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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 ~~:~ ~ - -~ r Larry S Saundra 'a:'~~,:.'.~~::~e ~~a,~~ ~ .'~. ~... .... r v. .~y"`~ f426 Simpson Ferry Rd. ~"' ~""`~:.,,,,,,,~~,,,,~~ „~;; t'lew Cumberland, PA 17070 e~"~a '""''*~ +""" kj'j~, .. C f ' ~~ ~ ~ ~ 11 ~' `~ ``. Y t`J l •-~ -~ ~~~~ -. -~.-.~ ~!!!~}{l!ltl~fl3kkkil!ki~kililii?~4flkikikikl~lF~!!k!Il4flilil 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