HomeMy WebLinkAbout08-13-10REV-1162 EX111-961
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280801
HARRISBURG, PA 17128-0801
RECEIVED FROM:
PENNSYLVANIA
INHERITOA~FCCIANRECEIPT E TAX
FEEHAN JANICE C
850 ACRI ROAD
MECHANICSBURG, PA 17050
-------- ,ol~
ESTATE INFORMATION:
FILE NUMBER:
DECEDENT NAME:
DATE OF PAYMENT:
POSTMARK DATE:
COUNTY:
DATE OF DEATH:
SSN: 007-24-3750
2110-0833
COMPTON ESTHER H
08/13/2010
08/05/2010
CUMBERLAND
05/18/2010
TOTAL AMOUNT PAID:
REMARKS: JANICE FEEHAN
CHECK#1045
SEAL
INITIALS: WZ
RECEIVED BY:
NO, CD 013205
537.54
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
ACN AMOUNT
ASSESSMENT
CONTROL
NUMBER ______--
PENNINrFORMATIONN NOTICECE T
"~F r pND
BUREAU DF INDIVIDUAL TAxES ` ~` ~" n „~..ADCP AYE R RE SP O N S E
p0 BD7( 280601 ~ 1~ '
NARRISBUR6 PA 17128-0601 i'.t ~.~~~. r r
pEV-1563 ET ~iF ~1e-3!>
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r
JANICE C FEEHAN
850 ACRI RD PA 17050-2279
MECHANICSBURG
FILE N0. 21~-~~~ ~~~
ACN 10142944
DATE 07-27-2010
EST. OF ESTHE007H24O3750N
SSN
DATE OF DEATH 05-18-2010
COUNTI( CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE S1~D13
CARLISLE PA
TYPE OF ACCOUNT
SAVINGS
® CHECKING
TRUST
CERTIF.
of this account.
Drovided the Departwent with the infonation below. which has bean used in calculating e
to this fon
potential ta3chdue. Records indicate that at the death of the above-naaed decadent, you ware a ioint owner/bona ie~a
PNC BANK NA of the goaaenrealth of
• infonation is incorrect. please ebtain written correction frog the financial institution. attseh a copy
unt is taxable in accordance with the Inheritance Tax laws
If you foal t
and return it to the abovo address. This acco
Pennsylvania. Please call (717) 787-8327 with euestions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIO
Og-12-2008 To ensure proper credit to the account. two
Date 1es of this notice oust accoavany ka cheek
Account No. 00000500575267 Established
Account Balance
percent Taxable
Amount Subiect to Tax
Tax Rate
Potential Tax Dua
1,668.51
$ 50.000
X 834.26
~ .045
X 37.54
CHECK
ONE
C BLOCK
ONLY
cop
payaent to the Re0lstar of Wills. a
p~able to "Repistar of Wills. Aeent"•
NOTES If tax Dayaents are aade within three
months of the decedent's dat• of death.
deduct a 5 percent di seount on the tax due.
n~el aonthsaaftar~thaudat• ofb daeth,delineuent
^ The abovo infonation and tax due is correct.
A' ant to the Resister of Wills with two copies of this notice to obtain
Rsait paya
W111sc sndt anroff icialnassessaent will be issued by the PA Departaent of Revenueeister o
B, ~ Tha above assatthasestate rapresentativertad and tax Da1d with the Pennsylvania Inheritsnc• Tax return
to ba filed by _~ -„~/nr debts and deductions were Daid.
~ -
PART iT inws..~--••- -
ro lationshiD to decedent:
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
1
LINE I. Data Established 2 ~
2, Aeeount Balance 3 X
3. Percent Taxable ~
y. Amount Subiect t0 Tax 4
5. Debts and Deductions 6 ~
6. Amount Taxable 7 X
7, Tax Rate - S.
DEBTS AND DEDUCTIONS CLAIMED
PART
DATE PAID
DESCRIPTION
enalties of perjury. I declare that the facts I havo reDOrLeo ° t ~ ~ -~
Under P e and belief. HOME
complete to the bas~of w knowledB WORK ~ ~
AMOUNT PAID
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