HomeMy WebLinkAbout10-21-10COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
DATTNER LAURA E
570 CROSSROADS SCHOOL RD
CARLISLE, PA 17013
-------- fold
RE:V-1162 EX111-96)
NO. CD 013526
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
ESTATE INFORMATION: sSN: 203-34-66s9
FILE NUMBER: 2110-0741
DECEDENT NAME: DATTNER JOAN M
DATE OF PAYMENT: 1 O/ 21 / 201 0
POSTMARK DATE: 10/20/2010
CouNTY: CUMBERLAND
DATE OF DEATH: 02/09/2009
REMARKS:
CHECK# 1002
SEAL
09152317 5287.98
TOTAL AMOUNT PAID:
$287.98
INITIALS: HMW
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
PENNSYLVANIA INHERITANCE
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES
PD Box zso6ol A N D
HARRISBURG PA 17IZS-a6ol TAXPAYER RESPONSE
TAX
FILE N0. 21
ACN 09152317
DATE 08-13-2009
TYPE OF ACCOUNT
EST. OF JOAN M DATTNER
SSN ~ SAVINGS
~`ti! 203-34-6689 ® CHECKING
1 r ..a" .:~.
_
`~' DATE OF DEATH 02-09-2009
~ TRUST
, ~ _
.
~~J _
,
t`/+• COUNTY
CUMBERLAND ~ CERTIF
LAURA ~_~ ~ i
E:
~1
ATTNER .
REMIT PAYMENT AND FORMS T0:
_
_
5,70 ~'ROSSkd~D
SCHOOL R
'g REGISTER OF WILLS
_
CARLISLE ~~,
~7- ~ ;: PA 17 013 CUMBERLAND CO COURT HOUSE
~-.,~ ~, ,<.- CARLISLE, PA 17013
~} s_ C„_ z,_,
METRO BANK ~ ~~
c-"`•% 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 w
If you feel the information is incor
t
rec
, please obtain wri
and return it to the above address. This account is taxabl
Pennsylvania. Pls ere a
eficiary of this account.
tten correction from the financial institution, attach a co
e in accord
t
J
t
e
b
w~P call C7l?l 787-8327 with q~~o~ ;~,
COMPLETE PART py
o this form
ance with the Inheritance
Tax
laws
of
th
a commonwealth of
1 BELOW * SEE REVERSE
Account No. 537193278 SIDE FOR FILING
AND PAYMENT INSTRUCTIONS
Date 10-28-2005
Establishe d
Account Balance To ensure proper credit to the account, two
copies of this notice must accompan
$
Percent Taxable X y
3, 839.72 payment to the Register of Wills. Make check
Payable to "Register of Wil
Amount Subject to Tax ls, Agent".
50 • 000
$
Ta x R ate X 1 , 919.$( NOTE: If tax payments are made within three
months of the decedent'
Potential Tax Due s date of death,
15 deduct a 5 percent discount on the tax due.
A
P
RT 2 $ 7. 9 $
ny Inheritance Tax due will become delinquent
nine months after th
A
e date of death.
1 TAXPAYER RESPONSE
......... ..... .
he 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
0 N L Y to be filed b paid with the Pennsylvania Inheritance Tax return
Y the estate representative.
C• ~ The above information is incorr~ect and/or debts and deductions were paid.
Complete PART 2~ and/or PART I~ I below.
PART
TAX
LINE
PART
REV-1543 EX AFP COB-OB)
If indicating a different tax rate, please state
relationship to decedent:
RETURN - COMPUTATION
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
OF TAX ON JOINT/TRUST ACCOUNTS
1
2 ~`
s X
4
5
6
7 X
8 ~`
DEBTS AND DEDUCTIONS CLAIMED
TOTAL CEnter on Line 5 of Tax Computation)
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 /I ~) aIy"~ ~ ~6
TAXPAYER SIGNA RE WORK C`7~'7~ 7~9~ fd - /d
TELEPHONE NUMBER DATE
DATE PAID PAYEE
Under penalties of per]ury, I declare that the facts I have reported a~bjove>are true, correctQand
complete to the best,, o/f my knowledge and belief . HOME C / ~ J ) /~~ ~ ~ / ~ ~ V
!/V WORK (~~7 ~ 1~~.~D~
TAXPAYER SIGNA RE TELEPHONE NUMBER
)AT E
TOTAL CEnter on Line 5 of Tax Computation) S
~'1'r~-999.9 (71~i)
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1 ' Address on Form Must
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