HomeMy WebLinkAbout08-03-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
RADLE LARRY E
1426 SIMPSON FERRY ROAD
NEW CUMBERLAND, PA 17070
REV-1162 EXI11-961
N0. CD 01 1564
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
fold
ESTATE INFORMATION: SSN: 000-00-0000
FILE NUMBER: 2109-0720
DECEDENT NAME: RADLE ANNABELLE
DATE OF PAYMENT: 08/03/2009
POSTMARK DATE: 08/01 /2009
COUNTY: CUMBERLAND
DATE OF DEATH: 05/02/2009
REMARKS:
SEAL
CHECK# 2740
09148109 ~ 51,272.51
TOTAL AMOUNT PAID:
INITIALS: CJ
RECEIVED BY:
51,272.51
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
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PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES _ __ AND FILE
Po Box 2BO6o1 TAXPAYER RESPONSE ACN
HARRISBURG PA 17128-6661 - `
_ ~ DATE
REV-1543 EX'AFP _(BB-UB)
N0. 21 '(~~'V7a~
09148109
07-27-2009
C~~~~ ~)~
__ .
EST. OF ANNABELLE RADLE
SSN 191-18-3906
DATE OF DEATH 05-02-2009
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
LARRY RADLE REGISTER OF WILLS
1426 SIMPSON FERRY RD CUMBERLAND CO COURT HOUSE
NEW CUMBERLAND PA 17070-1567 CARLISLE, PA 17013
TYPE OF ACCOUNT
SAVINGS
® CHECKING
TRUST
CERTIF.
PNC BANK NA provided the Department with the information below, which has been used in calculating the
potential tax due. Records indicate that at the death of the above-named decedent, you were a ioint owner/beneficiary of this account.
If you feel the information is incorrect, please obtain written correction from the financial institution, 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. Please call (717) 787-8327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 000005140112154 Date 02-01-1970 To ensure proper credit to the account, two
Established copies of this notice must accompany
payment to the Register of Wills. Make check
Account Balance $ 59,532.54 vavable to "'Register of Wills, Agent".
Percent Taxable X 50.000
NOTE: If tax payments are made within three
Amount Subject to Tax $ 29,766.27 months of the decedent's date of death,
Tax Rate )( .045 deduct a 5 percent discount on the tax due.
Any Inheritance Tax due will become delinquent
Potential Tax Due ~` 1 , 339.48 nine months after the date of death.
P~T TAXPAYER RESPONSE
~ AI. UR=E TO RESPOND WILL RESULT I -A~l OFFICIAL TAX ASSESSMENT
A. ~ The above information and tax due is correct.
Remit payment to the Register of Wills with two copies of this notice to obtain
CHECK a discount or avoid interest, or check box "A" and return this notice to the Register of
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 estate representative.
C. ~ The above informs ion is
Complete PART 2~ and/or incorrect and/or debts and deductions were paid.
PART 3^ below.
PART If indicating a different tax rate, please state
relationship to decedent:
TAX RETURN - COMPUTATION
LINE 1. Date Established
2. Account Balance
3. Percent Taxable
4. Amount Subject to Tax
5. Debts and Deductions
6. Amount Taxable
7. Tax Rate
8. Tax Due
OFFI~I USE ONLY
PA DEPARTMENT OF REVENUE
OF TAX DN JOINT/TRUST ACCOUNTS (PAD
1
2 +fi
3 X
4
5 -
6
7 X
8
I
2
3
4
5 _'
6
7
8
PART DEBTS AND DEDUCTIONS CLAIMED
3^
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
TOTAL CEnter on Line 5 of Tax Computation) 8
Under penalties of perjury I declare that the facts I have reported above are true, cotr^~rect and
complete t the best my knowledge and belief. HOME C ~ 7 ) ~ ~ b S
WORK ( ) D_~
TAXPAY GNATU E TELEPHONE NUMBER DATE