HomeMy WebLinkAbout07-19-10 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
OVER ELIZABETH M
230 HERMAN AVENUE
LEMOYNE, PA 17043
fold
REMARKS:
SEAL
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ACN
ASSESSMENT
CONTROL
NUMBER
TOTAL AMOUNT PAID:
INITIALS: CJ
RECEIVED BY:
REGISTER OF WILLS
$2.51
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REV-1162 EX(11-96)
NO. CD 013069
AMOUNT
BUREAU OF INDIVIDUAL TAXES
PO BOX 280601
HARRISBURG PA 17128-D601
n ~[i
~ ~, ._ ~,,
REV•1543 E% AFP (88.88)
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE FILE No. 21 '''/d-07,23
C ~~}- AND
c~ TAXPAYER RESPONSE ACN 10140759
,_,.. DATE 07-15-2010
2~i~ ,lU~ 19 A~110.3~
~~ EC~K
0~ ~~~~~~ftjpp,
TYPE OF ACCOUNT
EST. OF CATHERINE A KYLER ® SAVINGS
$SN 205-09-2070 ^ CHECKING
DATE OF DEATH 06-28-2010 ^ TRUST
COUNTY CUMBERLAND ^ CERTIF.
REMIT PAYMENT AND FORMS T0:
ELIZABETH M OVER REGISTER OF WILLS
230 HERMAN AVE 1 COURTHOUSE SQUARE
LEMOYNE PA 17043 CARLISLE PA 17013
MEMBERS 1ST FCU provided the Department with the information below, which has been used in calculating the
Iftvoulfeelatheuinforwation isdincorrectt please obtain writtenbcorrectiondfro ethe financial institution./ attachcaa opvf tohthiscforwt
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. 194993-0 0 Date 07-07-2000 To ensure proper credit to the account, two
copies of this notice wust accowpany
Established payment to the Register of Wills. Make check
Account Balance $ 3 3 4 . 5 2 payable to "Register of wills, Agent".
X 1 6.6 6 7 NOTE: If tax payments are made within three
Percent Taxable
Amount SUbJect to Tax $ 55 • 75 months of the decedent's date of death,
. 0 4 5 deduct a 5 percent discount on the tax due.
TaX Rate X Any Inheritance Tax due will become delinquent
Potential Tax Due $ 2 • 51 nine months after the date of death.
PART TAXPAYER RESPONSE
~ FAILURE ~ POFi~ WILL.. SULT N A O FILIAL TAX ASS~SSMEN ,
p, ^ The above information and tax due 15 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
CHECK Wills and an official assessment will be issued by the PA Department of Revenue.
C ONE
B L 0 C K B' ^ toebebfiledsbytthesestateorepresentativerted and tax paid with the Pennsylvania Inheritance Tax return
ONLY
C, ^ The above informs lon is incorrect and/or debts and deductions were paid.
Complete PART ~ and/or PART ~ below.
OFFICIAL I~SE NLY ^ AAF
PART If indicating a different tax rate, Please state PA DEPARTMENT OF REVENUE
relationship to decedent:
TAX RETURN - COMPUTATION
LINE 1. Date Established
2. Account Balance
3. Percent Taxable
4. Amount Subject to Tax
5. Debts and Deductions
6. Amount Taxable
7. Tax Rate
e Tax Due
OF TAX ON JOINT/TRUST ACCOUNTS I~AD - -
1
2 $
3 X
4 $
5
6 '~
7 X
8 $
i
2
3
4
5
6
. 7 ~a
~ 8
DEBTS AND DEDUCTIONS CLAi1~7E17
PART
DATE PAID PAYEE DESCRIPTION
AMOUNT PAID
s
TOTAL CEnter on Line 5 of Tax Computation)
Under penalties of perJury, I declare that the facts I have HO MEted(above ,re true, correct and
complete to the best of my knowledge and belief.
WORK C ) _._._
TFiFPHONE NUMBER DATE