HomeMy WebLinkAbout08-20-09COMMONWEALTH OF PENNBVLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280801
HARRISBURG, PA 1 ] 128-0801
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 01 1648
HOLLAR JACOUELIN
136 WOODS DRIVE
MECHANICSBURG, PA 17050
foltl
ESTATE INFORMATION: SsN: tst-2a-st78
FILE NUMBER: 2109-0782
DECEDENT NAME: JONES BONNIE M
DATE OF PAYMENT: 08/20/2009
POSTMARK DATE: 08/19/2009
COUNTY: CUMBERLAND
DATE OF DEATH: 04/04/2009
ACN
ASSESSMENT
CONTROL
NUMBER
REV-1182 E%111-981
AMOUNT
09152170 ~ 574.81
TOTAL AMOUNT PAID:
REMARKS: JACOUELIN HOLLAR
CHECK#1546
574.81
INITIALS: WZ
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
PENNSYf.VANIA INHERITANCE TAX
INFORMATION NOTICE
BUREAU OF INOIVIOUAL TAXES AND FILE ND
PD amt aagsol - ~-.TAXPAYER RESPONSE ACN
NARRISBURG PA 17128-0601
DATE
zl oq- 0'7~~
09152170
08-12-2009
209 AllG 20 A~3 i~~ 51
CLERK CF
OR?BAN'S COURT
i
C~~f,r?F~,'_- ;~' `fin . A.
JACQUELIN HOLLAR
136 WOODS DRIVE
MECHANICSBURG PA 17050
EST. OF BONNIE M JONES
SSN 191-24-6178
DATE OF DEATH 04-04-2009
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
TYPE OF ACCOUNT
SAVINGS
® CHECKING
TRUST
CERTIF.
MEMBERS 1ST FCU provided the Oepartaent with the inforaation below. which has boon usetl in calculeiinp the
potential tax due. Records indite to that at 4ha death of the above-naaad decedent, you were a taint caner/beneficiary of this account.
Tf you feel the 3nforent ion is Sncorreet, please obtain written ea rrection frog the fin aneial institution, attach a copy Ya 4his fare
and return it to the above address. This account is taxable in accordance with the Inheritance Tex laws of the Cosaora+ealth of
Ponnaylvania. P3 use call (71 T) 787-8527 with questions.
COMPLETE PART 1 BELOW ^ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 230293-11
Account Halan<e
Percent Taxable
Amount Sub3aet to lax
lax Rate
Pgtentfal Tax Due
Dst• 02-10-2006
Established
g 9,974.39
X 16.667
$ 1,662.43
)( . 045
S 74.81
To ensure proper crodit 4o the eccounk, two
copies of Lhis notice aunt aeeoapanY
payaant to 4ha Replstar of Wills. Nake check
payable to "Register of Wills, Aaent".
NOTE) If tax pavunts ors aade within throe
aonths of the tleeedent's date of death,
deduct a 5 percent discount on the tax due.
Anv Inheritance Tax due will bacoae delinquent
nine aonths after the tlata of tla ath.
A. ~{ The above inforeation and tax due is correek.
ffil Raait oavaan4 to the Register of W111s with two copies of this notiea to obtain
a discount or avoid i nterest, or eheck'boz "A" and return khis notiea to the Repistar of
r CHECK Wills and an official assassaent will be issued by the PA Depariaenk of Revenue.
I ONE ~
L $L OCK 8. ~ The above asset has boon or will be raportetl and ku paid with the Pennsylvania Inharikenca Tax return
ONL V to be filed by the estate raps sentat ive.
C. ~ The above inf or^asion 3s into rr ct and/or tlebts and tleductions wars paitl.
CupLb PART ~ andJ or PART 3~ below.
PART If indicating a different tax rata, phase state HIV'
'
relationship to dacadant: ~
TAX
RETURN - COMPUTATION OF iil
TAX ON JOINT/TRUST ACCOUNTS
~~~~
LINE 1. Date Establishetl 1 it
l'!~~
2. Account Balance 2 S
3. Percent Taxable 3 X
4. Amount Subject to Tax 4 ~
5. Debts and Da duct3ons 5
6. Amount Taxable 6
7. Tax Rata 7 X
e. Tax Due e $
ppRT DEBTS AND DEDUCTIONS CLAIMED
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
Under penalties of pa r7 ury. I dao lore that Che facts I have raportetl ab^fove era true. correct antl
omplate to the best of my no/w/,ye tlga antl belief. HOME I 1 ~~~1
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