HomeMy WebLinkAbout10-22-10COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARR158URG, PA 17128.0601
RECEIVED FROM:
MOTTRAM LAURA A
409 N MORRIS STREET
SHIPPENSBURG, PA 17257
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PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ESTATE INFORMATION: ssN: z25-25-z5so
FILE NUMBER: 2110-1012
DECEDENT NAME: KARNES ERIC D
DATE OF PAYMENT: 10/22/2010
POSTMARK DATE: 10/21 /2010
COUNTY: CUMBERLAND
DATE OF DEATH: 08/25/2010
REV-1162 EX(11-961
NO. CD 013530
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
10158705 ~ 512.12
TOTAL AMOUNT PAID:
REMARKS: LAURA A MOTTRAM
CHECK#1680
SEAL
INITIALS: WZ
RECEIVED BY
512.12
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
-'-
BUREAU OF INDIVIDWL TAXES
PO BOX 280601
HARRISBURG PA 17128-0601 ~ }
REY-15iS E% AFP <aa•15)
PENNSYLVANIA INHERITANCE
INFORMATION NOTICE
- AND
TA}Cp~YER RESPONSE
i~
TAX
FILE N0. 21 ~ IO. ~ ~ ~~
ACN 10158705
DATE 10-15-2010
2Q10 OCT 22 Po912~ 18
EST. OF ERIC D KARNES
CLERK Cr ssN 225-25-2560
DATE OF DEATH 08-25-2010
~4 O~,,RtnnPccHA~qpS C CART COUNTY CUMBERLAND
VU1ViC [_R~-'`1,~~1~~ ~ C~-i. PA. REMIT PAYMENT AND FORMS T0:
~* LAURA A MOTTRAM REGISTER OF WILLS
409 N MORRIS STREET 1 COURTHOUSE SQUARE
SHIPPENSBURG PA 17257 CARLISLE PA 17013
TYPE OF ACCOUNT
® SAVINGS
CHECKING
TRUST
CERTIF.
MEMBERS 1ST FCU Drovidedtha Oapsrtaent with the inforastion below, which has bean used in calculating the
votential tax due. Records indicate that at the death of th• above-naaad decedent, you ware a joint owner/banaficisry of this account.
If you foal the inforaatfon is incorrect. Oleasa obtain written correction froa the financial institution, attach a copy to this fora
and return it tq the above address. This account is taxable in accordance with the Inheritance Tax laws of the Coaaonwealth of
Pennsylvania. Please call (717) 787 1827 with-qusat ions. - -
COMPLETE PART 1 BELOW ^ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 3661 79-0 1 Date 08-3 1-2009 To ensure proper credit to the account, two
Established copies of this notice aunt aeeoapany
payment to the Register of Wills. Make check
Account. Balance O~ payable to "Repistar of Wills, Apant".
Parcant Tazable X 100 .00
NOTE: If tax Dayaents era aada within three
Amount Subject to TeX ~ . 0 8 aonths of the dacetlent's date of death,
Tax Rat• X lrj deduct e 5 Parcant discount on the tax due.
Aro) Inheritance Tax due will becoae delinquent
POtantlal TiX DU• ~ • 0 ~ nine aonths after the date of death.
PART TAXPAYER RESPONSE
A. ~'1'h• above infonation and tax due is correct.
Resit payaent to the Register of Wills with two copies of this notice to obtain
CHECK a discount or avoid interest, or chock box "A" end return this notiea to the Repistar of
Wills and an official assessaent will be issuetl by the PA Departaent of Revenue.
0 NE
BLOCK 8. ~ The above asset hes bean or will be reported and tax Daitl with the Pennsylvania Inheritance Tax return
ON L Y to be filed by the estate representa tive.
C. ~ Tha above inforwa ion is incorrect and/or debts and deductions were paid.
Coaplete PART 2~ and/or PART 3~ below.
PART If indicating a different tax rate, please state
relationship to decedent:
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Date Establlshod 1
2. Account Balanco 2 ~
3. Parcant Taxable 3 X
4. Amount Subiect to Tax 4 S
5. Debts and Deductions 5
6. Amount Tazable 6 ~
7. Taz Rate 7 X
8. Tax Duo 8 ~
PART DEBTS AND DEDUCTIONS CLAIMED
3^
DATE P AID PAYEE DESCRIPTION AMOUNT PAID
Under penalties of pe r~ury, I declare that the facts I have reported above are true, correct and
,,
;~ -
October 20, 2010
Register of Wills
1 Courthouse Squaze
Carlisle, PA 17013
To Whom It May Concern:
Enclosed please find a check in the amount of $12.12 (to be credited to ACN 10158705 fox account 245905-
01; Eric D. Karnes Jr, decedent) as well as two copies of my Pennsylvania Inheritance Tax Information Notice
and Taxpayer Response fox account 366179-O1. I inadvertently miscalculated the amount of tax due with the
5% discount for paying the tax within 3 months of the death and was informed that I will owe an additional
$12.12. I am sending it with my other Taxpayer Response to ensure that you will receive it and that it will be
credited to my account within the three month window during which I will be eligible for the 5% discount. If
you need any further information or paperwork from me, I can be reached at 717-979-3930. Thank you for
your attention to this matter.
Sincerely,
Laura A. Mottram
Enclosures (2)
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