The URL can be used to link to this page

Home My WebLink About04-13-09COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT DOHNIER SHERI Y 5 WILD ROSE LANE MECHANICSBURG, PA 17050 --~----- fold ESTATE INFORMATION: ssN: 265-30-5336 FILE NUMBER: 2109-0340 DECEDENT NAME: KNIGHT FREDERICK L DATE OF PAYMENT: 04/ 1 3/2009 POSTMARK DATE: 04/1 1 /2009 couNTY: CUMBERLAND DATE OF DEATH: 1 1 /28/2008 REV-1162 EX111-961 N0. CD 01 1097 ACN ASSESSMENT AMOUNT CONTROL NUMBER 08161605 ~ $6.97 TOTAL AMOUNT PAID: REMARKS: CHECK# 2591 SEAL INITIALS: AJW $6.97 RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE hr,~ rr\\ BUREAU OF :[NDIVIDUAL TAXES AND FILE N0. 21 a-` U 5~v PO BOX 280b01 TAXPAYER RESPONSE ACN os1616o5 HARRISBURG PA 17128-0601 DATE 12-15-2008 REV-1543 EX I1FP (OB-OB) TYPE OF ACCOUNT EST. OF FREDERICK L KNIGHT ® SAVINGS SSN 265-30-5336 ^ CHECKING DATE OF DEATH 11-28-2008 ^ TRUST COUNTY CUMBERLAND ^ CERTIF. REMIT PAYMENT AND FORMS T0: SHERI DOHNER REGISTER OF WILLS ~j ~ 5 WILD ROSE LANE CUMBERLAND CO COURT HOUSE 0 .°.~ MECHANICSBURG PA 17050 CARLISLE, PA 17013 ~ ~ ~ ~~ c~~ ~ - `-~ cf ; ~ ( t MEMBERS 1ST FCU provided the Department with the information below, which has been used fin` ~alculat~p the - potential tax due. Records indicate that at the death of the above-named decedent, you were a ioint owner/benefic#~pv of thi'S'~accougE~ - '' If you feel the information is incorrect, please obtain written correction from the financial institution, attach a~opy to this form ~~~ and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the~bmmonwealth.4f Pennsylvania. Please call (717) 787-832? with questions. ~ ---- COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 199489-00 Date 12-02-2000 To ensure proper credit to the account, two Established copies of this notice must accompany payment to the Register of Wills. Make check Account Balance $ 309.97 payable to "Register of Wills, Agent". Percent Taxable X 50.000 NOTE: If tax payments are made within three Amount Subject to Tax $ 154.99 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 $ 6 • 97 nine months after the date of death. PART TAXPAYER RESPONSE FAILURE TO RE5POA13~ WILL R~~11LT IN AN OFFICIAL TAX AS ESSl4ENT A. (~ The above information and tax due is correct. ~U Remit payment to the Register of Wills with two copies of this notice to obtain a discount ar avoid interest, or check box "A" and return this notice to the Register of C H EC:K Wills and an official assessment will be issued by the PA Department of Revenue. C ONE: B L 0 C 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. C. ^ The above informs ion is incorrect and/or debts and deductions were paid. Complete PART 2~ and/or PART I___J below. PART If indicating a different tax rate, please state relationship to decedent: TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS ~iNE 1. Date Establishetl 1 2. Account Balance 2 $ 3. Percent Taxable 3 X 4. Amount Subject to Tax 4 $ 5. Debts and Deductions 5 6. Amount Taxable 6 $ 7. Tax Rate 7 X 8.. Tax Due 8 $ OFFICIAL U5E ONLY ^ AAF PA DEPARTMENT OF REVENUE AD I 2 4 5 6 7 .~ 3 PART DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL CEnter on L1ne 5 or iax compuca a one ~ Under penalties of perjury, I declare that the facts I have reported above are true, co.r-r,e~c2t and complete ~ oo~ ~th~e~ btes``t of m knowledge and belief. HOME C 7~7 ) ~y~ ~ T1~7 ~~`~~i'~'~.`-~\ ~-Y ~ ",,,_'_"'? WORK C 7f 7 ~ ~~.~7 -793 TFIFPHONE NUMBER DATE