HomeMy WebLinkAbout05-03-10 (3)COrAr,~CNS",'Ei,~Trl OF PENNSYLVANLA
DEPARTP:1E^JT OF REVENUE
E3UREAU ~~F I~ti'UIVIDUAL TAXES
DEPL 2g~5~~
HARFISB,JRG. FA 17128-Q6p1
RECEIVED FROM:
REV-1162 EX(11-96)
PENNSYLVANIA
INHERITANCE AND ESTATE -~qX
OFFICIAL RECEIPT
NO. CC) 012684
KEPPLE MARY R
2566 COON CLUB RD
WESTMINSTER, MD 21157-6610
"---'--' fold
ESTATE INFORMATION:
SSN: 166-12-0197
FILE NUMBER: 2110-0459
DECEDENT NAME: Ll1PP MARY L
DATE OF PAYMENT: 05/03/2010
POSTMARK DATE: 04/30/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 10/07/2009
REMARKS:
CHECK#1154
INITIALS: SAP
SEAL
RECEIVED BY:
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
TOTAL AMOUNT PAID:
X3,892.49
G_ LENDA FARNE:R STRgSgAUGH
REGISTER OF V1,~ILLS
REGISTER OF WILLS
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES
PD Box zao6ol - ~._~. ;~„- AND
HARRISBURG PA 171zs-o6o1 - ` - ~~AXPAYER RESPONSE
REV-1543 ~X'AFP (Q8-08) ~ ~'
~~~~ ~~ -3 ~,~ ~~~ e~
FILE N0. 21 -~~'~ ~~~~~ ~~
ACN 10117184
DATE 03-23-2010
EST. 0~' MARY L KUPP
~`~,-~_\ ~ SSN 166-1.2-0197
C'_3~:~.,~-;;j r~,:,; ,fir DATE OF' DEATH 10-07-2009
~~. ~: , iJ; ~ i
r ~x, ~-; --°' ,_,a COUNTY CUMBERLAND
** MARY ~ ~ REMIT PAti'MENT AND FORMS T0:
2566 COON CLUBPRDE
REGISTER OF WILLS
WESTMINSTER MD 21157-6610 1 COURTHOUSE SgUARE
CARLISLE PA 17013
TYPE OF ACCOUNT
SAVINGS
CHECKING
TRUST
XI~ CERTIF.
PNC BANK NA
potential tax due. provided the Department: with the information below, which hays been used in calculating the
If you feel the information isdincorrectt please obtainowrittenbcorrectiondfredent
You were a joint ~~wner/beneficiary of this account.
and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws
om the financial institution, attach a copy to this form
Pennsylvania. Please call C717) 787-8327 with
COMPLETE PART 1 BELOW * questions. of the Commornwealth of
SEE REVERSE SIDE FOR FILING AND PAYMFU-r Tl.rc~rr........__-__
A[`rni~nt ~~,. nn..
- ~~-• ..vuu~tSUU555237 Date --~-
10-09-2008
Established
Account Balance
$ 172,999.38
Percent Taxable X
Amount Subject to Tax 50 • 000
Tax Rate $ 86 ~ 499.69
Potential Tax Due X • 045
$ 3,892.49
PART
0 TAXPAYER RESPONSE
_......~.,., ~ iu~ns
To ensure proper credit to the account, two
copies of this notice must accompany
payment to the Register of Wills. Make check
payable to "Register of Wills, Agent".
NOTE: If tax payments ar•e made within three
months of the decedent's date of death,
deduct a 5 percent discount on the tax due.
Any InheritancE~ Tax due will become delinquent
nine months after the date of deaath.
_~ , , -- ••,x..•~~.,,ru wt t~t. RESULT TN AN C1FP'ICTA~. TA7C ASSESSMENT'
A. Ir./f The above information and tax due is correct.
LJ Remit payment to the Register of Wills with two copies of this notice to obtain
C H E C K a discount or avoid interest, or check box "A"
0 N E Wills and an official assessment will be issuedaby theuPq Department'ofoRevenuesister of
BLOCK B
0 N L Y ~ The above asset has been or will be reported and tax paid with the Penns~rlvania Inher"
to be filed by the estate represent+3tive.
itance Tax return
C• ~ The above information is incorrect and/or debts and deductions were
Complete PART ~ and/or PART ~ paid.
below.
PART If indicating a different tax rate,
relationship to decedent: Please state
TAX RETURN - COMPUTATION OF TAX ON OFf'ICIAL USE ONLY ~ AAF
PA DEPARTMENT OF REVENUE
JOINT/TRUST ACCOUNTS pqD
LINE 1. Date Established
1
2. Account Balance 2 $ 1
3. Percent Taxable 3 X 2
4• Amount Subject to Tax 4 $ 3
5. Debts and Deductions 5 - 4
-~.....
6. Amount Taxable $ ~
6
7. Tax Rate ~ X 6
8. Tax Due 8 $ 7
PART $
DEBTS AND DEDUCTIONS CLAIMED
DATE PAID PAYEE
DESCRIPTION
AMOUNT PAID
TOTAL CEnter on Line 5 of Tax ComF~utation)
Under penalties of perjury, I declare that $
complete to the best of m the facts I have reported at~ove are true
Y knowledge and belief. correct and
' HOME ( j~/~ ~
TAXPAYER SIGN UR WORK ( 1 ~~
TELEPHONE NUMBER `~ ,~
DATE