HomeMy WebLinkAbout11-24-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 012030
LAWYER REBECCA A
837 ERFORD RD
CAMP HILL, PA 1701 1
fold
ESTATE INFORMATION: sSN: ~ 5s-24-9020
FILE NUMBER: 2109-1099
DECEDENT NAME: FUNSTON CREA E
DATE OF PAYMENT: 1 1 /24/2009
POSTMARK DATE: 1 1 /23/2009
COUNTY: CUMBERLAND
DATE OF DEATH: 04/09/2009
REMARKS:
CHECK#142
SEAL
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
09166470 ~ $120.99
TOTAL AMOUNT PAID:
INITIALS: DM
REV-1162 EX(11-96)
$120.99
GLENDA EARNER STRASBAUGH
RECEIVED BY:
REGISTER OF WILLS
REGISTER OF WILLS
PENNSYLVANIA INHERITANCE TAX
~ COUNTY CUMBERLAND ^ CERTIF.
':'- "~ ~ REMIT PAYMENT AND FORMS T0:
~~ ~ •` = ..
i._,~ .y:1 RC-UCCA ~ AWYER REGISTER OF WILLS
`= - =_-_" S3~ ERFQ,(~~~ CUMBERLAND CO COURT HOUSE
`'~ C H p PA 17011 CARLISLE, PA 17013
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r -~. a- ; CS.=
M€T'RQI~ANK ~^ (~(~~ provided the Departwent with the infarwation below; which has been used in calculating the
p6lantial tax~je. Records"Sndicate that at the death of the above-pawed decedent, you were a ioint owner/beneficiary of this account.
If vau feel tFBJinfonation is incorrect, please obtain written correction fraw the financial institution, attach a copy to this forty
and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Cowwonwealth of
Pennsylvania. Please call (717) 787-8327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 536615941 Date 01-20-2004 7o ensure proper credit to the account, two
Established copies of this notice wust accowpany
5, 377.38 paywent to the Register of Wflls. Make check
Account Balance $ payable to "Register of Wills. Agent".
Percent Taxable X 50.000
$ 2, 688.69 NOTE: If tax payments are wade within three
Amount Subject to Tax wonths of the decedent's date of death,
TaX Rate X , 15 deduct a 5 percent discount on the tax due.
$ 4 0 3.3 0 Any Inheritance lax due will becowe delinquent
Potential Tax Due nine wonths after the date of death.
P~T TAXPAYER RESPONSE
1 ~I ;
A. ^ The above inforwation and tax due is correct.
Resit paywent to the Resister of Wills with two copies of this notice to obtain
CHECK a discount or avoid interest, ar check box "A" and return this notice to the Register of
O Wills and an official assessment will be issued by the PA Departwent of Revenue.
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES AND FILE NO. 21.-UCH-~()~ t
PO BDX 280601 TAXPAYER RESPONSE ACN 09166470
HARRISBURG PA 17128-0601
DATE 10-16-2004
eEV-iscs a Ica coe-oe:
TYPE OF ACCOUNT
E5T. OF CREA E FUNSTON ^ SAVINGS
S5N 159-24-9020 ®CHECKING
DATE OF DEATH 04-09-2009 ^ TRUST
[ 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 inforwa ion is incorrect and/or debts and deductions were paid.
owplete PART 2~ and/or PART 3^ below.
PART If indicating a different tax rate, pleas state s
relationship to deceden t«~i/,~
~~ i .
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS ~~'', ~~°~''~~~~~!i, ~`~! {~' `tf;;~ ~. °f
LINE 1. Date Established 1
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2. Account Balance 2 ~ v°'
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3. Percent Taxable 3 X ~ Pi ~
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4.
Amount Subject to Tax 4
$ «ww
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5. Debts and Deductions 5 - <`:.
6. Amount Taxable 6 $ _
, ~rt '=e=~ rs 9,,~,j-~,.~3 r ~ eaa • 6 ~
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7. Tax Rate 7 X
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8.
Tax Due 8
$ ~OZI~ i ~~ ~,
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PART DEBTS AND DEDUCTIONS CLAIMED
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
WORK ( ) (~
PAYER SIGNAT TELEPHONE NUMBER DATE
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