HomeMy WebLinkAbout06-15-10COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
N0. CD 012916
HOFFMAN SALLIE J
225 DEERFIELD ROAD
CAMP HILL, PA 1701 1
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
-------- fold
ESTATE INFORMATION: SSN: 178-05-6024
FILE NUMBER: 2110-0604
DECEDENT NAME: SMINKEY TRUMAN M
DATE OF PAYMENT: 06/ 15/2010
POSTMARK DATE: 06/14/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 05/05/2010
REMARKS: SALLIE J HOFFMAN
SEAL
CHECK# 6198
10131522 ~ $280.92
10131523 ~ $3,313.78
TOTAL AMOUNT PAID:
REV-1162 E:K(11-96)
$ 3, 5 94.70
INITIALS: WZ
RECEIVED BY: GLENDA EARNER STRA'~RA11~H
REGISTER OF WILLS
REGISTER OF WILLS
6 Amount Taxapj4 ~...-~-"~~- CLA1~~=..
s DEDUCTIONS -~'~'---" AMOUNT P~
~ Tax Rate DEBTS pND
S' Tax Due DESCRIPTION
p ART
0 PAYEE _.-~
DATE PAID $
utatyOn~ and
Tax Come correct
e 5 of trin1e: ty,~ ~? ~~
TOTAU CEnter on C1 have reP°rted ~~~e ) ~{.~ l ~~."t ` ~ ~St~-,,,~,_'_
the facts r HOME C ~ ~ _.--- DATE
urY ! I declare anaa belief . WORK C , R
s of Perk knowledge TELEPHONE NUMBS
Under Penaltie est of mY
to the
m ete
c
... T AT U R
PENNSYLVANIA INHERITANCE TAX
RESPONSE ACN
REV-1543 EX AFP (OB-OB) ~ DA T E
EST. OF TRUMAN M SMINKEY
SSN 178-05-6024
DATE OF DEATH 05-05-2010
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAxES A N D
Po Box 2ao6o1 FILE
HARRISBURG PA 17128-0601 TAX P A Y E R
SALLIE J HOFFMAN
225 DEERFIELD RD
CAMP HILL PA 17011-8435
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
10131523
06-08-2010
TYPE OF ACCOUNT
® SAVINGS
CHECKING
TRUST
CERTIF.
PNC BANK NA
provided the Department with the informati
potential tax due. Records indicate that at the death of the above-named decedent,
If you feel the information is i on below, which has been used in calculating the
you were a point
ncorrect, please obtain written correction from the
and return it to the above address. This account is taxable in a
P
d owner/beneficiary of this account.
financial institution, attach a copy to this f
ccor
ance with the
ennsylvania. Please tali C717) 787-8327 with questions. orm
Inheritance Tax laws of the Commonwealth of
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 000005005787829 Date 03-03-2009
Established To ensure proper credit to the account, two
Account Balance $ 1 copies of this notice must accompany
payment to th
R
47, 279.09 e
egister of Wills. Make check
Percent Taxable X
50.000 payable to "Register of Wills, Agent".
Amount Subject to Tax ~` 73, 639.55 NOTE: If tax payments are invade within three
Tax Rate X
0 4 5 months of the decedent's date of death,
d
d
.
Potential Tax DUe $ e
uct a 5 percent discount on the tax due.
Any Inh
it
3, 313.7$ er
ance Tax due wi1:L become delinquent
PART
nine months after the date of death.
TAXPAYER RESPONSE
CHECK
ONE
BLOCK
ONLY
- -••• -• •°~-~~~~ o~~~ pax aue 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
Wills and an official assessment will be issued by the PA Department of Revenue.
B• ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
to be filed by the estate representative.
C• ~ The above information is incorrect and/or debts and deductions were paid.
Complete PART 2~ and/or PART LJ below.
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
8. Tax Due
PART If indicating a different tax rate, please state
relationship to decedent:
PART
0
DATE PAID
PAYEE
DESCRIPTION
TOTAL CEnter on Line 5 of Tax Computation
Under penalties of perjury, I declare that the facts I have reported above are true, correct and
c plete to the best f my knowledge and belief.
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TELEPHONE NUMBER DATE
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OF TAX ON JOINT/TRUST ACCOUNTS
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