The URL can be used to link to this page

Home My WebLink About09-23-09REV-1162 EX111-96) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: STEINOUR DENNIS 2330 RITNER HIGHWAY CARLISLE, PA 17015 -------- fold ESTATE INFORMATION: FILE NUMBER: DECEDENT NAME: DATE OF PAYMENT: POSTMARK DATE: COUNTY: DATE OF DEATH: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT SSN: 204-24-4639 2109-0885 WHITE ELEANOR 09/23/2009 09/23/2009 CUMBERLAND 07/24/2009 TOTAL AMOUNT PAID: REMARKS: DENNIS STEINOUR CHECK#872 SEAL INITIALS: WZ RECEIVED BY: N0. CD 011781 55.61 GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS ACN AMOUNT ASSESSMENT CONTROL NUMBER BUREAU OF INDIVIDUAL TAXES PO BOX 280601 HARRISBURG PA 17128-0601 "' 07-24-2009 C{-~Ft`~ `~'~ DATE OF DEATH ~ CERTIF. 4 ~ ` +,',' ~ CUMBERLAND ~+ ()~;~F{ ~ ~- ~ t~A COUNTY 1~L4~~~ -~ •~~-' r ~' REMIT PAYMENT AND FORMS T0: DENNIS STEINOUR 2330 RITNER HWY PA 17015 CARLISLE REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 MEMBERS 1ST FCU 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 accoun . "on is incorrect, Please obtain written correctiGe With the InheritancenTaxtlawsnofathecCommonwealthtofs form If You feel the informati and return it to the above address. This account 3s taxable in accordan Pennsylvania. Please call C717) 78?-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTION Date Oa-15-2001 To ensure proper credit to the account, two Account No. 166701-11 copies of this notice must accompany Established payment to the Register of Wills. Make check 788,1rj payable to "Register of Wills, Agent". Account Balance 16.667 Percent Taxable X NOTE: If tax payments are made within three 1 3 1 , 3 6 months of the decedent's date of death, Amount Subject to Tax .045 deduct a 5 percent discount on the tau due. Tax Rate X Any Inheritance Tax due will become delinquent rj , 9 1 nine months after the date of death. Potential Tax Due PART TAXPAYER RESPONSE FAILURE RESPOND WILL RESULT IH AN OFFICIAL TAX ASSESSMENT A, he 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. B L 0 C K B. ~ The above asset has been or wlll be reported and tax paid with the Pennsylvania Inheritance Tax return C ONE 0 N L Y to be filed by the estate representative. C ^ CompleteePARTormZ land/or1PARTre~ below, debts and deductions were paid. USE ONLY ~ AAF 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 PART DATE PAID PAYEE DESCRIPTION AMOUNT PAID s TOTAL (Enter on Line 5 of Tax Computation) Under penalties of perjury, I declare that the facts I have H OME edCabove ~ e true, correct and complete to the best of my knowledge and belief. , WORK ~ DATE TELEPHONE NUMBER rnYaevFR SIGNATURE PENNSYLVANIA INHERITANCE T' INFORMATION NOTICE AND - "TAXPAYER RESPONSE FILE N0. 21 - U 1 "' ~~~ ACN 09152145 DATE 08-12-2009 REV-1543 EX AFP (OB-OB) TYPE OF ACCOUNT ~Pfifit] ~`E~ `~3 ~~ ~ ~. 23 ~ SAVINGS LUU7 v EST. OF ELEANOR WHITE CHECKING TRUST OF TAX ON JOINT/TRUST ACCOUNTS 1 i z $ 3 X 4 5 6 ~ X 8 PAD 1 2 3 4 5 b 7 8 DFFICIAL PA DEPARTMENT DF REVENUE DEBTS AND DEDUCTIONS CLAIMED