HomeMy WebLinkAbout02-09-09 (2)COMMONWEALTH OF PENNSV LVANIA
DEPARTMF}~T OF REVENUE
_G.yHenU/OF INDIVIDUAL TA%ES
DEPT. 280601
HARRISBURG, PA 1 J128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
PRUCNAL MARY A
11 OAKWOOD AVENUE
MECHANICSBURG, PA 17055
REV-1162 EX111-961
N0. CD 010878
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
,old
ESTATE INFORMATION: ssN: zos-72-ssls
FILE NUMBER: 2109-0142
DECEDENT NAME: DAYTON MARTHA M
DATE OF PAYMENT: 02/09/2009
POSTMARK DATE: 02/09/2009
COUNTY: CUMBERLAND
DATE OF DEATH: 11/29/2008
REMARKS: MARY PRUCNAL
SEAL
CHECK#5226
08165157 ~ 5228.85
TOTAL AMOUNT PAID:
INITIALS: WZ
RECEIVED BY:
5228.85
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE ~
BUREAU OF INDIVIDUAL TAXES r i'.- ~^,` AND FILE ND. 21 - ~ ~ ~ ~
PD epx 2egeB1 ~ ~ - 'TAXPAYER RESPONSE ACN 08165157
HARRISBURG PA 1]128-0601 ,
' _. .. DATE 12-29-2008
A[v ssm td eFr tae-oe:
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2064 FEB -9 Pt1 31 25
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MARY A PRUCNAL
L1 OAKWDOD AVE
MECHANICSBURG PA 17055-4730
EST. OF MARTHA M DAYTON
SSN 209-12-5919
DATE OF DEATH 11-29-2008
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS TD:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
TYPE OF ACCOUNT
SAVINGS
® CHECKING
TRUST
CERTIF.
PNC BANK NA provided the Oepa rtneni with the informakion below, which has been used in calculating the
potential tax due. Raco rds indicate that at the tleath of khe above-named decadent, you were a joint owner/beneficiary of this account.
If you feel the inf ornation 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 Connonw ealth of
rennsyly ania. Flease call lil]) ]a]-B32] with Questions.
COMPLETE PART 1 BELOW ^ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 0000050 70029741 Date 01-1 2-2004
To ensure proper credit to the account, two
Establlshetl copies of this notice nu st accon panv
pave ant to the Regi sker of Wills. Make check
ACCOUnt Balance 3,211 .92 payable to "Register of Wills, Agenk'•.
Pa rc ent Taxable X 50 .000
NOTE: If tax payments are natle within three
Amount Subject to Tax $ 1,605 .96 nont hs of the decedent's date of tleath,
TaX Rate X , 1 5 deduct a 5 percent discounk on the tax due.
A^v Inheritance Tax due will become tlelinquent
Potential TBX DUe ~ 24 0 .8 9 nine man the after the tlate of death.
PART TAXPAYER RESPONSE
A. ~I The above inf ornation and tax tlue is correct.
/--~ Ren it oavment to the Register of Wills with two cool es of this notice to obtain
CHECK a discount or avoitl interest, or check box "A'• and return this notice to the Register of
Wills and an official assessn ent will be issued by the PA Dap arts ent of Revenue.
ONE
BLOCK B. ~ The above asset has been or will be reported and tax paid with the Pennsvlvania Inheritance Tax return
ONLY ko be filetl by the estate rap resentative.
C. ~ The above inf orna Ion is into rrec! and/or debts antl tletlucti ons were paid.
Complete PART 2~ and/or PART ~ below.
PART If Indicating a different tax rate. please state 4 ea 1 ab ly ~' ~ ® ~q
re latlonshlp to decedent: h ~~e~, ~ 4 : Y ~~ i a :h5 ~ '
i ~~
~ ~
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS ~ ^~~ ~~~~ ~
~~ ` ~~ "' "
~ ~~
LINE 1. Date Establlshetl 1 Vii!'+"
~
2. Account Balance 2 $ 1
3. Percent Taxable 3 X
4. Amount Su bj act to Tax 4 +S
5. Debts and Deductions 5 ¢
6. Amount Taxable 6
7. Tax Rake 7 X
e. Tax Due !i $
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. MOME C 717 ) 766-2 892
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WORK
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PART DEBTS AND DEDUCTIONS CLAIMED
^3
DATE PAID PAYEE DESCRIPTION AMOUNT PAID