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HomeMy WebLinkAbout05-15-09COMMONWEALTH OF PENNSYLVANIA (DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXEB DEPT. 280801 HARRISBURG, PA i ]128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 01 1242 GARLAND MARY BETH 256 NORTH 29TH STREET CAMP HILL, PA 17011 ----"--- ~oia ESTATE INFORMATION: ssN: zoa-t8-osea FILE NUMBER: 2109-0294 DECEDENT NAME: MITCHELL GERTRUDE I DATE OF PAYMENT: 05/15/2009 POSTMARK DATE: 05/14/2009 COUNTY: CUMBERLAND DATE OF DEATH: 02/17/2009 REMARKS: MARY GARLAND CHECK# 6231 SEAL ACN ASSESSMENT AMOUNT CONTROL NUMBER 09503415 ~ 52,639.06 REV-1162 EX111-96) TOTAL AMOUNT PAID: INITIALS: WZ RECEIVED BY: REGISTER OF WILLS S 2, 639.06 GLENDA EARNER STRASBAUGH REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES PO BOX 280601 HARRISBURG PA 17128-0601 ,,. fill GIJ aCLI ~IaiE4 KP'O-Y* ~ ) 209 FLAY 15 AM I I ~ 43 CLERK OF ORPHt~N'3 COURT ~_ ;~' PA MARY B GARLAND 254 N 29TH STREET CAMP HILL PA 17011 INFORMATION NOTICE AND * REVISEDR OTICE S ^ FILE N0. 21 09-0294 ACN 09503415 ^ ^ DATE 05-05-2009 TYPE OF ACCOUNT EST. OF GERTRUDE I MITCHELL ~ SECURITY S.S. N0. 204-18-0883 ® ssc ACCT DATE OF DEATH 02-17-2009 STOCK COUNTY CUMBERLAND ~ HONDS REMIT PgYMENT AND FORMS T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 STIFEL NICDLAUS has provitled tho Oeparteent with the info reetion listed below which has been used in calcul etina the potential kax due. Their records intlicste that at kho death of kho above decadent, you were a beneficiary of khis assek. If you feel this inf oraation is incorrect, please obtain written correction free khe kransf •r open t, attach a cony 4o this fore and return it to the above atldress. This account is taxable in aeco rdance with the Inheritance Tax Laws of the Coaeonwaalth of Pennsylvania. Questions esv be ensweretl by eallinp 017) 787.8327. COMPLETE PART 1 BELOW as ^ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS account No. 5385-3049 To insure proper cretllt to your account, two (2) copies of this notice cost aecoepanv your OOD Valuation 370,387.00 paveent to the Reoistor of Wills. Make check Poreont Taxable payable to: "Revister of Wills. ApenY". X 16.667 Amount Sub3act to Tax 61,732.40 NOTE: If ku paveents era Dade within khrea Tax Rate (3) eonths of the decedent's tlake of tleath, X . 045 You eey detluck a 5X discount of the tax due. Potential TaX Oue 2,777 9( Aro inheritance tax tlue will beeoee tlelinpuant nine (9) eonkhs after the tlate of tleakh. P©T A PAYE RES SE A• ~Tho abovo inforeation antl tax tlue 3s correct. 1. You say choose to resit payeenk to the Resister of Wills with two copies of this noti ee to obtain CHECK ~ a discount or avoftl inkares4, or you eav check box "A" antl return khis notice to the Register of ONE Wills antl en official assasseent will ba issuetl by the PA Department of Revenue. BL DCK B. The abovo asset has been ar will be reported and kax paid with th• Pennsylvania Inheritance Tax return ONL V tp ba filed by the decedent's rep resenkative. C. ~7he above inf oraation is incorree4 antl/or debks antl datluctions were paid by you. You cost coepleka PART ~ and/or PART ^3 below. PART If You lnd3cata a tliffarant tax rata, ploasa state your © relationship to decedent: TAX RETURN - COMPUTATION OF TAX ON ABOVE ASSET(S) LINE 1. DOD Valuation 1 2. Parc ant Taxable 2 X 3. Amount Su63 eat Yo Tax 3 4. Debts antl Deductions 4 5. Amount Taxable 5 6. Tax Rate 6 7. TaX Due II~~ ~p 7 0 * 1 11 . i0 J I Q O PART DEBTS ANbp EDUCTIONS CLAIMED GATE PAID PAYEE DESCRIPTION AMOUNT PAID r on LIn• 5 of Under penalties of por]ury, I declare that the facts I have reported above are true, correct antl .\ complete to the bast of my knowletlge and belief. ( C HOME ( ) TAXPAYER SIGNATURE WORK ( ) TELEPHONE NUMBER DATE ;~.`d }r: F~ ,'7 n~. EG ~y~: ~: A$ ~~ i"' -~ .c~ ~ //~ V / ~~ 22 ~ (\-~^/ M L. 3 1 /^/ Q Y I 3 r ~~•/~f •// ~~ • / v 1 ^~ 1_ Z (~ T7 {~ .~, ;; ,:.. •H i