HomeMy WebLinkAbout06-07-10COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REISINGER VICTORIA
967 W TRINDLE ROAD
MECHANICSBURG, PA 17055
REV-1162 EX111-96)
NO. CD 012859
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
-------- fold
ESTATE INFORMATION: SSN: 178-26-9460
FILE NUMBER: 2110-0581
DECEDENT NAME: KESSLER ETHEL J
DATE OF PAYMENT: 06 f 07 f 2010
POSTMARK DATE: 06/05/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 05/04/2010
101 ~ $57.79
I
TOTAL AMOUNT PAID:
REMARKS:
SEAL
CHECK# 2392
$57.79
INITIALS: SAP
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
L `-
PENNSYLVANIA INHERITANCE TAX
~; ~.I.NFORMATION NOTICE
~~~~~ ..' AND FILE
BUREAU OF INDIVIDUAL TAXES t ~+
PO BOX 280601 '"' 1 ~~~ ~•..' TAXPAYE R RE S P O N S E ACN
HARRISBURG PA 17128-0601
DATE
REV-1543
C~ EST. OF ETHEL J KESSLER
SSN 178-26-9460
~~~ ~~F* DATE OF DEATH 0 5 - 0 4 - 2 010
•'~~~~ ,, `~`~ COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
VICTORIA A REISINGER
967 W TRINDLE ROAD
LOT 11
MECHANICSBURG PA 17055
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
10129460
05-21-2010
TYPE OF ACCOUNT
SAVINGS
® CHECKING
TRUST
CERTIF.
MEMBERS 1ST FCU 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 C717) 787-8327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 243323-1 1 Date 04-09-2004 To ensure proper credit to the account, two
Established copies of this notice must accompany
payment to the Register of Wills. Make check
Account Balance $ 2, 568.29 payable to "Register of Wills, Agent".
Percent Taxable X 50.000
NOTE: If tax payments are made within three
Amount Subject to Tax $ 1 s 284 • 15 months of the decedent's date of death,
t )( 045 deduct a 5 percent discount on the tax due.
Tax Ra
e . Any Inheritance Tax due will become delinquent
Potential Tax Due $ 57.79 nine months after the date of death.
PART TAXPAYER RESPONSE
,.:
', ..~.
;~ "
" ...
,, .
f ,¢ ~' ' fki'
•"
,.f ..
i ,~ ;,
-r
",
c ;.
A. ~ The above information and tax due is correct.
Remit payment to the Register 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 Register of
Wills and an official assessment will be issued by the PA Department of Revenue.
ONE
B L 0 C K 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: Ff
TAX
RE
TURN - COMPUTATION
OF
TAX ON JOINT/TRUST ACCOUNTS d
~.,
'~ j ~"~~ ~ ~ ~
~,
r ~ f,,
` A
LINE
1.
Date Established
1 , ,
.
" •~• r `~
•,
$ f ''`~~~
""
2. Account Balance 2 ~
3. Percent Taxable 3 ~'• ., ``
'
,.Guy' ~ ~ r
4. Amount Subject to Tax 4
~
~r
•
5. Debts and Deductions 5 - ~'
`" ~~
`
• '`
6.
7 Amount Taxable
t
T
R 6
7
X ~:~• ~ ,y~~,
~ ~'
~~y •
•
. e
a
ax :
h .
": ~, •f." ;A
8. Tax Due 8 ~~„~:~~• .~:,.F ..f~:•.,,....,,,,. .. . ..,.<_,.,.< „.f._.,~,.~.,~.<>.,...,,~;,...~,,;
PART DEBTS AND DEDUCTIONS CLAIMED
0
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
Under penalties of perjury, I declare that the facts I have reported above are true, cor~rject and
complete to the best of my know dge and belief . HOME C~1~`7 ) " ~`I ~'
TAXPAYER SIGNA URE TELEPHONE NUMBER D TE
TOTAL CEnter on Line 5 or pax compu>:ation~ ~
~:
-~,.
G
-xa ~:
~~~ '~
.a Y
~~~
~~~ •
~~~ ~
~~
~-
~~
;~.
~ t}
~~
i =3
~~
/'°
M
X
~~
A~
P
P
~~
~^
M
~~
~~
/~
1~
~~
~~
~~
•_
~~
~~
°
~-_ -~-~ ;-
r:.~;
w..~
~.
~r _
~
'
i `
J ~~ ~~~
,~"
~ ~ ~~
-'V
S ~
.. ~~
~v
~~
~~
c~
~,
w
4 ~'E, i
€~~
'~~p1~
B„ ~„:
k~ calf
,~~
L~ ~+
T~~~~~~y
~ti y~d
.i~ ~^'~
* -~