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HomeMy WebLinkAbout10-29-09COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 011915 MILLER MARK D 281 POPLAR HILL ROAD GARDENS, PA 17324 told ESTATE INFORMATION: ssrv: t 8s-t 2-4465 FILE NUMBER: 2109-1018 DECEDENT NAME: DUNCAN STEWART D DATE OF PAYMENT: 10/29/2009 POSTMARK DATE: 10/28/2009 COUNTY: CUMBERLAND DATE OF DEATH: 07/29/2009 REMARKS: ACN ASSESSMENT CONTROL NUMBER REV-1162 EX111-96) AMOUNT 09155020 ~ 54,890.66 TOTAL AMOUNT PAID: 54,890.66 CHECK# 5247 INITIALS: DM SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS PENNSYLVANIA INHERITANCE TAX GARDNERS PA 17324-9726 CUMBERLAND CO COURT HOUS~ CARLISLE, PA 17013 ~--- rJ ~c, ~ ~~ c~ ~~ 'fit C") } n't ~ ( .- 7 PNC BANK NA ~ ~ ~ t'~ rk~'7 potential tax due. Records indicate that pat the de th of the above t a ad decedent lyou were a ~oant aowner/berWf~rp~Of taBA acc ~~#.5~.~ If you feel the inforaatian is incorrect, please obtain written correction fron the financial institution, at tae ~-~ copy to~:is fora and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of tha3 L~laonwealt$~f Pennsylvania. Please call C717) 787-8327 with questions. T COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS ~' ~~~.~ account No. 000005005054836 Date 08-20-2007 ~~~~, To ensure proper credit to the account, two Established copies of this notice oust acco~pany Account Balance $ 55, 316.59 pay~ent to the Register of Wiils. Make check Percent Taxable X payable to "Register of Wills, Agent". 100.00 Amount Subject to Tax $ 55, 316.59 NOTE: If tax payaents are ^ada within three Tax Rate months of the decedent's date of death, X . 1 5 deduct a 5 percent discount on the tax due. Potential Tax Due ~- 8, 297.49 Any Inheritance Tax due will becoae delinquent nine months after the date of death. PART ~ ~~sTAXP~A~YER~~RESPONSE A. ~ The above infor~Ration and tax due is correct. Resit payaent to the Register of Wills with two copies of this notice to obtain C CHECK a discount or avoid interest, or check box "A" and return this notice to the Register of 0 N E ~ Wills and an official assessaent will be issued by the PA DepartRtant of Revenue. 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 inforaa ion is incorrect and/or debts and deductions were paid. Cot•plete PART 2~ and/or PART 3~ below. PART If indicating a different tax rate, please state a 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 PART DATE PAID PAYEE OF TAX ON JOINT/TRU T ACCOUNTS 1_ 2~0r ~4.q azG t~ ~- 2__ $ J/ ,S, ~ `S~1 3 X lO~. 4 $ ~S, 3l~ ,S"9 5_- ~ii. ~LO. O O 7 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 C7~/~' ) .SoC~"-~fo.2~. TAXPAYER SIGNATURE WORK ( / ) 338.E ~~Q, TELEPHONE NUMBER ~ DATE INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES AND FILE N0. 21 W-RRisBURG6PA 1712E-oeol TAXPAYER R E S P O N S E ACN ~ ~~~ l d~ 09155020 REV-1543aAFp (3B-OB) DATE 08-31-2009 TYPE OF ACCOUNT EST. OF STEWART D DUNCAN ~ SAVINGS SSN 188-12-4465 ~ CHECKING DATE OF DEATH 07-29-2009 © TRUST COUNTY CUMBERLAND ~ CERTIF. REMIT PAYMENT AND FORMS T0: MARK D MILLER REGISTER OF WILLS 281 POPLAR HILL RD M ~~ ~• it,~ {,i~ 4.E ~,a l.::, r•.~ rr. +~.~. ~.r ~. ire, w rr~. 4r. wr. :.. :.. :.. ~... ,.. ry/ v F y~ 3 `Q V ~ s.. ~O ,~ a ~ ~ ~ Q ~ ' ~ 0 .~ ~ N O ~ 1 1 1 T 1 V D2~' W ~ ~.~ °' ~. ~ ti ~~1 i ~?; N'.t t~ ~~ ~~.1~c >~ 2+?~ {~; f^ s-~ ff~ ~ ~~1 ti L y • '~ ' .s ~C %'t~, i~ far ~~9a i E"~