HomeMy WebLinkAbout05-13-10COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0 601
RECEIVED FROM:
YINGER JACK R
2155 BANBURY DRIVE
ENOLE, PA 17025
fold
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX(71-96)
NO. CD 012742
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
ESTATE INFORMATION: ssN: ins-44-9370
FILE NUMBER: 2109-1 101
DECEDENT NAME: YINGER JOYCE E
DATE OF PAYMENT: 05/13/2010
POSTMARK DATE: 05/13/2010
couNTY: CUMBERLAND
DATE OF DEATH: 1 0/31 /2009
REMARKS:
CHECK# 206
SEAL
09173189 ~ $333.98
TOTAL AMOUNT PAID:
INITIALS: CJ
5333.98
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES AN D F I L E
Po Box zao6ol ~ ~~-: ~t~AYER RESPONSE ACN
HARRISBURG PA 17128-0601 ~' .' t { ~!}" ~ ., f- '
DATE
t
REV-154E IX AFP ~-=Ye~~," ~ ~-t'{ i -'t i
** BRENDA REPA
5795 ASPEN LANE
ENOLA
N0. 21-/O-~~~
09173189
11-13-2009
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tQ~RPNA~'S ~OcJRT
PA 17025
EST. OF JOYCE YINGER
SSN 179-44-9370
DATE OF DEATH 10-31-2009
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
TYPE OF ACCOUNT
SAVINGS
CHECKING
TRUST
CERTIF.
MEMBERS 1ST FCU arovided 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 paint 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 forty
and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Commonwealth of
Fennsylva~ia. Please call :717: 787-E327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 14 0549-44 Date 11-07-2008 To ensure proper credit to the account, two
Established copies of this notice must accowpany
payment to the Register of Wills. Make check
Account Balance $ 7,421.85 payable to "Register of Wills, Agent".
Percent Taxable X 100.00
NOTE: If tax payments are wade within three
Amount Subject to Tax $ 7,421.85 wonths of the decedent's date of death,
Tax Rate ~( .045 deduct a 5 percent discount on the tax due.
Any Inheritance Tax due will become delinquent
Potential TaX Due $ 333.98 nine months after the date of death.
PART TAXPAYER RESPONSE
~ U ~ T ~ ~! ~ F
,,, . .
,,; I A`~. ; ~C T
A. ~ The above information and tax due is correct.
Rewit payment to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest, ar check box "A" and return this notice to the Register of
CHECK Wills and an official assessment will be issued by the PA Department of Revenue.
C ONE
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 informs ion is incorrect and/or debts and deductions were paid.
Complete PART 2~ and/or PART ~ below.
PART If indicating a different tax rate, please state
relationship to decedent:
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 I'AD
1 1
2 $ 2
3 X '.S
4 $ 4
5 S
6 $ b
7 X 7
8 $ 8
PART DEBTS AND DEDUCTIONS CLAIMED
0
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
TOTAL CEnter on Line 5 of lax l:o mpuiailonJ s
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 C )
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