The URL can be used to link to this page

Home My WebLink About05-24-10COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: RIZZIELLO PATRICIA D 18 COLONIAL CT SHIPPENSBURG, PA 17257 tole PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ESTATE INFORMATION: ssN: ~ 54-i 2-7544 FILE NUMBER: 2110-0540 DECEDENT NAME: MARLING ETHEL B DATE OF PAYMENT: 05/24/2010 POSTMARK DATE: 05/21 /201 0 couNTY: CUMBERLAND DATE OF DEATH: 12/04/2009 REV-1162 EX111-96) N0. CD 012790 ACN ASSESSMENT AMOUNT CONTROL NUMBER 101 ~ 545.56 TOTAL AMOUNT PAID: REMARKS: CHECK# 063886 SEAL INITIALS: SAP 545.56 RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS BUREAU OF INDIVIDUAL TAXES PO BOX 280601 HARRISBURG PA 17128-0601 PATRICIA D RIZ 18 COLONIAL CT SHIPPENSBURG 1~~.'F SSN 154-12-7544 C''i~`V ~'_,QUR~' DATE OF DEATH 12-04-2009 ~° ~0., PA. COUNTY CUMBERLAND ZIELLO -- REGISTER OF WILLS `-'-' PENNSYLVANIA INHERITANCE TAX EST. OF ETHEL B MARLING REMIT PAYMENT AND FO RIMS T0: 1 COURTHOUSE SQUARE PA 17257 CARLISLE PA 17013 _ INFORMATION NOTICE F ~ ( AND ~R;h~! c TAXPAYER RESPONSE REV-1543 EX AFP (OB-DB) 'E '. ~~ 2: _ S TYPE OF ACCOUNT SAVINGS ® CHECKING TRUST CERTIF. ORRSTOWN BANK provided the Department with the information below, which has been used in calculating the potential tax due. Records indicate that at the death of the above-named decedent, you were a point owner/beneficiary of this account If you feel the information is incorrect, please obtain written correction from the financial institution, attach a copy to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Commonwealth of Pennsylvania. Please call (717) 787-8321 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 109001631 Date 09-15-2009 To ensure proper credit to the account, two Established copies of this notice must accompany Account Balance $` 8, 163.14 payment to the Register of Wills. Make check payable to "Register of Wills, Agent". Percent Taxable X 16.667 Amount Subject to Tax $ 1,360.55 NOTE: If tax payments are made within three months of the decedent's date of death, TaX Rate X ~ lfj deduct a 5 percent discount on the tax due. Potential Tax DUe $ 204 O$ Any Inheritance Tax due will become delinquent nine months after the date of death. PART TAXPAYER RESPONSE FAILURE 70'RESPOND WILL RESULT IN AN; OFFICIAL TAX ASSESSMENT A. ^ The above information and tax due is correct. 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" and return this notice to the Register of 0 N E Wills and an official assessment will be issued by the PA Department of Revenue. BLOC K ~ B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return O N L Y o be filed by the estate representative. C. The above information is incorrect and/or debts and deductions were paid. Complete PART 2~ and/or PART 3LJ below. FART it inaicaiing a oifferent tax rate, lease tate relationship to decedent-- ~ ~'~ ~~~T G~ 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 $ (o C] ` 5 - 6 $ I t'~ 12,.50 B $ tl-~, '" Co PAD OFFICIAL USE DNLY ~ AAF PA DEPARTMENT OF REVENUE 1 2 3 4 5 6 7 8 PART DEBTS AND DEDUCTIONS CLAIMED a DATE PAID PAYEE DESCRIPTION AM[]IINT Porn 1 ' v £L_ !J C ' i nt L_ E: C .`~ 4~'- C3 . , r -•• - ~~~- ~ ui (aR LompUiailOnJ $ 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 ~~~ ~ ,.j CYO n ~ 334 TAXPAYER SIGNATURE c~v TELEPHONE NUMBER DATE ~.1~ FILE N0. 21•- jO--G~Li ACN 10125718 DATE 05-07-2010 /~~ `~~ r~ ;...s ~ its ,~ yptt~~ ~ r{~~ n t~Y ~"L i•~ ~ 1r'~ _ •. ~ti f t) ~1 Fh. ~; nn Ct. uy { ~ ~~ ~~. C;' ) ~,. , ~ ~~~ ~ ~ .: ~..i .: ~ ; . :; ;_: ~_ m m N O r d Q d m ~U ~ ~ c~ ~yoc V O d .« U Q m ~ a~cn ~, ~ j'.' ~~ ~, cV ,Z ~...~ N ~- .-r :~ c .s cv /~ V ~- ~ _ _~ t C `_ .~ ~ r ,~., u~ :::_- ,s,, ~~ t_,;~ ~Z r-, O -_- ~:--. 1~ ';~ 1.~ ~~ ~.r' •- ~~ r 'f ~~ T ~~ I J ~ ~~ ~; J c~ (~ y