HomeMy WebLinkAbout08-31-10COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280801
HARRISBURG, PA 17128-0801
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
HALL SHIRLEY E
104 CONODOGUINET MOBILE EST
NEWVILLE, PA 17241
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ESTATE INFORMATION: ssN: oos-is-ssas
FILE NUMBER: 2110-0894
DECEDENT NAME: MCECKRON RAYMOND N
DATE OF PAYMENT: 08/31 /2010
POSTMARK DATE: 08/27/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 07/21 /2010
REV-1162 EX111-981
NO. CD 013277
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
10146319 ~ 59.15
TOTAL AMOUNT PAID:
REMARKS: SHIRLEY E MCECKRON
CHECK#1105
SEAL
INITIALS: WZ
59.15
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
BUREAU OF INOIYYDWL TAXES
PO BOX 280601 "'.''~ .
HARRISBURG PA 17128-0601 ~'~-`~- u
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PENNSYLVANIA INHERITANCE
INFORMATION NOTICE
AND
-i SCE U!" TAXPAYER RESPONSE
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T
FILE N0. 21'x- 1~-a~~
ACN 10146319
DATE 08-23-2010
2Q10 AUG 30 PM I ~ 45
GLERKrr
pRPW~~`S COURT
CUNS&~R! ~ ~._, CO , PP.
SHIRLEY E HALL
104 CONODOGUINET MOBILE
NEWVILLE PA 17241
EST. OF RAYMOND N MCECKRON
SSN 008-16-9643
DATE OF DEATH 07-21-2010
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
TYPE OF ACCOUNT
SAVINGS
® CHECKING
TRUST
CERTIF.
FARMERS 6 MERCHANTS TRUST CO provided the Department with the information below, which has been used in calculating the
potential tax dua. 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 eoDY to this form
and return it to th• above address. This account is taxable in accordance with the Inheritance lax laws of the Comwonwealth of
Pennsylvania. Please call (717) 787-8327 with questions.
COMPLETE PART 1 BELOW ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 34-80666
Account Balanco
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Taz Due
Date 10-22-2007
Established
$ 1,220.64
X 16.667
$ 203.44
X _ .15
PART
CHECK
C ONE
BLOCK
ONLY
To ensure Droper credit to the account. two
copies of this notice must accompany
Dayment to the Register of Wills. Make check
pavabl• to "Register of Wills, Agent".
NOTE: If tax payments era made within thra•
months of the decedent's date of death,
deduct a 5 pa rcant discount on th• tax dua.
Aro Inheritance Tax due will become delinquent
nine months of tar the det• of death.
A. ~ The above information and tax due is correct.
Remit payment to th• 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 Ragistar 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 filetl by the estate representative.
C. ~ The above inf orma ion is incorrect and/or tlebts and detluctions were paid.
Complete PART ~ and/or PART O below.
PART If indlcatin9 a different tax rate, please state
relationship to decodent:
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Data Established 1
2. Account Balance 2 S
3. Percent Taxable 3 X
4. Amount Subject to Tax 4 ~
5. Debts and Deductions 5
6. Amount Taxable 6
7. Tax Rate 7 X
8. Tax Dua 8 $
PART DEBTS AND DEDUCTIONS CLAIMED
3^
DATE P AID PAYEE DESCRIPTION AMOUNT PAID
Under penalties of perjury, I declare that the facts I have reported above are true, correct and
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TAXPAYER SIG TURE TELEPHONE NUMBER DATE
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