HomeMy WebLinkAbout07-19-10COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
KENNEDY WILLIAM B
7818 WELCH CT
ALEXANDRIA, VA 22315-4047
fold
ESTATE INFORMATION: SSN: 199-05-7138
FILE NUMBER: 2110-0729
DECEDENT NAME: KENNEDY MARY L
DATE OF PAYMENT: 07/19/2010
POSTMARK DATE: 07/17/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 03/30/2010
TOTAL AMOUNT
REMARKS:
CHECK#1682
INITIALS: SAP
SEAL
RECEIVED BY:
REV-1162 EX111-961
NO. CD 013072
NI.IV
4SSESSMENT AM
CONTROL
NUMBER
OUNT
10137941 ~ $1 3.34
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'AID: 51
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I
GLENDA EARNER STRAS 3.34
BAUGH
REGISTER OF WILLS
I
REGISTER OF WILLS
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES AN D
Po cox znoeol ~'= ~f~~=J{`~ ~~XPAYER RESPONSE
NARRISlURG PA 17128-0601 _~ -
mv-is4a '~1` ^ "'~ 1#;~t~C`* REVISED NOTICE
1 ~~ '•/i r i 1L e.'J
FILE N0. 21
ACN 10137941
DATE 07-02-2010
~O ~a JUL i 9 Pit 3~ 02
VLGiIf~ ~~
QW'l~AN'S tX~RT
~~..~~ ~., PA
WILLIAM B KENNEDY
7818 WELCH CT
ALEXANDRIA VA 22315-4047
EST. OF MARY L KENNEDY
SSN 199-05-7138
DATE OF DEATH 03-30-2010
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
kPE OF ACCOUNT
SAVINGS
® CHECKING
TRUST
CERTIF.
WACHDYIA BK NA provided the Department with th• infonation below, which has bean used in ea eulating the
potential tax duo. Records indieat• that at the death of the above-named decedent, you were a joint arnar/beneficiary of this account.
If you foal the infonatian is incorrect, please obtain written correction from the financial institution. attach a eo to this form
and return it to the above address. This account is taxable in aecordanc• with the Inheritance Tax laws of the Commo ealth of
Pennsylvania. Fleass call C717) 7e7-8327 with questions.
COMPLETE PART 1 BELOW ^ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIdNS
Account No. 1000294 660417 Date 07-27 -1992
To ensure proper credit to the account, two
Established copies of this notice must ace parai
payment to the Register of Wil s. Nak• check
Account Balance 2, 177.83 payable to "Register of Wills, Agent^.
Percent Taxable X 50. 000
NOTES If tax payments era aad within three
Amount Subjaet to Tax ~ i , 088. 92 months of the decedent's dat• f death,
Tax Rate ~( , l~j deduct a 5 percent discount. on the tax duo.
A~ Inharitanca Tax dw will b coma delinquent
Potential TaX Duo g 163. 34 nine months after th• dat• of Bath.
PART
a
A. ~„Y'fha above information and tax duo is correct.
u Remit p~mant to th• Register of Wills with two copies of this notie• to obtain.
a dS eenunF nn avoid infanae*_ nr r6ar4 Env asn a..d -a+..-.. +~.;. ....+;..- +.. +ti- o-J; -+~., s
~'n «'~ Wills and an official assessment will ba issued by the PA Department of Revenue.
ONE
BLOCK B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inhdrit nc• Tax return
0 N L Y to be filed by the estate representative. i
C. ~ The above informs ion is incorrect and/or debts and deductions ware paid. I,
ComDlet• PART 2~ and/or PART 3~ below.
PART If indicating a different tax rate, please state
relationship to decadent:
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Data Established 1
2. Account Balance 2 $
3. Percent Taxable 3 X
4. Amount Subjaet to Tax 4
5. Debts and Deductions 5 -
6. Amount Taxable 6 $
7. Tax Rate 7 X
8. Tax Dua 8 ~
PART DEBTS AND DEDUCTIONS CLAIMED
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
rural CEnter on Line 5 of Tax Computation) f
Under penalties of perjury, I declare that the facts I have reported above crapp tru~Op,~~l/eorrect and
complete to the best of my knowledge and belief. HOME C I~f3 ) i.Z~' 7`7~
L!/sU~M~o WORK ( ~'~ ~ 'fl~~- ~3<S/
O? /6 ~.?afd
DATE