HomeMy WebLinkAbout03-15-10COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
WILSON CAROL E
349 POTATO ROAD
ASPERS, PA 17304
fold
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ESTATE INFORMATION: SSN: 187-34-0311
FILE NUMBER: 2109-0778
DECEDENT NAME: HOUGH RODNEY K
DATE OF PAYMENT: 03 j 1 5 j 2010
POSTMARK DATE: 03/ 12/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 08/ 10/2009
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
09160554 ~ 530.40
TOTAL AMOUNT PAID:
REMARKS:
CHECK# 229
SEAL
INITIALS: DM
RECEIVED BY:
530.40
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REV-1762 EX(11-961
NO. CD 012459
REGISTER OF WILLS
BUREAU OF INDIVIDUAL TAXES
PO BOX 280601 ~ PVC u~'
HaRRICgitiM"tt~t~ ~7~ R
PENNSYLVANIA INHERITANCE T
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
REV-1543 IX AFP (OB-O!)
FILE N0. 21 09-0778
ACN 09160554
DATE 09-22-2009
2Q~0 NA'P ! 5 Phi {~. 37
CLER'~ ~F
ORPHHI~'S ;~;~`k~;~iT
Cu~,~~ `~~ ~~ f ~~ . ~A
CAROL E WILSON
349 POTATO RD
ASPERS PA 17304
EST. OF RODNEY K HOUGH
SSN 187-34-0311
DATE OF DEATH 08-10-2009
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
TYPE OF ACCOUNT
SAVINGS
® CHECKING
TRUST
CERTIF.
SUSQUEHANNA BANK provided the Departeent with the inforeation below, which has been used in calculating the
potential tax due. Records indicate that at the death of the above-Waned decedent, you were a point owner/beneficiary of this account.
If you feel the inforeation is incorrect, please obtain written correction frog the financial institution, attach a copy to this fora
and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Coeeonwealth of
Pennsylvania. Please call Q1t) 787-8327 with questions.
COMPLETE PART 1 BELDW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 151130807 Date 03-1 6-2006 To ensure proper credit to the account, two
Established copies of this notice Bust accowpany
paynent to the Register of Wills. Make check
Account Balance 405 .35 payable to "Register of Wills, Agent^.
Percent Taxable X 50 .000
NOTE: If tax payaents are Wade within three
Amount Subject to Tax ~- 202 .68 eonths of the decedent's date of death,
Tax Rate ~( , 1 5 deduct a 5 percent discount on the tax due.
Any Inheritance Tax due will becoea delinquent
Potential Tax Due $ 30 .40 nine eonths after the date of death.
PA
ar TAXPAYER RESPONSE
~
~ ;~;.:..., ~ cube
A. ~ The above inforeation and tax due is correct.
Raeit payeent to the Register of Wills with two copies of this notice to obtain
CHECK a discount or avoid interest, or check box "A" and return this notice to the Register of
C 0 N E ~ Wills and an official assesseent will be issued by the PA Departeent of Revenue.
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 inforea ion is incorrect and/or debts and deductions were paid.
Coeplate PART 2~ and/or PART ~ below.
PART If indicating a different tax rate, please state
relationship to decedent: '~ ~`.
TAX RE TURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Date Established 1
2. Account Balance 2
3. Percent Taxable 3 X
4. Amount Subject to Tax 4 $ 4
5.
Debts and Deductions 5 ,
z,~ ,
~~
6. Amount Taxable 6
7. Tax Rate 7 X
8. Tax Due 8
PART DEBTS AND DEDUCTIONS CLAIMED
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
TOTAL CEnter on Line 5 of Tax Computation? 8
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 C )
WORK ( )
TAXPAYER SIGNATURE TELEPHONE NUMBER DATE
r~•
l.~
h'r'
~;1
i,~ t
! I;i
nrf~~F'Aflr(1 n~G~rr 4 I{
ZD~O MAR 15 PM ~2= 3~
CLE.ftK CF
pRPN~1~S,~COnRTPA,
--
~.
Q~
-.~
C
`,J
b
k~
v
tli ~P N
~ ~~
CD .~ O
nom
"O 41
Do
way
0
~- ~
~ -- -
~~.
~:
:~ ,
~-
~-