HomeMy WebLinkAbout10-26-10 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX~11-96)
NO. CD 013548
TAMA CAREY
10 MAKENZEE DRIVE
CARLISLE, PA 17015
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ESTATE INFORMATION: ssN: oo0-00-0000
FILE NUMBER: 2110-1067
DECEDENT NAME: MELEDANDRI JOSEPHINE L
DATE OF PAYMENT: 10/26/2010
POSTMARK DATE: 10/26/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 12/08/2009
REMARKS:
CHECK# 2059
SEAL
AMOUNT
ACN
ASSESSMENT
CONTROL
NUMBER
10114516 ( $19.97
TOTAL AMOUNT PAID:
$19.97
INITIALS: HMW
RECEIVED BY: GLENDA EARNER STR,ASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES AND
Po sox 2BO6o1 TAXPAYER RESPONSE
HARRISBURG PA 17128-0601
REV-1543 EX AFP COB-08)
FILE IN 0. 21 - ~ ~ ~ (~~~~°
ACN 10114516
DATE 03-12-2010
TAMA CAREY
10 MAKENZIE DRIVE
CARLISLE PA 17015
TYPE OF ACCOUNT
EST. OF JOSEPHINE L MELEDANDRI ^ SAVINGS
SSN 175-24-7535 ®CHECKING
DATE OF DEATH 12-08-2009 ^ TRUST
COUNTY CUMBERLAND ^ CERTIF.
REMIT PAYM ENT AND FORMS T0:
REGISTER OF WILLS
1 COURTH OUSE SgUARE
CARLISLE PA 17013
MEMBERS 1ST FCU 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 were a point owner/beneficiary of this account.
If you feel the information is incorrect, please obtain written correction from the financial institution, attach a copy to this form
and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Connmonwealth of
Pennsylvania. Please call (717) 787-8327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 1 03898-1 1 Date 04-15-1989 To ensure proper credit to the account, two
Established copies of this notice must accompany
Account Balance $ 887.66 payment to the Register of Wills. Make check
payable to "Register of Wills, Agent".
Percent Taxable X 50.000
NOTE: If tax payments are made within three
Amount Subject to Tax $ 443.83 months of the decedent's date of death,
Tax Rate ~( lrj deduct a 5 percent discount: on the tax due.
Any Inheritance Tax due will become delinquent
Potential Tax Due $ 66.57 nine months after the date of death.
PART TAXPAYER RESPONSE
1
«.:.;;;~ RE "~`~3 ~EPONI~ ALL RESULT IN AN OP~`II~~:.>'~'; ASEMENT
A. ^ The 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
ONE Wills and an official assessment will be issued by the PA Department of Revenue..
BLOCK B. ^ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
0 N L Y to be filed by the estate representative.
C. ~ The above informs son is incorrect and/or debts and deductions were paid.
Complete PART 2~ and/or PART 3^ below.
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Under penalties of perjury, I declare that the facts I have reported above are true, corrE~ct and
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