HomeMy WebLinkAbout06-18-09MONWEALTM OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280801
HARRISBURG, PA 17128-0801
RECEIVED FROM:
PREDIX SARAH J
445 STATE STREET
WEST FAIRVIEW, PA 17025
-------- role
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ESTATE INFORMATION: SSN: 177-42-4531
FILE NUMBER: 2109-0571
DECEDENT NAME: PREDIX CATHERINE A
DATE OF PAYMENT: 06/18/2009
POSTMARK DATE: 06/12/2009
COUNTY: CUMBERLAND
DATE OF DEATH: 09/20/2008
REV-1162 EXIt t-981
NO. CD 01 1372
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
08148781 ~ S 10.08
TOTAL AMOUNT PAID:
REMARKS: SARAH PREDIX
CHECK#1687
SEAL
INITIALS: WZ
RECEIVED BY
$10.08
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
WIRRISBURG PA 17128-0601
NN-153a p( aFPy
PENNSYLVANIA INHERITANCE T
INFORMATION NOTICE
AND
~ ~ ~r,;Ti-)GPAYER RESPONSE
ZQ09 JUN 18 AM I i ~ 4 3
V
CLERK OF
o~~rrs coL~r
CUrlore~ r~,r,1D CO.. PA:
SARAH J PREDIX
445 STATE STREETT
WEST FAIRVIEW PA 17025
PAYEE
08148781
10-13-2008
TYPE OF ACCOUNT
® SAVINGS
CHECKING
TRUST
CERTIF.
MEMBERS 1ST FCU orovitled the Oepartaent with the inforaation below, which has boon used in caleulatinp the
potential tax tlua. Records in tlicat• that at the death of the above -naa atl decadent, You were a joint owner/baneficiarv of this eceoun t.
If you foal the info raakian is ineorree4, please obtain wrf tten correction frog the financial institution, sttach a coot/ fo this fan
and return it to the above eddrase. This account is taxebl• in accortlance with the Inheritance Tax laws of the Coaaonwaslth of
Pennsylvania. Pleeae call (7177 787-8327 wikh auesti"ns.
COMPLETE PART 1 BELOW ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 202128-00
Account Balance
Percent Taxable
Amount Sub]eet to lax
Tax Rate
Potential Tax Due
Data Dz-zo-zoal
Established
$ 447.92
X 50.000
$ 223.96
X .045
S 10.08
To ensure oroPer cretlit to the account, two
copies of 4his notice oust aecoapery
oaYaent 4o the Rapistar of Wills. Make ch ack
payable to "Rapistar of Wills, Apant".
NOTEi If tax oavaents are wade within three
aanths of the deeatlent's date of tlaath,
tleduct a 5 pe reent tliscounL on the tax due.
Any Inheritanc• Tax due will baeoae tlelinauent
nine aanths after the data of tlaath.
A. y~Tha above inforaation and tax tlua is correct.
Resit payaent to the Rapistar of Willa with Mo copies of this notice to obtain
r CHECK a tliscount or avoid inkares t, or cheek box "A'• antl ra to rn this np tics to the Ra
i
t
f
~
ONE Wills and an official assassa ant will be issuetl by the PA p
s
ar o
Deoartaent of Revenue.
L
BLOCK
ONL Y B. ~ The above asse4 has been or will be ra ortatl and tax
P Paid with
the Penns
l
i
I
to
ba filetl by the estate rep resentetive. y
van
a
nheritance Tax return
C. ~ The shove inf area eon is inea rr et and/or debts and detluekions
Coaplate PART 2~
~ ware paid.
antl/or PART 3
belw.
PART If indicating a different tax rate, pleaso state
ra latlonship to decedent:
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Date Estab ii shed 1
2. Account Balance 2 $
3. Portent Taxable 3 X
4. Amount Su6lect to Tax 4 $
5. Debts and Detluetions 5
6. Amount Taxa6la 5 $
7. Tax Rate 7 X
8. Tax Due 8 $
PART
DATE PAID
penalties of pa
to to the bast.
FILE
ACN
DATE
EST. OF CATHERINE A PREDIX
SSN 177-42-4531
DATE OF DEATN 09-20-2008
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
DESCRIPTION
,uixL tenter on Line 5 of lax Computation]
ry. I tlocla re that the }arts I have report atl above era true, correc t_
my knoyledg• and boll of. HOME c 71~, 37~-~-1a
e ., ~,/ /
AMOUNT PAID
WORK C-11-7 ) 7fn /-Rn1', ~