HomeMy WebLinkAbout09-28-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OP INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX111-961
NO. CD 011811
PROPES DAVID H
2144 CATERBURY DRIVE
MECHANICSBURG, PA 17055-5767
toed
ESTATE INFORMATION: ssly: i6o-22-7275
FILE NUMBER: 2109-0905
DECEDENT NAME: LITTLE EUGENE A
DATE OF PAYMENT: 09/28/2009
POSTMARK DATE: 09/25/2009
COUNTY: CUMBERLAND
DATE OF DEATH: 10/12/2008
REMARKS:
CHECK# 635
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
08153344 ~ 564.44
TOTAL AMOUNT PAID: 564.44
INITIALS: CJ
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
PENNSYLVANIA INHERITANCE T
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES - n,: - - _ A N D
PO BOX 288601 -
HARRISBURG PA In zB-0601 TAXPAY E R R E S P O N S E
- -;; _
REV-1543 EX AFP -(OB-OB)~' ~--
FILE N0. 21 -~9V~a5
ACN 08153344
DATE 11-10-2008
~~~9 SEP 2$ t~E~a 2: 35
~,_, ~~
CU" ~;~,
TAMMY J PROPES
2144 CANTERBURY DR
MECHANICSBURG PA 17055-5767
EST. OF EUGENE A LITTLE
SSN 160-22-7275
DATE OF DEATH 10-12-2008
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
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 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 No. 000005002173303 Date 10-21-1999
To ensure proper credit to the account, two
Established copies of this notice must accompany
Account Balance $ 8, 591.71 payment to the Register of Wills. Make check
Percent Taxable X payable to "Register of Wills, Agent".
16.667
Amount Subject to Tax $ 1,431.98 NOTE: If tax payments are made within three
Tax Rate months of the decedent's date of death,
X . 0 4 5 deduct a 5 percent discount on the tax due.
Potential Tax Due $ 64.44 Any Inheritance Tax due will become delinquent
PART nine months after the date of death.
TAXPAYER RESPONSE
FAILURE TO RESPOND WILL RESULT IN AN 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 obtai
CHECK
a discount or avoid interest, or
Wi
check box "A" and return n
this notice to the Re
i
t
C 0 N E ~
lls and an official assessment
will be issued by the PA g
s
er of
Department of Revenue.
B L 0 C K
0 N L Y B. ~ The above asset has been or will be reported and tax paid with the Pennsylva
i
I
h
to be filed by the estate representative. n
a
n
eritance Tax return
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
relationship to decedent:
TAX RETURN - COMPUTATION
LINE I. Lace Esiabli~t~ed
2. Account Balance
3. Percent Taxable
4. Amount Subject to Tax
5. Debts and Deductions
6. Amount Taxable
7. Tax Rate
8. Tax Due
OF TAX ON JOINT/TRUST ACCOUNTS
1
2
3 X
4
5
6 +fi
~ X
8 +~
PAD
OFFICIAL USE ONLY ~ AAF
PA DEPARTMENT OF REVENUE
I _ __-
2
3
4
5
6
7
8
PART
0
DATE PAID PAYEE
DEBTS AND DEDUCTIONS CLAIMED
DESCRIPTION
AMOUNT PAID
TOTAL CEnter on Line 5 of Tax Computation) g
Under penalties of perjury, I declare that the facts I have reported above are true, correct and
complete to the best of my knowledge and belief.
HOME C )
WORK ( )
TAXPAYER SIGNATURE rri roun.,r .,...........
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OP INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
PROPES DAVID H
2144 CANTERBURY DRIVE
MECHANICSBURG, PA 17055-5767
~o~d
ESTATE INFORMATION: ssN: 1 so-22-7275
FILE NUMBER: 2109-0905
DECEDENT NAME: LITTLE EUGENE A
DATE OF PAYMENT: 09/28/2009
POSTMARK DATE: 09/2512009
COUNTY: CUMBERLAND
DATE OF DEATH: 10/ 12/2008
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
08153342 ~ S 14.37
TOTAL AMOUNT PAID:
REMARKS:
CHECK# 636
SEAL
INITIALS: CJ
$14.37
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REV-1162 EX111-96)
NO. CD 01 1812
REGISTER OF WILLS
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAxES - A N D
PO BOX 280601
HARRISBURG PA vlz8-0601 ~ TARP AY E R R E S P O N S E
:~ !
REV-i64~~X AFP (OB-08) -
FILE N0. 21 -~ q
ACN 08153342
DATE 11-10-2008
2~~9 SEP 28 r~ Z~ 35
CL~F'\ ~ ~
oR~-~;'~;~~ ~ ~ r,,~1-,T
TAMMY J PROPES
2144 CANTERBURY DR
MECHANICSBURG PA 17055-5767
EST. OF EUGENE A LITTLE
SSN 160-22-7275
DATE OF DEATH 10-12-2008
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
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 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 C717) 787-8327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 000005003097269 Date 10-21-1999
To ensure proper credit to the account, two
Established copies of this notice must accompany
Account Balance $ 1 , 916.55 payment to the Register of Wills. Make check
X payable to "Register of Wills, Agent".
Percent Taxable 16.667
Amount Subject to Tax $ 319.43 NOTE: If tax payments are made within three
TaX Rate months of the decedent's date of death,
X . 0 4 5 deduct a 5 percent discount on the tax due.
Potential Tax Due $ 14.37 Any Inheritance Tax due will became delinquent
nine months after the date of death.
PART TAXPAYER RESPONSE
1
FAILURE TO RESPOND WILL RESULT IN AN dFFICIAL TAX ASSESSMENT
A. .~ The above information and tax due is correct.
~~LL77'-~~ Remit payment to the Register of Wills with two copies of this notice to obtain
C H E C K a discount or avoid interest, or check box "A" and return this notice to the Register of
0 N E Nills and an official assessment will be issued by the PA Department of Revenue.
B L 0 C K ~ g, ~ The above asset has been or will be reported and tax paid with the
0 N L Y to be filed by the estate representative. Pennsylvania Inheritance Tax return
C. ~ The above information is incorrect and/or debts and deductions were paid.
Complete PART ~2 and/or PART 3L_J below.
rNrci ~~ ii,wicaung a airterent 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
OF TAX ON JOINT/TRUST ACCOUNTS
1
2 +fi
3 X
4
5
6
7 X
8 $
OFFICIAL U5E ONLY ~ AAF
PA DEPARTMENT OF REVENUE
PAD
t
2
3
4
5
6
7
8
r,art i
DATE PAID PAYEE
DEBTS AND DEDUCTIONS CLAIMED
DESCRIPTION
AMOUNT PAID
TOTAL CEnter on Line 5 of Tax Computation) g
Under penalties of perjury, I declare that the facts I have reported above are true, correct and
complete to the best of my knowledge and belief.
HOME C )
WORK C )
TAXPAYER SIGNATURE Tri rour,ur .,,,..,.'-..
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