HomeMy WebLinkAbout09-15-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.28060t
HARRISBURG, PA 17128-0801
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 01 1745
RIVERS ALFREDA
2069 SPRING ROAD
CARLISLE, PA 17013
told
ESTATE INFORMATION: ssN: 20~-20-s5s~
FILE NUMBER: 2109-0299
DECEDENT NAME: SALISBURY ROSE
DATE OF PAYMENT: 09/15/2009
POSTMARK DATE: 09/ 15/2009
COUNTY: CUMBERLAND
DATE OF DEATH: 03/ 14/ 2009
REMARKS:
SEAL
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
09136246 ~ 526.00
TOTAL AMOUNT PAID:
INITIALS: CJ
REV-1162 EX111-961
526.00
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES
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l r r ~~r. r ,^.~' r.~ND FILE
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~pY~R RESPONSE ACN N0. 21 09-0299
09136246
PD Box zaa
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HARRISBURG PA 17128-0601 -s~ rt :'="!'1 r." ~:.'' 't '
.,4ct ~~~~*, ~, R~1L~SED NOTICE * * * DATE
Ob-12-2009
REV-1543 IX RFP (08-08)
~~~~ ~~~ ~ ~ PM ~, ~~ TYPE OF ACCOUNT
EST. OF ROSE SALISBURY ^ savlNGs
SSN 201-20-6591 ^ CHECKING
C~-F~~~F DATE OF DEATH 03-14-2009 ~ TRUST
C~RP~G~N~~ vC
~~~j OUNTY CUMBERLAND ^ CERTIF.
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t ~Ar'.;`'r,! t":hit, ~(1
CVio-1^',-~ !='" ~ "-' ~ ~ EMIT PAYMENT AND FORMS T0:
LETIZIA M BATES REGISTER OF WILLS
7804 WERTZVILLE RD CUMBERLAND CO COURT HOUSE
CARLISLE PA 17013-4047 CARLISLE, PA 17013
SOVEREIGN BANK 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 joint 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 Na. 1644000751 Date 05-31-1995 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 $ 577 • 81 payable to "Register of Wills, Agent".
Percent Taxable X 100.00
NOTE: If tax payments are made within three
Amount Subject to TaX $ 577 • 81 months of the decedent's date of death,
Tax Rate X • Ol;rj deduct a 5 percent discount on the tax due.
Any Inheritance Tax due will become delinquent
Potential Tax Due $ 2b • 00 nine months after the date of death.
PART TAXPAYER RESPONSE
The
A. above information and tax due is correct.
~ Remit payment to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest, or check box "A" and return this notice to the Register of
CHECK Wills and an official assessment will be issued by the PA Department of Revenue.
ONE
C
BLOCK 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 incorrect and/or debts and deductions were paid.
Complete PART 2~ and/or PART 3^ below.
PART If indicating a different tax rate, please state ~~t ~ ` F a $~ 37' ~t t al a1 e 1
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3. Percent Taxable 3 X
4. Amount Subject to Tax 4 $ ',
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6. Amount Taxable 6 $ 33 5y
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8. Tax Due 8 $ ~ ~ ~ ~
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PART DEBTS AND DEDUCTIONS CLAIMED
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
Under pen ies of per" y, I declare that the facts I have reported^a~bove are true, corre~cst nd
co lets to t best f knowledge and belief. HOME C / ~1 )~~ - 3~ f/
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