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HomeMy WebLinkAbout10-30-09__ _ _ COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. C© 01 1923 MARTIN DONNA 685 MILLER RD YORK HAVEN, PA 17370 ACN ASSESSMENT AMOUNT CONTROL NUMBER fold ---------- ESTATE INFORMATION: SSN: 2o5-os-4843 FILE NUMBER: 2109-0212 DECEDENT NAME: BROWN FREDA B DATE OF PAYMENT: 10/30/2009 POSTMARK DATE: 10/19/2009 COUNTY: CUMBERLAND DATE OF DEATH: 02/ 1 5/2009 09158384 ~ $315.04 TOTAL AMOUNT PAID: $315.04 REMARKS: CHECK# 1 15 INITIALS: DM SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS PENNSYLVANIA INHERITANCE T INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES AN D PO BOX 280601 TAXPAYER RESPONSE HARRISBURG PA 17128-0601 REV-isas Ex acv coo-oe~ FILE N0. 21 09-0212 ACN 09158384 DATE 09-17-2009 DONNA ~ ~ MARTIN 685 MILLER RD YORK HAVEN PA 17370-9228 C'7 C ~ ~;- -,~ -~ _ ~_ SOVEREIGN BANK provided the Departwent with the inforwation below, which has been potential tax due. Records indicate that at the death of the above-pawed decedent, you were a ]oint owner/I If you feel the inforwation is incorrect, please obtain written correction frow the financial institution, ; and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of Pennsylvanla. i'iba3e ~tril 1717) 783-a327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT IN: TYPE OF ACCOUNT SAVINGS CHECKING TRUST CERTIF. nV c~ c~ r-~-; ~~-~ Ca f,.'.''~~ ~~ ( ..) rT OjyelCUing tbp ~ '~~`T k%ry of ~K15 acC'G'O~nt-~~ Q"'~opy this ~~.!~''.,~~ iwbnweai of ,r~, _ . ~;;:.y~._ TIONS.: - ~'~ Account No. 1055420127 Date 04-08-1997 W ~~ To ensure proper credit to the aunt, two ° Established copies of this notice oust accowpany Account Balance 14 001 76 paywent to the Register of Wills. Make check " , . payable to Register of Wills, Agent". Percent Taxable X 50.000 AmOUnt Subject t0 TeX $ 7 000 88 NOTE: If tax paywents are wade within three , . months of the decedent's date of death, Tax Rate ~( , 1 Cj deduct a 5 percent discount on the tax due. Potential Tax Due 1 , 0 5 0 . 1 3 Any Inheritance Tax due will becowe delinquent nine wonths after the date of death. P T TAXPAYER RESPONSE a 1 .. ~L ; I A. ~ The above inforwation and tax due is correct. Rawit paywent to the Register of Wills with two copies of this notice to obtain CHECK a discount ar avoid interest, or check box "A" and return this notice to the Register of C 0 N E ~ 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 filed by the estate representative. C. Tha above inforwa ion is ~ incorrect and/or debts and deductions were paid. Cowplete PART 2 and/or Wills and an official assesswent will be issued by the PA Departwent of Revenue. PART ~ below. PART If indicating a different tax ra e, ple s tats a relationship to deceden t: ~~ ~; ~ TAX RETURN - COMPUTATION OF TAX ON JO NT/TRUST ACCOUNTS .. ~'ACI'i^ ' LINE 1. Date Established 1 ~, - 2. Account Balance 2 ~ ~ 3. Percent Taxable 3 X ~ t' '~ `# `" 4. Amount Subject to Tax 4 $ ,~ ~ 7:;e 5. Debts and Deductions 5 - 6. Amount Taxable 6 $ nn `V 0~• r 7. Tax Rate 7 X ~: ~ 8. Tax Due 8 $ • ' ~ PART DEBTS AND DEDUCTIONS CLA IMED DATE P AID PAYEE DESCRIPTION AMOUNT PAID EST. OF FREDA B BROWN SSN 205-09-4843 DATE OF DEATH 02-15-2009 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 Under penalties comple t~e/~o the of perjury, I declare that the facts I best of my knowledge nd belief. have reported abov1 HOME ( ! are ) true ~or1-6ct C}}//~K ~ IOIAL cEnter on Line 5 of Tax Computation) #