HomeMy WebLinkAbout08-18-09COMMONWEALTH OF PENNBVLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280801
HARRIBBURG. PA 1 ] 128-0801
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
EIFFES URSULA
5225 ROYAL DRIVE
MECHANICSBURG, PA 17055
REV-1182 EX~11-961
NO. CD 011636
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
__---_-- toq
ESTATE INFORMATION: SSN: 000-00-0000
FILE NUMBER: 2109-0771
DECEDENT NAME: MORGAN WILLIAM R
DATE OF PAYMENT: 08/1$/2009
POSTMARK DATE: 07/31 /2009
COUNTY: CUMBERLAND
DATE OF DEATH: 06/29/2009
09143343 ~ 52.88
TOTAL AMOUNT PAID:
REMARKS:
SEAL
CHECK# 379
INITIALS: CJ
RECEIVED BY:
52.88
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
BUREAU OF INOIVIWAL TAKES - ;'~~ ~ AND FILE N0. 21 'ai'U~1~
PG gox zaoaal T/~XPAYER RESPONSE ACN 09143343
W1RRI5 BURG PA 1 7128-0 6 01 ~ :--';i~ DATE 06-12-2009
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1009 AUG 18 PM 121 27
CLERK ~JF
ORPHAN'S COl1RT
URSULA EIFFES
5225 ROYAL DRIVE
MECHANICSBURG PA 17055
EST. OF WILLIAM R MORGAN
5SN 203-10-6630
DATE OF DEATH 06-29-2009
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
CUMBERLAND CD COURT HOUSE
CARLISLE, PA 17013
TYPE OF ACCOUNT
® SAVINGS
CHECKING
TRUST
CERTIF.
MEMBERS 1ST FCU provitlotl the Oepsrtment with the infprwatipn below, which has been used in eelculatinp the
potential tax due. Records indicate that a4 tho death of the above -nawetl decadent, you were a faint Duna r/beneficiary of this account.
If you foal the iota nation is incorrect, please obtain written correction frpu the financial instikution, attach a coat/ to this fprw
entl return it to the above adtlrass. This account is taxable in ecco rdance with the Inheritance Tax laws of the Conwom+e al th of
Pennsylvania. Please call (717) ]a7-aS2] with pwstipns.
COMPLETE PART 1 BELOW ^ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 185649-OD
Account galanea
P arc ant Taxable
Amount Suh]eet to Tax
lax Rate
Potential Tax Due
Date 07-09-1999
Established
$ 383.69
X 16.667
$ 63.95
X .045
S 2.88
To ensure proper credit to the account, two
copies of this notice must accowpa:ry
payment to the Ropiskar of W311s. Nako chock
payable to "Rapister of Wills. Apant".
NOTE, If kax peywan is era made within th rea
nonths of the decedent's data of tleeth.
tledue4 a 5 portent discount on the tax due.
Ant/ Inheritance Tex due will baeowe delinquent
nine months after the date of death.
A./~ The above information and tax due is ca rroct.
/b~~](1 Raait paprmant to tM Replstor of Wills with Mo cppies of this notice to obtain
r CHECK a diacoun4 ar avoid interest, or check box "A" and return this notice to the Rapistor of
I ONE ~ Wills and an official assesswant will be issued by the PA Oapartment of Rarenua.
L BL DCK g. ~ Tha above essa4 has bean ar will ba reported and tax paid with Lha Pennsylvania Inharitan ce Tm: return
ONL V o be filetl by the esta to rep resentatire.
C.~ha above inf or a eon is incorrect and/or dab is antl deductions ware paitl.
Complete PART 12 antVar PART 3~ bales.
P
RT If IntllCeting a tl3ffere nt tax rata. please state
t0ll
V'
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i
A relationship to decedent: , ~
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TAX
RETURN - COMPUTATION
OF I
~i
'i I
TAX ON JOINT/TRUST ACCOUNTS gj p
LINE 1. Dat• Establ3shetl 1
2. Account 5alance 2 S
3. Parc ant Taxable 3 X
4. Amount Subject to Tax 4
5. Debts and Detluctions 5
6. Amount Taxable 6
7. lax Rata 7 X
8. Tax Due 8
PART DEBTS AND DEDUCTIONS CLAIMED
0
GATE PAID PAYEE DESCRIPTION AMOUNT PAID
DATE
Untler penalties of periury, I tlaelara that the Pacts I have reported above era ~~ ue, corr t and
eomplet•/tp the b'est//oy~~ knpwlatlge and belief. HOME C ) !Wi
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