HomeMy WebLinkAbout06-24-10 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
COLLINS RUTH B
207 S. ORANGE STREET
CARLISLE, PA 17013
told
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ESTATE INFORMATION: ssN: 4o7-sa~-9si7
FILE NUMBER: 2110-0528
DECEDENT NAME: BARYON LELA T
DATE OF PAYMENT: 06/ 24/ 2010
POSTMARK DATE: 06/24/2010
couNTY: CUMBERLAND
DATE OF DEATH: 03/27/2010
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
10120398 ~ 52,13$.59
TOTAL AMOUNT PAID:
REMARKS:
CHECK# 550
SEAL
INITIALS: DM
RECEIVED BY:
52,138.59
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REV-1762 EX171-96)
NO. CD 012972
REGISTER OF WILLS
BUREAU OF INDIVIDUALpTAXES ~'
PO BOX 280601 ~_
HARRISBURG PA 17128-0661-~ - ~- ~ ~~~ ~~
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RUTH B COLLINS
207 S ORANGE STREET
CARLISLE PA 17013
PENNSYLVANIA INHERITANCE T
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE N0. 21 -1 ~ - ~7~ o
ACN 10120398
DATE 04-08-2010
EST. OF LELA T BARYON
SSN 407-64-9617
DATE OF DEATH 03-27-2010
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
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 joint 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 tt~e Commonwealth of
Pennsylvania. Please call (717) 7B7-8327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 22325-05 Date 10-15-2002 Ta ensure proper credit to the account, two
Established copies of this notice must accompany
payment to the Register of Wills. Make check
Account Balance ~` 100 ~ 051 • 13 payable to "Register of Wills, Agent".
Percent Taxable X 50.000
NOTE: If tax payments are made within three
AmOUnt Subject to Tax $ 50 ~ 025 • 57 months of the decedent's date of death,
X .045 deduct a 5 percent discount on the tax due.
Tax Rate Any Inheritance Tax due will become delinquent
Potential Tax Due $ 2,251.15 nine months after the date of death.
TAXPAYER RESPONSE
PART
FAILURE TO 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
a discount or avoid interest, or check box "A" and return this notice to the Register of
C H E C K Wills and an official assessment will be issued by the PA Department of Revenue.
ONE
C
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.
Com plete PART ~2 and/or PART 3LJ below.
If indicating a different tax rate, please state OFFICIAL USE ONLY U AAF
PART dent:
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ece
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relationship PA DEPARTMENT OF REVENUE
TAX RE TURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS PAD - -
LINE 1. Date Established 1 1
2. Account Balance 2 $ 2
3. Percent Taxable 3 X 3
4. Amount Subject to Tax 4 $ 4
5. Debts and Deductions 5 ~
6. Amount Taxable b $ 6
7. Tax Rate 7 X ~
8. Tax Due $ $ 8
PART DEBTS AND DEDUCTIONS CLAIMED
0
nnTG pern PAYEE DESCRIPTION AMOUNT PAID
Under alties of perjury, I declare that the facts I have reported above rue,
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are corr
e//ct and
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