HomeMy WebLinkAbout03-25-10COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280801
HARRISBURG, PA 17128-0801
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
N0. CD 012512
TOUPS DEANNA
PO BOX 507
MECHANICSBURG, PA 17055
-----"' folE
ESTATE INFORMATION: SSN: 1ss-26-3158
FILE NUMBER: 2109-0982
DECEDENT NAME: LIBBY LUCILLE C
DATE OF PAYMENT: 03/25/2010
POSTMARK DATE: 03/24/2010
CouNTY: CUMBERLAND
DATE OF DEATH: 09/28/2009
REMARKS: DEANNA TOUPS
CHECK# 26627905
SEAL
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
10109729 ~ 5942.40
REV-1182 EX111-96)
TOTAL AMOUNT PAID:
INITIALS: WZ
RECEIVED BY:
5942.40
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
PENNSYLVANIA INHERITANCE T
INFORMATION NOTICE
BUREAU OF INDIVIDWL TAXES ~~ ~ !."~.{'`~ ;~~~~ AND
Po Banc zaocol ` `.°i~AXPAYER RESPONSE
FNRRISBURG PA 17128-0601
eEVasaa a,v:v cos-ee,
2610 F4AR 25 Ah I I ~ Ob
CLER!< u+r
ORPHAN'S COt!RT
DEANMA TOUPS
4827 E TRINDLE RD
MECHANICSBURG PA 17050-3645
FILE N0. 21 09-0982
ACN 10109729
DATE 02-23-2010
EST. DF LUCILLE C LIBBY
SSN 186-26-3158
AA1'E OF DEATH '~09-28-2009
COUNT9F~ CUMBE-BLAND -
REMIT PAYNENT•-AND-.FORMS TOs
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA .17013
TYPE OF ACCOUNT
^ SAVINGS
® CHECKING
^ TRUST
^ CERTIF.
PNC HANK NA provided the Departaant with the inf oraation below, which has been used in calculating the
potential tax due. Records indicate that at the death of the above-naaed decadent, you were a joint owner/beneficiary of this account.
If you feel the inforaation 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 Cpaeorwealth of
Pennsylvania. Please call (717) 787-8327 with questions. -
COMPLETE PART 1 BELOW ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 000005140038003 Date 09-22-2003
To ensure proper credit to the account, two
Established copies of this notice oust accoapa,q,
Account Balance ~, 41,884.64 payunt to the Resister of Wills. Make check
payable to "Register of Wills. Agent".
Percent Taxable X 50.000
Amount Subject to TsX $ 20,942.32 ROTE: If tax pageants are soda within three
eonths of the decedent's data of death.
Tax Rate X .045 detluct a 5 percent discount an the tax duo.
Potential Tax Duo $ 9 4 2.4 0 Any Inhe rltance Tax due will bacoae delinquent
nine eonths after the data of death.
PART 'TAXPAYER RESPONSE
1
A. The above inf oraation and tax duo is correct.
Resit paywnt to the Resister 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 Resister of
ONE Nills and an official assessaent will be issued by the PA Departaant of Revenue.
BLOCK ~ B. ^ The above asset has bean or will be reported and tax paid with the Pennsylvania Inheritance lax return
ONL Y to be filed by the estate representative.
C. ^ Tha above inf oraa ion is incorrect and/or debts and deductions were paid.
Coaplete PART ~2 and/or PART 3^ below.
PART If indicating a different taz rate, please state
relationship to decadent:
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Date Established 1
2. Account Balance 2 s
3. Percent Taxable 3 X
4. Amount Subject to Tax 4
5. Debts and Deductions 5
6. Amount Taxable 6 $
7. Tax Rata 7 X
8. Tax Dua B $ -
PART DEBTS AND DEDUCTIONS CLAINED
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
~. .
TOTAL (Enter on Line 5 of Tax Computation) }
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 ~l 7) ~ J S2 - ~ ~. 1 U
O ,~.~
WORK C-]17 ~ G2J7 ~70Ej_3 1,~-Io
TELEPHONE NUMBER DATE
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