HomeMy WebLinkAbout07-19-10COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
OVER ELIZABETH M
230 HERMAN AVE
LEMOYNE, PA 17043
REV-1162 EX111-96)
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 013070
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
fold
ESTATE INFORMATION: SsN: 205-09-2070
FILE NUMBER: 2110-0723
DECEDENT NAME: KYLER CATHERINE A
DATE OF PAYMENT: 07/ 19/ 2010
POSTMARK DATE: 07/ 16/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 06 j 28/ 2010
10140761 ~ $8.40
TOTAL AMOUNT PAID:
REMARKS:
SEAL
CHECK# 175
$8.40
INITIALS: DM
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
BUREAU OF INDIVIDUAL TAXES
PO BOX 260601 ~1r^~r,~~'^,~"
HARRISBURG PA 171~~Q~ . ~:..~'
r., .. . ,.
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE N0. 21 ~ ~~ r 1~
ACN 10140761
DATE 07-15-2010
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ELIZABETH MI OVER
230 Hf RMAN AVE
LEMOYNE PA 17043
EST. OF CATHERINE A KYLER
SSW 205-09-2070
DATE OF DEATH 06-28-2010
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
TYPE OF ACCOUNT
SAVINGS
® CNECKIN6
TRUST
CERTIF.
MEMBERS 1ST F CU provided the Departaent with the inforaation below, which has been used in calculating the
potential tax due. Records indicate that at the death of the above-nm~ed decedent, you were a joint ownerlbeneficiary of this account.
If you feel the inforaation is incorrect, please obtain written correction frog the financial institution, attach a copy to this fort
and return it to the shave address. This accoun# is taacable in accordance with the I~~r3taoca,Tax lprr~ of tie-C~oawealth of
Pennsylvania. Pleass csll Cyl~ 767-63~T with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND'PAYMENT INSTRUCTIONS
Account No. 194993-11
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Dus
PART
Date 08-22-2000
Established
$ 1,120.62
X 16.667
$ 186.77
X .045
B 8.40
To ensure proper credit to the account, two
copies of this notice oust sccoapany
payaent to the Register of Wills. Make check
payable to "Register of Willa, Agent".
NOTE: If tax payaents are aade within thrw
aonths of the decedent's date of death,
deduct a 5 percent discount on the tax due.
Any Inheritance Tsx due will beco~e delinquent
nine aonths after the date of death.
A. ~ The above information and tax due is correct.
Resit 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 notfce to the Register of
0 N E Wills and an official assessaent will be issued by the PA Departaent of Revenue.
BLOC 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 info ion is incorr and/or debts and deductions were paid.
Coaplete PART lJ and/or PART 3 below.
PART If indicating a different tax rate, please state
relationship to decedent:
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Date 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 7 X
8. Tax Due 8 ~
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, correct and
complete to the best of my knowledge and belief. HOME C )
WORK C )
TAXPAYER SIGNAT RE TELEPHON NUNBER DATE
IUTAL cEnter on Line 5 of Tax Computation) _
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