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HomeMy WebLinkAbout06-30-10COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0$01 RECE{VED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EXi11-96) tUO. CD 013003 FINKEY-KAUfFMAN SHAWN E 189 SNIPfNSBURG MOBILE SHiPPENSBURG, PA 17257 -------- foW ESTATE INFORMATION: sslv:, 2o~-4s-7a4s FILE NUMBER: 2110-0659 DECEDENT NAME: FINKEY CARdILYN R DATE OF PAYMENT: 06/30/2010 POSTMARK DATE: 06/29/2010 COUNTY: CUMBERLANC~ DATE OF DEATH: 1 1 / 17/2009 I~ REMARKS: SEAL CHECK# 2680 ACN ASSESSMENT AMOUNT CONT'~ROL NUME-ER 091 ?7719 ( $22.16 '~ TOTAL AMOUNT PAID: $22.16 INITIALS: DM ~ RECEIVED BY: GLENU~A- EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS I' _, r BUREAU OF INDIYIDU~. j,~F,~p PO BOX 2B@601 <;`.~~"° HART ISBUR6 PA 1712p pB~~ ti,J ~` ~~ _ } ; -r ~.-~ f ~' ~ ',-,, , ai1~-'16$b F1f AFP f 06} 0!) PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE AND TAXPAYER RESPONSE FILE NO. 21-~ ~ V-U~~~ ACN 09177719 DATE 12-10-2009 241Q ~U~ ~u ~ ~ ~ - -, a..ERK p~ ~ 4J~e i W 4 ~i.l„! ~./~ . P~ SHAWN E FINKEYKAUFFMA 189 SHIPPEN5BUR6 MpBILE SHIPPENSBURG PA 17257-9508 TYPE OF ACCOUNT EST. OF CAROLYN R FINKEY ^ s~-vlN~s SSK 201-46-7449 ~] CI~~ECKIN6 DINE ~OF DEXTH i1-'17=2Q09 .^ T~usr COUNTY CUMBE.;RLAND ^ CERTIF. REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE. CARLISLE, PA 17013 FARMERS A MERCHANTS TRUST CO provided' the Departasn# with the infonation below, which has bean used in calculating the potential tax due. Records indicate that at the f~aath of the above-naasd decedent, you wero a joint owner/ban°ficiaryr of this account. If you feel the inforsation is incorrect, please obtain written correction frog the financial institution. attach a-copy to this forty and return it to the above address. This account~is taocabla in accordance with the Inheritance Tax laws of th• C~onrrealth of Pennsylvania. Please eall.(717) 7B7-x327 with qu stions. COMPLETE PART 1 BELOW * SEE R~YERSE SIDE FOR FILI:NC AND PAYMENT INSTRUCTIONS Account No. 32-55522 Da a 07-3fl-2fl 07 To ensure proper credit to the account, two Este lashed copies of this notice wust accoapany payaent to the Resister of Wills. Nake check Account Balanea 985.09 payable to "Resister of Wills, Agent". Percent Taxable X 50.000 NOTES If tax payaents are ^ad• within threw Amount Subject to Tax g 492.5$ sonths of the decedent's date. of death, Tax Rate )( . 15 deduct 'a 5 parcint discount on the teof due. Any In~vr~tance Tex due will bocoa• delinausnt Potential Tax Due ~ 73 . Q8 nine sonths aftor.the date of death. PART a CHECK ONE BLOCK ONLY Resit paywant a discount or Wills and an o B. ^ The above asset ha to be filed by the C. The above info a Coaplet• PART lJ PART If Indicating a different tax n relationship to dacadant: _~ n and tax dw is correct. She Rep3ster of Wills with two copies fif this notice to obtain oid interest, or chock box ^A" and r•6turn this no#ic• to~th• Resistor of icial assessaent will b• issued by the PA Daparteent of Revenue. been or will be reported and tax paid with the Pennsylvania Inheritance Tax return state representative. n is incorr and/or debts and deductions were paid. nd/or PART ~ below. state u TAX RETURN - COMPUTATION OF TAX N JOINT/TRUST ACCOUNTS LINE 1. Dat• Established 1 2. Account Balance 2 ~ 3. Percent Taxable 3 X 4. Amount Subject to Tax 4 ~ 5. Debts and Deductions 5 - 6. Amount Taxable 6 ~ 7. Tax Rate T X . 8. Tax Due 8 ~ PART DEBTS AND DEDUCTLONS Cf,AIMED --~- -~ ^ 3 - _. ~ . DATE PAID PAYEE . ~- DESCRIPTION . , ,. ,. AMOUNT ;PAID. :~:. OTAL tEntar on Line 5 of Tax Computation) i Under penalties of perjury, I declaro that the facts i have reported above are true, correct and complete to tho best of my knowledge ~ ~ ~nd belief. HOME ~*'i~~ ~ ~, r ~t~'~~ WORK C 1 ) ~, ~_ ``,, ,,,,--fi~rr,,~~ A. ^ Tha above fnforaat ~r~nrr~~cn ~avrnq.ar,~c ~~ ,~.r.a., r. v,.~. ,.v..ara.n a+n..- t-S~~ r~r ~~j ~~ ~jMj ~~ fl» ~,I ~-~~~~. ~-,-` fit`:~~~~ ~~ ,, ~~ ~~,~ ~• ~:,~ t,~,1 ~ i; .+r.. .r r, .rr. +i... .rr. .r.... w M ~li ~! ~~ ,~ ....., .~.. ~. w .~i`.. +'RrW. r w... «. w Wow. .w .ww ... r. `~ :i wr 7~ ~ a Juw 3 o an ~v~ ~ ~ CLERK QF QRP~~AN'S C~JURT 1F~L ;~~C7 ~C~ . PAS ~~ ''© r ~~ 9~ ~~~ ~t e rv;} ;. :: ~! `.~ Ix.: `.s..'L ~ ~f . z A •: f,.... .~ i. P~ ~ .. ,. ~ a as ~ v -i i vsn