~ ~: a2
ALAN D GAL~[~Ai~'~H ~., PA
14 BEECHER DRIVE
CARLISLE PA 17015
TYPE OF
EST. OF MELVIN GALBRAITH
S.S. N0. 205-12-4599
DATE OF DEATH 08-09-2008
COUNTY CUMBERLAND
ACCOUNT
SAVINGS
CHECKING
TRUST
CERTIF.
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
MEMBERS 1ST FCU has provided the Department with the information listed below which has been used in
calculating the potential tax due. Their records indicate that at the death of the above decedent, You were a point owner/beneficiary of
this account. If You feel this information is incorrect, please obtain written correction from the financial institution, attach a copy
to this farm and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth
of Pennsylvania. Questions may be answered by calling (717) 7B7-8327.
COMIPLE7E PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 192530-4 0 Date 09-01-2006 To insure proper credit to your account, two
(2) copies of this notice must accompany your
Established payment to the Register of Wills. Make check
Account Balance 1 , 094.37 payable to: "Register of Wills, Agent".
NOTE: If tax payments are made within three
Percent Taxable X 50.000
Amount Subject to Tax 547.19 (3) months of the decedent's date of death,
X . 0 4 5 You may deduct a 5% discount of the tax due.
Tax Rate Anv inheritance tax due will become delinquent
Potential TaX DUe 24 • 62 nine (9) months after the date of death.
PART TAXPAYER RESPONSE
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® The above information and tax due is correct.
f Wills with two copies of this notice to obtain
1. You may choose to remit payment to the Register o
check box "A" and return this notice to the Register of
a discount or avoid interest, or you may
ill be issued
t by the PA Department of Revenue.
CHECK w
Wills and an official assessmen
C ONE
ill be reported and tax paid with the Pennsylvania Inheritance Tax return
B L 0 C K B. ~ The above asset has been or w
0 NI_Y to be filed by the decedent's representative.
~ The above information is incorrect and/or debts and deductions were paid by you.
f. You must complete PART 2^ and/or PART 3~ below.
e state your
different tax rate, P ..........""""""
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TAX RETURN - COMPUTATION
LINE 1. Date Established
2. Account Balanco
3. Percent Taxable
4. Amount Subject to Tax
5. Debts and Deductions
6. Amount Taxable
7'. Tax Rate
Ea. Tax Due
OF TAX ON JOINT/TRUST ACCOUNTS
1
2
3 v
4
5
6
7
8
PART
DATE PAID PAYEE
DEBTS AND DEDUCTIONS CLAIMED
DESCRIPTION
AMOUNT PAID
TOTAL (Enter on Line 5 of Tax Computation) S
Under penalties of perjury, I declare that the facts I have reported above are true, @correct and
co lete to the best of my knowledge and belief. HOME C -j4~ ) 77~.- ~~`~'!~
(~ .1 WORK C 7-7 ~ (s3.1~ ~~`~~ DATE~~~
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