HomeMy WebLinkAbout04-16-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF flEVENUE
BUREAU OF INDIVIDUAL TA%ES
DEPT. 280801
HARRISBURG, PA 1]128-0801
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 01 1 122
HELM GLORIA J
6435 WHISPER WOOD LANE
HARRISBURG, PA 17112
-------- ,ova
ESTATE INFORMATION: SSN: 176-1a-3x25
FILE NUMBER: 2109-0369
DECEDENT NAME: BALL HELEN L
DATE OF PAYMENT: 04/17/2009
POSTMARK DATE: 04/16/2009
COUNTY: CUMBERLAND
DATE OF DEATH: 10/05/2008
REMARKS: GLORIA H HEIM
CHECK#1735
SEAL
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
09119117 ~ 529.36
REV-1182 EX111-961
TOTAL AMOUNT PAID:
INITIALS: WZ
RECEIVED BY:
529.36
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
. ~
BUREAU OF INUIVIRUAL TAXES
PO BOx 280601
IMRRISBURG PA 17120-0601
PENNSYLVANIA INHERITANCE
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE N0. 21 -~-U.~p~1
ACN 09119117
DATE 03-30-2009
2009. APR 17 AP411 142
CIEt~K Cf
ORPHAN'S COURT
GLORIA J HEIM /~~I,}~~~I,~ID {~O, pf{
6435 WHISPERW00 10'
HBG PA 17112
EST. OF HELEN L BALL
SSN 178-14-3425
DATE OF DEATH 10'-05-2008
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS 70:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
TYPE OF ACCOUNT
SAVINGS
® CHECKS N6
TRUST
CERTIF.
FIRST NATL BANK OF PA provided the OepertaanL with the infonation below. which ha! bean used in caleulatinp the
petantial tax tlus. Reeerds intlieete the! at the desth of the above•naaad decetlant, you ware a to inY wnar/bansfief arv of Yh1a account.
If you feel the inforation is incorrect, please obtain written corraetlon frog the financial institukion. attach s copy to thla fon
and return it to the shove eddresa. This account is taxable Sn accordance with the Inherltsnce Tax laws of the CoYOroealth of
Pennavlran ia. P1 use ef11 (717) 707-8327 with quutiena.
COMPLETE PART' 1 BELOW m SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 4038161
Account Balance
Perc ant Taxable
Amount Subject to Tax
lax Rat•
Potential Tax Du•
Dat• 03-26-1983
Estab lishod
$ 1,304.71
X 50.000
$ 652.36
X .045
Te ensure prepar credit to the ettount, two
copies of this notice auat eeeoaparo
payaent to 4ha Rapistar of Wills. Make cheek
paysbl• to "Rapistar of Wills. Agent".
NOTE, If tax pevunts aro aada withinthree
aonths of the deu dent's deb of tleeth,
deduct a 5 percent discount en the tax tlus.
Aro Inheritance Tax tlus will baeaae tlalinquent
nine aonths of tar the tlata ofdeath.
A. ~ Tha abew infonation end tax duo is co rraet.
Resit peyaent to the Rapistar of Wills with iwa eopiss of this notice to obtain
r CHECK a discount or avoid interest, or cheek box "A" and return this notice to fhe Rapistar of
1 ONE ~ Wills and an official aasessaant will be issuetl by the PA Oepertaant of Rarenua.
L BLOCK B. ~ Ths above asset has boon ar will 6a reported end tez paid with the Pannsvlvania Inhoritanca Tax rata rn
ONLY to ba Hled by the estate ropnsentativa.
C. ~ The above inf or a ion is ineorr et and/or debka and deductions ware paid.
Coaplet• PART ~2 and/or PART 3~ below.
pA^RT If intll eatinG s different tax rate, please state
'Z relatlpnshlp to decedent:
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Dat• Establishatl 1
2. Account Baiane• 2 $
3. Porc •nt Taxsbl• ; X
4. Amount Subiaet to Tax 4 $
5. Debts antl Deductions 5
6. Amount Taxable 6 $
7. Tax Rat• 7 X
8. Tax Du• B $
PART DEBTS AND DEDUCTIONS CLAIMED
0
DATE PAID PAYEE nFSCRrpr7nu .....,,.,~ ... ...
WORK
V ~ I
wnw.r pane cans or p•ryury, I deolaro that the facts I hav repo rtetl above/era true, eorroeL antl
cl ip late to th~ st of my knoWledO• and ball of. HnNF f ~~/ ti~~/~ //_al ~s
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