HomeMy WebLinkAbout11-20-09 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280.';1
HARRISBURG, PA 1]128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 012009
TOMLINSON ROBERT D
521 LONGFELLOW AVENUE
HERMOSA BEACH, CA 90254
-------- fulE
ESTATE INFORMATION: sSN: 203-o5-s555
FILE NUMBER: 2109-0950
DECEDENT NAME: TOMLINSON PHILIP B
DATE OF PAYMENT: 11/20/2009
POSTMARK DATE: 11/17/2009
COUNTY: CUMBERLAND
DATE OF DEATH: 09/ 1 5/2009
REMARKS: RECEIPT TO ATTY
CHECK#2019
SEAL
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
09170051 ~ $442.21
REV-1162 EXI11-98)
TOTAL AMOUNT PAID:
INITIALS: WZ
RECEIVED BY:
5442.21
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES AND FILE ND. 21 09-0950
Po BU)( 280601 TAXPAYER RESPONSE ACN 09170051
IURRISBURG PA 17128-0601 n..,-~_~ ,
~~~ ~_. 'l` DATE 11-02-2009
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20Q9 NOY 20 t'~i !2~ 20
CLER'~t
CORPHMY~ ;''.~3T
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ROBERT D TOMLINSON
521 LONGFELLOW AVE
HERMOSA BEACH CA 90254-2150
EST. OF PHILIP TOMLINSON
SSN 203-05-6555
DATE OF DEATH 09-15-2009
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
TYPE OF ACCOUNT
SAVI N6S
CHECKING
TRUST
CERTIF.
PNC BANK NA provldad the Oepertmenk with the information bales, which has been used in calculating the
potential tax tlue. Racp rds indicate that at the death of the above-named decadent, you were a ioint owner/beneficiary of this account.
If you feel the information is incorrect, please obtain written correction from the finan eial institution, attach a cape to this form
and return it to the above adtlress. This account is tax stile in accordance with the Inheritance Tax laws of the Camaorwealth of
Permsv lvania. Please call (717) 787-8327 with auastions.
COMPLETE PART 1 BELOW a SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Aeeount No. 000031000327231 Data 07-16-2008 To ensure proper credit to the account, two
Established copies of this notice oust aeeomparo
payment to the Resister of Wills. Make check
Account Halaneo ~ 10,344.11 payable to "Register of Wills, Agent".
Percent Taxable X 100.00
NOTE, If tax payaen is ere •ede within th raa
Amount Subleet to Tax ~ 10,344.11 months of the decedent's date of death,
Tax Rata )( . 045 deduct a 5 percent discount on the tax tlue.
Any Inhe ritanee Tax duo will become tlelinauent
Potential Tax Due S 465.48 nine months after the tlata of tleath.
P
T TAXPAYER RESPONSE
~
1
A. ICI Tha above information and tax due is correct.
y Remit payment to the Register of W311s with two copies of this notice to obtain
r CHECK a tliseount or avoid interest, or cheek box "A" and return this notice to the Register of
I ONE ~ Wills and an official asseasaent will be issued by the PA Dep ertm ant of Revenue.
L BLOCK B. ~ The above assa4 has been or will ba reported and tax paid with 4he Pennsylvania Inheritance Tax return
ONL Y to be filed by the estate representative.
C. ~ The above Sofa raa son is incorrect and/or debts and deductions were paid.
Complete PART 2~ and/or PART ~ below.
ppRT If indi catinB a different tax rate, please st eta
relationship to decedent:
TAX RE TURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Date Estah li shod 1 ~
2. Aetount Balance 2 S
3. Portent Taxable 3 X
4. Amount Subject to Tax 4 S
5. Dehts and Deductions 5
6. Amount Taxa6lo 6
7. Tax Rato 7 X
8. Tax Due 8
PART DEBTS AND DEDUCTIONS CLAIMED
^3
DATE PAID PAYEE DESCRIPTION AMOUNT PAID