HomeMy WebLinkAbout02-19-09COMMONWEALTH OF PENNSYLVANIA
DEPAP3;afE~JT OF REVENUE
eUaEAU OF INDIVIDUAL TA%ES
DEPT. 280601
HARRISBURG, PA 1 Jt 28-Ofi01
RECEIVED FROM:
RHODES JO E
3566 WILLIAMS ROAD
CRESCO,PA 18324
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX~11-961
N0. CD 010923
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
,old
ESTATE INFORMATION: ssN: 052-03-3703
FILE NUMBER: 2109-0173
DECEDENT NAME: SALADINO ANNA
DATE OF PAYMENT: 02/19/2009
POSTMARK DATE: 02/17/2009
couNTY: CUMBERLAND
DATE OF DEATH: 10/03/2008
09107554 ~ 594.73
TOTAL AMOUNT PAID:
REMARKS: JO ELAINE RHODES
SEAL
CHECK# 2701
INITIALS: WZ
RECEIVED BY:
594.73
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
ANIA INHERITANCE T
PENNSYLV
INFORMATION NOTICE
AND
BUREAU DP 1NDrvmuA1 TAxES - TAXPAYER RESPONSE
PD Bax zeB SOI
HARRISBURG PA 1]128-0601
PEV-1543 E% OFP <O B-O B)
209 FEB l 9 Pfd 12~ 04
r~,,
or.: ~:,,,, couRr
CUi;!'; ` ,.L CO, PA
~0 E RHODES
3566 WILLIAMS RD PA 18326
CRESCO
FILE NO
ACN
DATE
EST. OF ANNA SALADIND
SSN 052-03-3703
DATE OF DEATH 10-03-2008
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
. zl-aCx~9 oi~3
09107554
02-09-2009
TYPE OF ACCOUNT
® SAVINGS
CHECKING
TRUST
CERTIF.
COMMERCE BANK HARRISBURG NA orovidetl the Department with the information below, which has been used in cal culatine the
If tv oulf eelatheuinf orm ation ie incorrectt Please obt aio written correction froma the financial instikutipnr./attach as cppYf toh thi sc formt
and return ik to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Commonwealth of
Pennsvly ania. Please call O17] ]P]-8327 with Questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 626474241
Ac counk Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Date 08-02-2004
Established
$ 1,263.08
X 50.000
$ 631.54
X .15
To ensure prover credit to the account, two
copies of this notice must acconvanv
paYaenk to the Register of Wills. Make check
pav able ko "Resister of Wills, Agent".
NOTE: If tax paYm ants are made within three
months of the decetlent's date of tlaath.
deduct a 5 percent discount on the kax due.
Ant Inheritance Tax due will become delinquent
,__ ___..- ... Ee. gee date of death.
C. ~ The above inf orma eon is incorrect and/or tlebts and tleductions were poi tl.
Complete PART ~ and/or PART ~ below.
PART If indicating a different tax rate, Please state s~ s~f~s ~~
relatimnship to decadent: ~s ~eiyg
wRm~r
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS ~9,~
~F~~~ ~r
LINE 1. Cate Established 1 r'"+?vg~~
2 '~` ~~~~w ~~
2. Account Balance X ,~~~ q~,$
3. Pe re ant Taxable 3 ~"
$ ~ ~r~a
4. Amount Subject to Tax 4 9
5. Debts and Deductions 5 $ gF~s a~r'.
6. Amount Taxable 6 ~~~
~~" ~~
7. Tax Rate T X ~~'~~
e. Tax Due
DEBTS AND DEDUCTIONS CLAIMED
PART
nFSCRIPTION
AMOUNT PAID
DATE PALO r.."-~
.. i3~o a of Tax ComputatloN $
Under penaltSes of perjury, I declare that the facts I have re po rt ad )re
above tru
e, correct anlld
~ ~ ~ ~
complete to the best of mY knowledge and belief. HOME C J ~ 3 cf
~CO
G., IUR. M d /1``
7C .FIl~~2~e~ WORK
_~. ~.. C S7
~~...:~ ty) y ll _
.:nummo ,31 lc (~ `~
DATE
p. ^ The above inf orm alien and tax due is co rreci.
Remit payment to [he Resister of Wills with kwo covies of this notice to obtain
a discount or avoid interest, or check box "A" and return this npti ce to the Register of
r CHECK ~ Wills and an official assessment will be issued by the PA Department of Revenue.
BLOCK B. ~ The above asset has been or will be reported and fax void with the Pennsylvania Inheritance Tax re urn
L ONE
0 NLY to be filed by the estate rap resentative.
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