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HomeMy WebLinkAbout07-29-10 (2)COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0601 RECEIVED FROM: CONAWAY JOAN L 7200 THIRD AVE 0404 SYKESVILLE, MD 21784 -------- fold PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT RE.V-1162 EXI' 1-96) NO. CD 0131.20 ACN ASSESSMENT AMOUNT CONTROL NUMBER ESTATE INFORMATION: SSN: 214-62-2503 FILE NUMBER: 21 10-0771 DECEDENT NAME: CONAWAY JOHN T DATE OF PAYMENT: 07/29/2010 POSTMARK DATE: 07/27/2010 COUNTY: CUMBERLAND DATE OF DEATH: 02/ 1 5/2010 REMARKS: CHECK# 201 SEAL 10140155 ~ $199.84 TOTAL AMOUNT PAID: INITIALS: DM $199.84 RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES AND FILE NO. 21 -~~} (i~~f Po Box 2so6o1 TAXPAYER RESPONSE ACN 10140155 HARRISBURG PA 17128-0601 DATE 07-08-2010 REV-1543 EX AFP COB-08) TYPE OF ACCOUNT EST. OF JOHN T CONAWAY ~ SAVINGS SSN 214-62-2503 © CHECKING DATE OF DEATH 02-15-2010 ~ TRUST COUNTY CUMBERLAND ~ CERTIF. REMIT PAYMENT AND FORMS TD: JOAN L CONAWAY REGISTER OF WILLS r`~' r::~: 7200 THIRD AVE U404 1 COURTHOUSE SQUARE ~-~~ ~~ -, SKYESVILLE MD 21784-5201 CARLISLE PA 17013 --° - --` ~ . , x PNC BANK NA provided the Department with the information below, which has been .uSe~rt}iri ~calcu7~ting the - potential tax due. Records indicate that at the death of the above-named decedent, you were a joint owner/ber~e~+"iFiarv of this aceo~nt:~. If you feel the information is incorrect, please obtain written correction from the financial institution, acH a copy ~'thi:s~for~hT~~ and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws ote Commonwealth of .,.•~,^. L,AJ~ ~._ . PQnnsylvar.ia. P h ase call :?17) ?97°E327 with questicns. ~ -,_ COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 000005555338331 Date 09-08-1989 To ensure proper credit to the account, two Established copies of this notice must accompany payment to the Register of Wills. Make check Account Balance $` 8 ~ 881.79 payable to "Register of Wills, Agent". Percent Taxable X 50.000 NOTE: If tax payments are made within ithree Amount Subject to Tax $ 4,440.90 months of the decedent's date of death, Tax Rate X . 045 deduct a 5 percent discount on the tax due. Anv Inheritance Tax due will become delinquent Potential Tax Due $ 199.84 nine months after the date of death. PART TAXPAYER RESPONSE ~ AILURE TO RESPOND MILL RESULT TN AN OFFICIAL TAX ASSESSMENY A. ~ The above information and tax due is correct. Remit payment to the Register of Wills with two copies of this notice to obtain C H E C K a discount or avoid interest, or check box "A" and return this notice to the Register of 0 N E Wills and an official assessment will be issued by the PA Department of Revenue. B L 0 C 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 informs ion is incorrect and/or debts and deductions were paid. Complete PART 2~ and/or PART ~ below. PART If indicating a different tax rate, please state OFFICIAL USE ONLY ~ AAF relationship to decedent: PA DEPARTMENT OF REVENUE TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS PAD LINE 1. Date Established 1 1 2. Account Balance 2 $ 2 3. Percent Taxable 3 X 3 4. Amount Subject to Tax 4 $ 4 5. Debts and Deductions 5 S 6. Amount Taxable 6 $ 5 7. Tax Rate 7 X 7 8. Tax Due 8 $ g PART DEBTS AND DEDUCTIONS CLAIMED ^3 DATE PAID PAYEE DESCRIPTION AMOUNT' PAID Under penalties of perjury, I declare that the facts I have ......som~_ ete to the beG}~~t of ~Jcnowledge and belief . ~ ~i' reported HOME above C~~ are true, correct and ~~ !p Q ~f "'~ ~C~~ CT~ .. TA(X~ER SIGNATURE `~ TELEPHONE NUMBER TOTAL (Enter on Line 5 of Tax Computation) S