HomeMy WebLinkAbout07-12-10COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
SCHUCK DIANE S
312 2ND ST
AU ROA, I L 47001
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PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1'162 EX111-96)
N O . C D 013043
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
ESTATE INFORMATION: SSIV: ~ 84-36-6096
FILE NUMBER: 2109-1035
DECEDENT NAME: NELSON JAMES B
DATE OF PAYMENT: 07/ 1 2/2010
POSTMARK DATE: 07/ 1 2/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 10/ 20/ 2009
REMARKS:
CHECK# 0848436
SEAL
10129136 ~ $413.18
TOTAL AMOUNT PAID:
INITIALS: SAP
;413.18
RECEIVED BY: GLENDA EARNER STRA,SBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
r ,~_; ~ ,P.~NNS~Y,L~,ANIA INHERITANCE TAX
- ~` '• ~ I'N~F~'~tMATION NOTICE
c~
BUREAU OF INDIVIDUAL raxES ' ~: `. AND F I L E NO. 21 0 9 -10 35
Po Box 2BO6o1 _ TAXPAYER RESPONSE ACN
HARRISBURG PA 17128-0601 10129136
REV-1543 ~~~;~~,(„ ~ ~ P~ ~ : ~ 3 DATE 05 - 20 - 2010
n~~ r..•-
~3 1~' ..n A ~'• ln,tl~~T
DIANE S SCHUCK
312 2ND ST
AUROA IL 47001
Amount Subject to Tax $ 3, 443.13 NOTE: If tax payments are made within three
months of the decedent's date of death,
Tax Rate
X -•,_,_,,..~~-- t ~ ~ deduct a 5 percent discount on the tax due.
Potential Tax Due $ ~~- ~~ Any Inheritance Tax due will become delinquent
~~~~ nine months after the date of death.
PART TAXPAYER RESPONSE
To ensure proper credit to i:he account, two
Established copies of this notice must eiccompany
Account Balance $ 41 , 319.23 Payment to the Register of Wills. Make check
payable to "Register of Wills, Agent".
Percent Taxable X 8.333
EST. OF JAMES B NELSON
SSN 184-36-6096
DATE OF DEATH 10-20-2009
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
TYPE OF ACCOUNT
SAVINGS
® CHECKING
TRUST
CERTIF.
SOVEREIGN BANK provided the Department with the information below, which has been used in calculating the
potential tax due. Records indicate that at the death of the above-named decedent, you were a joint owner/beneficiary of this account.
If you feel the information is incorrect, please obtain written correction from the financial institution, attach a copy to this form
and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Commonwealth of
Pe~~s;;iva;sis. Please call CT. 7) 787-8327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 3381130587 Date 07-02-2001
A. ~ The above information and tax due is correct.
Remit 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 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 L.__I below.
PART
TAX
LINE
If indicating a different tax rate, lease state
relationship to decedent: __~;..-,~,8~•~
RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
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
0
DATE PAID PAYEE
DESCRIPTION AMOUNT PAID
TOTAL CEnter on Line 5 of Tax Computation) g
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~ ~..~
'r'-~ WORK C ~ _
TAXPAYER SI NATU TELEPHONE NUMBER /~ / ~
DATE
1
2
3 X
4
5 -
6
7 X
8
DEBTS AND DEDUCTIONS CLAIMED