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HomeMy WebLinkAbout05-15-09 (4)COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0601 RECEIVED FROM: NOLAN JOANNE 7710 SAVANNAH DRIVE BETHESDA, MD 20817 fold ESTATE INFORMATION: ssN: 204-is-oss3 FILE NUMBER: 2109-0294 DECEDENT NAME: MITCHELL GERTRUDE I DATE OF PAYMENT: 05/15/2009 POSTMARK DATE: 05/12/2009 COUNTY: CUMBERLAND DATE OF DEATH: 02/17/2009 ACN ASSESSMENT CONTROL NUMBER AMOUNT 09503420 ~ 52,639.06 TOTAL AMOUNT PAID: 52,639.06 REMARKS: CHECK# 624 SEAL PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT INITIALS: AJW RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REV-1162EXI11-961 NO. CD 01 1241 REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA INFORMATION NOTICE DEPARTMENT OF REVENUE FILE ND. 21 09-0294 BUREAU OF INDIVIDUAL TAXES AND ACN 09503420 Po Box zaB6B1 TAXPAYER RESPONSE HARRISBURG PA mza-o6o1 .~.~;~-; ~.* * REVISED NOTICE * * * DATE 05-05-2009 REY-1543A AFP (7-00) '?y -'~A1' f 5 F~;12~ I i ~~`r,l Ire- ~ ,f ".it n ., ~f'1r l i~^!~.I f,~..,, n 1T ~~`.il'~1,, i `•~ r, n. .. ~. i. , ~ r;, JOANNE NOLAN 7710 SAVANNAH DRIVE BETHESDA MD 20817 TYPE OF ACCOUNT SECURITY SEC ACCT STOCK BONDS REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 STIFEL NICOLAUS has provided the Department with the information listed below which has been used in calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a beneficiary of this asset. If you feel this information is incorrect, please obtain written correction from the transfer agent, 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 Commonwealth of Pennsylvania. Questions may be answered by calling C717) 787-8327. COMPLETE PART I BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 5385-3049 Ta insure vrover credit to your account, two C2) copies of this notice must accompany your payment to the Register of Wills. Make check DOD Valuation 370,387.00 payable to: "Register of Wills, Agent". X 1 6 . 6 6 7 NOTE: If tax payments are made within three Percent Taxable Amount Subject to Tax 61 , 732 • 40 (3) months of the decedent's date of death, . 0 4 5 you may deduct a 5% discount of the tax due. Tax Rate X Any inheritance tax due will become delinquent Potential TaX Due 2, 777 • 96 nine (9) months after the date of death. PART TAXPAYER RESPONSE ~ p ~ ALL S~iLT I.dJ~AN OFFiCiA,~. TAX ASS~SS1(1E~1T BASED ON THIS. Nf1~TICE FA I'4. ~~ ~ . ~ ,. s p, ~ The above information and tax due is correct. 1. Yau may choose to remit payment to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, or you may check box "A" and return this notice to the Register of C H E C K Wills and an official assessment will be issued by the PA Department of Revenue. B L 0 C K B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return C ONE 0 N L Y to be filed by the decedent's representative. C. ~ The above information is incorrect and/or debts and deductions were paid by you. You must complete PART ~ and/or PART ~ below. r--, PART If you indicate a different tax rate, please state your relationship to decedent: TAX RETURN - COMPUTATION OF TAX ON ABOVE ASSETCS) LINE 1. DOD Valuation 1 2. Percent Taxable 2 X 3. Amount Subject to Tax 3 4. Debts and Deductions 4 - 5. Amount Taxable 5 6. Tax Rate 6 X 7. Tax Due ~ QFFICIAL U5t u1Yl.f ~t~,vr PA DEPARTMENT' QF REVENUE AD I 2 3 4 5 6 7 DEBTS AND DEDUCTIONS CLAIMED PART DATE PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL CEnter on Line 5 of Tax Computation) S 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. HOME C3o~ ) 3~-S-S~Z WORK C3p~ ) 90'-(~ grj00 5~ ~Z Zf~D~ ~b~'~r"~ ~~~ TCI GaunNF NUMBER DATE EST. OF GERTRUDE I MITCHELL S.S. N0. 204-18-0883 DATE OF DEATH 02-17-2009 COUNTY CUMBERLAND 5 k k~i t~ ~ t~ ` ~ ~ ..., ,, ~~' ~ 1~ ~~'~ ~T ~ ~~ ~~ ~~:i 1~` i ~ f't g ~, _~ I ~ ~ _. rr. _~ 9 4 6' ~- ~N o ~~2 d i "`3 .1e