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HomeMy WebLinkAbout03-29-10COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280801 HARRISBURG, PA 1 7 1 2 8-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 012537 APONTE FRANK X 13 WHITE OAK BLVD MECHANICSBURG, PA 17050 ------- fold ESTATE INFORMATION: ssN: 202-20-is2a FILE NUMBER: 2110-0123 DECEDENT NAME: HARTMAN MAE E DATE OF PAYMENT: 03/29/2010 POSTMARK DATE: 03/27/2010 COUNTY: CUMBERLAND DATE OF DEATH: 01 /09/2010 REMARKS: FRANK X APONTE CHECK#171 SEAL ACN ASSESSMENT AMOUNT CONTROL NUMBER 10500207 ~ S 1,076.41 REV-1182 EX(11-96) TOTAL AMOUNT PAID: INITIALS: WZ RECEIVED BY: REGISTER OF WILLS S 1,076.41 GLENDA EARNER STRASBAUGH REGISTER OF WILLS COMNONWFALTH OF PENNSYLVANIA //~~ DEPARTMENT OF REVENUE INFORMATION NOTICE ~v-V~a3 BUREAU OF INDIVIDUAL TAXES FILE N0. 21 PO BOX 280601 AND NARRISBURG Pa n1zB-asBl TAXPAYER RESPONSE ACN 10500207 a6v-)acs+~r o•oo: DATE 02-09-2010 2010 MAR 29 -+- ~ ~ ~ - J C~ LfII\ ~'~p ~~ 1. ~'~D CO.. PA L F APONTE 15 W LOCUST STREET MECHANICSBURG PA 17055 TYPE OF ACCOUNT EST. OF MAE E HARTMAN ~ sECURITv S.S. N0. 202-20-1624 ~ SEC ACCT DATE OF DEATH al-o9-2010 ^ srocK COUNTY CUMBERLAND ~ HONDS REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 AMERIPRISE FINANCIAL has vrovided the Departeent with the inforeation listed below which has boon used in calculating the potential tax due. Their records indicate that at the death of the above decadent. you were a beneficiary of this asset. If you foal this inf erection is incorrect, please obtain written correction free the transfer anent, 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 Commonwealth of Pennsylvania. puestfons •ay be ansrered by cailinp (7tT) T6T-aY1T. COMPLETE PART 1 BELOW ^ * a. SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 15169017 To insure proper credit to your account, two I2) copies of this notice Bust aceompalry your DOD Valuation 25.179.00 paveent to the Reaister of Wills. Make check payable to: "Reaister of Wills, Agent". Percent Taxable X 100.00 Amount Subject to Tax 25, 179.00 NOTE: If tax pavmants are made within three I3) months of the decedent's date of death. Tax Rate X . 0 4 5 you eay deduct a 5X discount of the tax due. Potential TaX Due 1,133.0( Any inheritance tax due will becoee delinpuent nine (9) aonths after the date of death. P©T TAX A ER E NSE CHECK ONE BLOCK ONLY PART TAX LINE 1. DOD Valuation 2. Percent Taxable 3. Amount Subject to Tax 4. Debts and Deductions 5. Amount Taxable 6. Tax Rata 7. Taz Due PART DATE PAID PAYEE 1 2 X 3 4 5 6 X 7 DEBTS AND DEDUCTIONS CLAIMED DESCRIPTION AMOUNT PAID IOIAL [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 ho best of m_y knowledge and belief. C l//^CI~_', HOME CST ) ~OS- ~~/~jD WORK ( ) ,Sb.,.,.r rwv You eay choose to remit payment to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, or you eay check box "A" and return this notice to the Register of Wills and an official assessment will be issued by the PA Department of Revenue. B. ~ Th• above asset has been or will be reported and tax Daid with the Pennsylvania Inheritance Tax return to be filed by the decedent's rap resentative. C• The above information is incorrect and/or debts and deductions ware paid 6y you. Yeu Bust complete PART ~ and/or PART ^3 below. If you indicate a different tax rate, pleas• state your relationship to decedent: _ RETURN - COMPUTATION OF TAX ON ABOVE ASSET(S) HONE NUMBER DATE