HomeMy WebLinkAbout11-30-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUAEAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 012042
SAYLOR ROBERT
22 CREEK BANK DR
MECHANICSBURG, PA 17050
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ESTATE INFORMATION: ssN: 210-~ 2-4660
FILE NUMBER: 2109-1 104
DECEDENT NAME: SAYLOR DONALD S
DATE OF PAYMENT: 1 1 /30/2009
POSTMARK DATE: 1 1/27/2009
couNTY: CUMBERLAND
DATE OF DEATH: 10/ 13/2009
REMARKS:
CHECK# 5228
SEAL
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
09173426 ~ S 143.80
1
TOTAL AMOUNT PAID:
INITIALS: DM
REV-1162 EX(11-96)
S 143.80
GLENDA EARNER STRASBAUGH
RECEIVED BY:
REGISTER OF WILLS
REGISTER OF WILLS
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE ~z..J
BUREAU OF INDIVIDUAL TAXES AND FILE N0. 21 -~~ -~ ~ ~
Po BOX 280601 TAXPAYER RESPONSE ACN 09173426
W-RRISBURG PA 17128-0601
DATE 11-16-2009
m.1l-1543 IX AFP 108-08)
TYPE OF ACCOUNT
EST. OF DONALD S SAYLOR ^ sAVIN~s
SSN 210-12-4660 ® cNECKINc
DATE OF DEATH 10-13-2009 ^ TRUSr
COUNTY CUMBERLAND -v ^ CERTIF.
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REMIT PAYMENT AND FORMS T0: ~"] cJ ;:1~;
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ROBERT D SAYLOR REGISTER OF WILLS ~ ~ ~_- .. _., f
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22 CREEK BANK DR CUMBERLAND CO COURT HOUS~?
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MECHANICSBURG PA 17050-1814 CARLISLE, PA 17013 _, ;
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PNC BANK NA provided the Department with the information below, which has been used~rt'^dalculatims the i
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. w,r,.I
ary of thir~ccoun
potential tax dua. Records indicate that at the death of the above-named decedent, you were a ioint owner/benef.#i
If you feel the infonation is incorrect, please obtain written correction from the financial institution, attach a copv to tpyy form
and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Commonwealth of -
Panns_,lvania. Please call (717) 787.8327 with questions.
- COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 0 0 0 0 0514 0 0 55268 Date 02-01-1974 To ensure proper credit to the account, two
Established copies of this notice must accompany
payment to the Register of Wills. Make check
Account Belance $ 6, 727 • 33 payable to "Register of Wills, Agent".
Percent Taxable X 50 .000
NOTE: If tax payments are made within three
Amount Subject to Tax $ 3, 363 .67 months of the decedent's date of death,
045 deduct a 5 percent discount on the tax due.
Tex Rate X . Any Inheritance Tax due will become delinquent
Potential Tax Due $ 151 .37 nine months after the date of death.
u
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
3 X
4 $
5
6 $
7 X
8 $
PART DEBTS AND DEDUCTIONS CLAIMED
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
WORK c --~~ ~ (ode ~ /~(A it ~~/
TELEPHON NUMBER DA E
TOTAL (Enter on Line 5 of Tax Computation] e
Under penalties of perjury, I declare that the facts I have reported above are t//rue~,/correct an
compete to,tFjg,best of~iy lyiowledge and belief. ufIMG ~ 71 7 ) G^, ~' 1 +~ ,~7
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