HomeMy WebLinkAbout06-30-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280801
HARRISBURG, PA 17128-0801
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX111-981
NO. CD 01 1421
FRY LOUISEMARIE AM
352 W 1ST STREET
BOILING SPRINGS, PA 17007
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
role
ESTATE INFORMATION: SSN: 766-03-9996
FILE NUMBER: 2109-0610
DECEDENT NAME: MISANTONE CONCETTA M
DATE OF PAYMENT: 06/30/2009
POSTMARK DATE: 06/29/2009
couNTY: CUMBERLAND
DATE OF DEATH: 10/03/2008
09111589 ~ 589.11
TOTAL AMOUNT PAID:
REMARKS: LOUISEMARIE AM FRY
SEAL
CHECK#8085
INITIALS: WZ
RECEIVED BY:
589.1 1
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
PENNSYLVANIA INHEN11ANl:E LAIC
INFORMATION NOTICE p
suREAU of IxolvlouAL rAxES ~ -'~ AND FILE NO. 21 -~ Q f- (pIO
Po emc zpasoT ;TAXPAYER RESPONSE ACN 09111589
wiwtISBURG PA 17128-8601 '"
`"'~ `'~' ~ DATE 02-27-2009
an-we ciiii~~~' ~' ~.. •._
LOUISENAR N FRY-
352 W 1ST STREET
HOILIN6 SPRINGS PA 17007-9744
TYPE OF ACCOUNT
EST. OF CONCETTA M MISANTONE ^ sAViNSs
SSH 166-03-9996 ~ CHECK IN6
DATE OF DEATH 10-03-2008 ^ rRUSr
COUP 78E 1 ~ CERTIF.
2T PAYMENT AND FORMS TD:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
BANK OF AMERICA' NA proriGd the Departpant with tM intonation boles. whits has boon usetl in ealeulatinp the
pobntLl tax due. Records indicate that at the death of the above-vaned daeedmt. yeu wero a ieknt wmr/Mnsficiary of this seeeunt.
If reu teal the inferoatian is ioeorroet,.plsas obtain yrittm correction frog tM fiMneial inatitutkm. attach • copw to khis fors
uM roturn it to tM above addross. This aewunt is tarabL in aeeordanw with the Irw~e ritanw Tax laws of the Coeawwwlth of
_PSnngrlvan •., Plwse cell 3717) 787-8327 rith quastims. _y_,.___ ,__.~
COMPLETE PART 1 BELOW R SEE REYERSESLDE FOR~FILINCAND PAYME-i11: fNST1EQCT30NS"--~'
Account No. 004466002925
Account Balsnca
Poreont Taxable
Apount SubiscL to Tax
Tax RK•
Potential Tsx Due
PART
2009 JUN 30 AN 11 ~ 30
CIEN S OURT
ORPc~~~-~ C;l . PP.
~M~...
Dat• 1-0-08-1996
Eatablishsd
$ 1,186.17
X 50.000
$ 5 4.09
X .15
$ 89.11
Te ensure'preper credit to tM aceouM, two
eepUS of thls not lea post accowny
psvpmt to tM Register of Wills. Meke Meek
oevable to •Repisbr of Wills, Awnt°.
NOTE. If tax psrpents aro pads rlthln throe
sonths of tM dewMnt's dab of death,
aeauce a 5 percent discount en tM tax tlue.
Aro Inheritance Tex due will beeepe Mlingwnt
vim aontha afbr the tlab of Gath.
A. ~`fM ahem infpnstim antl to des 1s wrcoat.
\Y4A- Resit peypsnt tp tM Ryister of Wills with bo copies of this nptica is ohtain
CHECK a dlseowt or areid inbroat, er cheek box wA. and roturn this notice to tM Refiabr of
ONE .~ Wills nW an offkeiel easesapmt will be issuetl br the PA Deparhmt of Revenue.
B p. ~ TM oboes asset has been or will be reported and tax paid with tM Pemavlvmie Tnheritanw Tsx return
NLY to M filed by the estate npnsentative.
C. ~ The above into Son is inw arM/er debts and detlucti ens wero paid.
Cepolete PART 2H md/or PART belw.
PART If indleatin0 a different tsx rate, please state
ralstionshlp to decadent:
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Dots Eatablishsd 1
2. Account Bslsnce 2 $
3. Percent Taxa61• 3 X
4. Asount SubiaeY to Tax 4 $
5. Debts pntl Deductions 5 -
6. AWOYnt Taxable 6 $
7. Tax Rat• 7 X
e. Tax Des R $
- -___..
PART DEBTS AND DEDUCTIONS CL.AI
^3
DATE PAID PAYEE DESCRIPTION
AMOUNT PAID
Q~pST'Me9lfs«A to
Under penaltlss of po Hury, I decla ro that the facts I hero reportstl above •ro true, correct and
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TAXPAYER SI6 ATU E TELEPHONE UMBER DAT
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