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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 fold 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) ,n ~~ :~~ ~~~m ry~ ~ '-' C7 ~ ~';G7~ v~ ?> n~ 4 a O h ---~ N N -tr N /vim 'C 7 < ; _- y =i t -_ - _~-n C _> 409 N MORRIS STREET SHIPPENSBURG, PA 17257 N Kj ` ~, a: ~, ;,~ T~ ~y. L( M'f1 J ~~ n~ ~t ~~r N '~ 'Z ~' ~ w ~~ y ti ti ~ `1-i w«~ Q ^~ A ~ i:. .: hr~ ~~ :~ ~~ ~~ w F ~~ t ~~ ~~ F~ a-i ~" awl