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HomeMy WebLinkAbout05-18-09COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: MARCH JULIE 5 PRIMROSE LANE CARLISLE, PA 17015 fold PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ESTATE INFORMATION: ssly: 212-24-x725 FILE NUMBER: 2109-0451 DECEDENT NAME: SISSON MARGARET T DATE OF PAYMENT: 05/18/2009 POSTMARK DATE: 05/16/2009 COUNTY: CUMBERLAND DATE OF DEATH: 02/17/2009 ACN ASSESSMENT CONTROL NUMBER AMOUNT 09503508 ~ 51,259.00 TOTAL AMOUNT PAID: REMARKS: JULIE MARCH CHECK# 7425 SEAL INITIALS: WZ RECEIVED BY 51,259.00 GLENDA EARNER STRASBAUGH REGISTER OF WILLS REV-1162EX111-961 NO. CD 01 1264 REGISTER OF WILLS COMMDNWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INFORMATION NOTICE FILE N0. 21 ~1 ~y~ BUREAU OF INDIVIDUAL TAXES AND ACN 09503508 Po aax zaocol r - ' TAXPAYER RESPONSE HARRISBURG PA Lnza-a6ol _, _ _ ~'' DATE 04-28-2009 ~~ ~~. REV-134511 AFP'R7-0d)~ ~'°'~'S C0~ .-- t ~.~~ r ~J `., e '~'. ~ JULIE A MARCH 5 PRIMROSE LANE CARLISLE PA 17015 TYPE OF ACCOUNT EST. OF MARGARET T SISSON ^ SECURITY S,$, r(Q, 212-24-6725 ~ SEC ACCT DATE OF DEATH 02-17-2009 ^ srocK COUNTY CUMBERLAND ^ aoNDs REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 AMERIP RISE 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 C7i7) 787-d327. COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 041528308145002 To insure proper credit to your account, two (2) copies of this notice must accompany your payment to the Register of Wills. Make check DOD Valuation 30 , 527 • 37 payable to: "Register of Wills, Agent". NDTE: If tax payments are made within three Percent Taxable X 100.00 Amount Subject to TaX 30, 527 • 37 of the decedent`s date of death, 5PG -discount_ of the tax due. Tax Rate X .045 Any inheritance tax due will become de3'in Potential Tax Due 1,373.73 nine (9) months after the date of death. PART TAXPAYER RESPONSE © FAILURE TO R~SP(~iD WILL R>:xllLT IN AN UFFLCIAL TAX ASSESSI'kE>NT .BASED ON THIS NOTICE 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 or avoid interest, or you may check box "A" and return this notice to the Register of CHECK 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 ^3 below. PART If you indicate a different , x rate,hp>,ease state your relationship to decedent: ~~22 TAX RETURN - COMPUTATION OF TAX 0 ABOVE ASSET(S) LINE 1. DOD Valuation 1 ~ ~ , S 2. Percent Taxable 2 x '~ ~ Q 3. Amount Subject to Tax 4. Debts and Deductions 5. Amount Taxable OFFICI' L USE E}L`~ ^ AAF PA DEPARTMENT OF REVENUE PAD 1 2 3 4 5 b 7 DEBTS AND DEDUCTIONS CLAIMED U G r=c~ v- TOTAL (Enter on Line 5 of Tax Computation) S Under penalties of perjury, I declare that the facts I have reported abovte, are true, correct and coml~tenn to th/e~best of my knowledge and belief. HOME C ( ~ ) "1 3 1 ~.~e (.-~~ I~a ^ ~ WORK ~7 \ ~ ) ~ 9 g ~ I ~ rG~ GaunNF Nl1MBER ATE PART DATE PAID PAYEE DESCRIPTION AMOUNT PAID i, , r'`.~`, 4 ~... `'+~.. *ti1+.. .`. ~'"-. w ,`... ~~`,... ~... ~+... tpy ~i ~; r tt't 1`.r ~~ ~ ~ ~ ~~ _~ ~ ` ~ ~ ~~ ~ ~- O J ~ _~ ~ ~' ', / Q I~ vV ''/^, bC~ ~ }., ~ nn 1Vr 7~~~ ''~'~n'c~C7o ItJ ~z : ~ ~~d g ~ ~ ~~ 6~0~ ' '1~i~ a _: . ~ . . f '~ v ~ ~~ vin ~~ ~~ ~~ ~~ (~ -~ J e -- ~t ~;: Yk '~ ~; r .~. +*i s'i~ '~ w ; e:'y r5'! ,:_. §,n; fj ~;- ~iy ~f rP'T w~ '~e ,~ ,~f ,,: i:: ~= ">.;j 4 ~~ .. j ~ ~. f •r r r