The URL can be used to link to this page

Home My WebLink About05-15-09 (3)COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 01 1262 STEINER AMY 312 ALLENVIEW DRIVE MECHANICSBURG, PA 17055 fold ESTATE INFORMATION: ssN: 2oa.-is-osss FILE NUMBER: 2109-0294 DECEDENT NAME: MITCHELL GERTRUDE I DATE OF PAYMENT: 05/ 1 8/2009 POSTMARK DATE: 05/15/2009 CouNTY: CUMBERLAND DATE OF DEATH: 02/ 1 7/2009 REMARKS: CHECK# 4844 SEAL ACN ASSESSMENT AMOUNT CONTROL NUMBER 09503417 ~ 52,639.06 TOTAL AMOUNT PAID: INITIALS: AJW REV-1162 EX111-96) 52,639.06 RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES PO BOX 280601 HARRISBURG PA 17128-0601 * REV-1543A AFP (7-O,W..1 * INFORMATION NOTICE TAXPAYERNRESPONSE REVISED NOTICE * * * FILE ACN DATE N0. 21 09-0294 09503417 05-05-2009 TYPE OF ACCOUNT ~LQ~g ~~`! i EST" OF GERTRUDE I MITCHELL ^ SECURITY S.S. N0. 204-18-0883 ~ SEC ACCT DATE OF DEATH o2-17-2009 ^ sTOCK ~~~ CQUNTY CUMBERLAND ^ BONDS u p Q~~H~I ~ v~t~r: ~! REMIT PAYMENT AND FORMS T0: AMY STEINER ... ~ _ REGISTER OF WI LLS 312 ALLENVIEW DRIVE CUMBERLAND CO COURT HOUSE MECHANICSBURG PA 17055 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. puestions may be ans.e(ed b"r calling :717) 737-832'.. COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 5385-3049 To insure proper credit to vour account, two C2) copies of this notice roust accompany vour payment to the Register of Wills. Make check DOD Valuation 370,387.00 payable to: "Register of Wills, Agent". Percent Taxable Amount Subject to Tax Tax Rate Potential Tax Due X 16.667 61,732.40 X .045 NOTE: If tax payments are made within three the of the nt' date of death, you may deduct ~ 5Y. discount f the tax due. n~pp ny inheritance ax w1 1 become delinquent .jl~ Q C nine (9) months after the date of death. PART TAXPAYER RESPONSE ~ FAIL~I~E T~ ~P D~WIEL f~SULT IN AN FICIAL T~X A5S~T B~ISED ON THIS~NOTICE a A. ~ The above information and tax due is correct. ~ 1. You may choose to remit payment to the Register of Wills with two copies of this notice to obtain a discount ar avoid interest, ar 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. 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 decedent's representative. C. ^ The above information is incorrect and/or debts and deductions were paid by you. You must complete PART 2^ and/or PART ~ below. PART If you indicate a different tax rate, please state your tY FICIgrL USE Y ^ A AF relationship to decedent: PA t)EPARTMENT qF REVENUE TAX RE TURN - COMPUTATION OF TAX ON ABOVE ASSET(S) PAD LINE 1. DOD Valuation 1 1 2. Percent Taxable 2 X 2 3. Amount Subject to Tax 3 3 4. Debts and Deductions 4 - 4 5. Amount Taxable 5 5 6. Tax Rate 6 v 6 7. Tax Due T 7 ~« DEBTS AND DEDUCTIONS CLAIMED 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 C ) WORK C ) ______.._.. ,._,....r,,,,~ TELEPHONE NUMBER DATE PART Herr oern PoVFF DESCRIPTION AMOUNT PAID S C::~ ~..z1 sua '._ ~~.,. =.L ri ~ 3~1 i~ r' !5t,. ,~ ~.,, ,.~- X74 ~~},y~}•'~ ~"-~~ ~• ~~ . ,i _ ..~,~ ~r t~h,..~r enr[~1 n~,1~ { J~Y'~',., _, ,._. Y ~A~ :J I~ p ~~;; ;} V 1 ~' .~_l Q L ..,.1._ v 0 a s ~, 3~ c~~~ 'a~ a~i'c V, Q L T U N ~ Q f7 ~L ~ -, ~ N_ .S V V '\. c~~ ~~~ !~; ~~; `,~.. (7j .t..} t y' •ri