HomeMy WebLinkAbout12-30-08COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ACN
ASSESSMENT
CONTROL
NUMBER
NO. CD 010706
BURKE AMY A
336 1ETH STREET
NEW CUMBERLAND, PA 17070
fold
ESTATE INFORMATION: ssrv:
FILE NUMBER: 2108-1276
DECEDENT NAME: ALLEMAN MARIAN P
DATE OF PAYMENT: 1 2/ 30/ 2008
POSTMARK DATE: 1 2/29/2008
COUNTY: CUMBERLAND
DATE OF (DEATH: 10/14/2008
REV-1162 EX(11-96f
AMOUNT
08160872 ~ 535.35
TOTAL AMOUNT PAID:
REMARh:S:
CHECK#131
SEAL
INITIALS: AJW
535.35
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE V
AND FILE N0. 21 ~ ~~~
BUREAU OF INDIVIDUAL TAXES TAXPAYER RESPONSE ACN 08160872
PO BOX 280601
HARRISBURG 'PA 17128-0601 DATE 12-11-2008
REV-1543 EX AFP (OB-OB)
AMY A BURKE
336 16TH ST
NEW CUMBERLAND PA 17070
ACCOUNT
SAVINGS
® CHECKING
TRUST
CERTIF.
TYPE OF
EST. OF MARIAN P ALLEMAN
SSN °~?
DATE OF DEATH l 0 -14 - 20`(}~,_~ <.'
COIINTY CUMBERLAND -~ `.-~
REMIT PAYMENT AND FORMS T0: °=~
REGISTER OF WILLS ;~=j
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013 -~)'~_~~ ~~
~, .~-'
N
BANK provided the Department with the information below, which has been used in calculating the
point owner/beneficiary of this account.
M & T
potential tax due. Records indicate that at the death of the above named decedent, you were a
e obtain written correction from the financial institution, attach a copy to this form
f
l
h
If you feel the information is incorrect,
This eas
o
p
account is taxable in accordance with the Inheritance Tax laws of the Commonwealt
and return '.it to the above address.
Pennsylvania. Please call (7171 787-8327 with questions.
FILING AND PAYMENT INSTRUCTIONS
LETE PART 1 BELOW * SEE REVERSE SIDE FOR
COMP
10560653
N Date 12-19-2002 Ta ensure proper credit to the account, two
o.
Account copies of this notice must accompany
Established
payment to the Register of Wills. Make check
e
l $ 1 , 488.41 payable to "Register of Wills, Agent".
anc
Account Ba
Percent Taxable X 16.667
NOTE: If tax payments are made within three
Tax
t $ 248 • 07 months of the decedent's date of death,
o
Amount Subject deduct a 5 percent discount on the tax due.
Tax 'Rate X 1 5
Any Inheritance Tax due will become delinquent
37 • 21 nine months after the date of death.
Potential TaX Due $
P~T TAXPAYER RESPONSE
~ FAILURE TO RESPOND WILL RESULT 1N AN OFFICIAL TAX ASSES'JME~T
A. fJQ The above information and tax due is correct.
~J~-~\ Remit payment to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest, or check box "A" and return this notice to the Register of
C H E C K 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
C ONE
0 N L`f 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 3LJ below.
If indicating a different tax rate, please state OFFICIAL USE ONLY ~ AAF'!
PART PA DEPARTMENT OF REVENUE
relationship to decedent:
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS PADI ^
LICJE .. Date Est~~'_ished
2 $ 2
2. Account Balance X 3
3. Percent Taxable 3
$ 4
4. Amount Subject to Tax 4
5
5. Debts and Deductions 5 $
6 6
6. Amount Taxable
~ X 7
7. Tax Rate
8 $ 8
8. Tax Due
DEBTS AND DEDUCTIONS CLAIMED
PART
PAYEE DESCRIPTION AMOUNT PAID
DATE PAID
TOTAL (Enter on Line 5 of Tax Computation) $
Under en 1 ies of perjury, I declare that the facts I have reported abiio`v~e are true, correct and ~I~
p e the st of my knowledge and belief . HOME ~ ~ t ` ~ ~~ ~ f/~//
WORK C ~
TELEPHONE NUMBER DATE
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