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HomeMy WebLinkAbout11-15-10COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL. TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 013647 STEIGERWALT PHILIP C 121 EWE RD MECHANICSBURG, PA 17055 -------- fold ACN ASSESSMENT CONTROL NUMBER REV-1162 EX111-96) AMOUNT ESTATE INFORMATION: SSN: 159-18-6894 FILE NUMBER: 21 10-1 1 13 DECEDENT NAME: STEIGERWALT CLAUD H DATE OF PAYMENT: 1 1 / 1 5/2010 POSTMARK DATE: 1 1 / 1 2/201 0 COUNTY: CUMBERLAND DATE OF DEATH : 09/ 22/ 201 0 REMARKS: SEAL CHECK#1698 10158609 ~ $1,091 .96 TOTAL AMOUNT PAID: $1,091.96 INITIALS: HMW RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS PENNSYLVANIA :INHERITANCE INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES A N D Po Box 280601 TAXPAYER RESPONSE HARRISBURG PA 17128-0601 REV-1543 EX AFP (08-08) TAXI FILE N0. 21'--~C'~' i~I~ ACN 10158b09 DATE 10-14-2010 PHILIP STEIGERWALT 121 EWE ST MECHANICSBURG PA 17055 EST. OF CLAUD H STEIGERWALT SSN 159-18-b894 DATE OF DEATH 09-22-2010 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT © SAVINGS CHECKING TRUST CERTIF. PSE CU 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 joint 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 Commonwealth of Pennsylvania. P1?ace call C?77) 78?-832? with quEStio^s. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 91425b8592-S7 Date 10-09-2008 To ensure proper credit to the account, two Established copies of this notice must accompany Account Balance $ 51 , 085.94 payment to the Register of Wills. Make check payable to "Register of Wills, Agent". Percent Taxable X 50.000 Amount Subject to Tax $ 25,542.97 NOTE: If tax payments are made within three months of the decedent's date of death, Tax Rate )( . 045 deduct a 5 percent discount on the tax due. Potential Tax Due $ 1 , 149.43 Any Inheritance Tax due will become delinquent nine months after the date of death. PART TAXPAYER RESPONSE 1^ FAILU~'tE TO ~tESpON~ WILL RESULT IN AN OFFICIAL TAX ASSESSMENT A. The above information and tax due is correct. Remit payment to the Register of Wills with two copies of this notice to obtain C H E C K 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 paid with the Pennsylvania Inheritance Tax return 0 N L Y to be filed by the estate representative. C. ~ The above informs ion is incorrect and/or debts and deductions were paid. Complete PART 2~ and/or PART LJ below. PART If indicating a different tax rate, please state relationship to decedent: 4~~FIC~3 USE ON~` ~ At~F PA DEPART OF R~/ENU~`~ ~:~ TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS :r'. PAD `- ,. .. LINE 1. Date Established 1 ~^ ,~. 2. Account Balance 2 $ 1 2 ~ ~ ~!'t r_~ , ~ ~ 3. Percent Taxable 3 X rt~'~' _ 4. Amount Subject to Tax 4 $ 4 r7 ~ 5. Debts and Deductions 5 - _... 6. Amount Taxable 6 $ ~ .~ b ~ f~ --~ 7. Tax Rate 7 )( -~1 7 8. Tax Due 8 $ 8 PART DEBTS AND DEDUCTIONS CLAIMED 0 DATE PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL CEnter on Line 5 of Tax Computation) g . Under penalties of perjury, I declare that the facts I have reported above are true, correct and plet to the of my k edge and belief. r~ a HOME C 71 ~ ) ~ ~~ ' ~~r y WORK C~I~ } -~ '-- ~y~'~ I_,c~'~C~~~' TAXPAYER NATURE TELEPHONE NUMBER - DATE II'~~1,~13 ' f~ tax ~~.~~ _. I~ M+++^ T'1 _ T° g 'y" ~ ~~ F ;7 ;!1 1.i ~+' ~.'r,T~.1J{ ~ ~ ' "If `~~ , ~~l f ~~ ~""~ ~ ~ _ ~ .'~ °~/ ~ r ~...~i 1~~ alr~ ,.. ~r+~-. /.! } ~y~ ~ ... f .. •~~ _~~.~ ~~ '~`~ . ~ _.~.a ~, as ;~ aEVE~i ~ ~~ ,~ ,~ ~ ~~. ~~. ~w i+. i ~,~ ~ ~ ~. ~~ ..~ .. ~'~ 'N'S y s, µ~.. ~j+ rS ~.,,,1 1nv.,.' i,~: '"`Y t~ '}ni ~~~ it~f ~:ti ~~ K. ~~, ~Ff. .t~ ~•;' '~~ a~- ~~ r.~% J `ti.J .~ J_~ s `~ .~.~ ~ > V .....~ ,`~~ f ~ ~y ;: ~ ,,.~ .''' `. ../ ~^' +' 1 ~~ ~ ti i/I~ ~ ~~ j~ .p ,.,,may r~i I ` ,~ s ~~ ~ , , . ~~~,_ ,. } i ;~ .. ~ I yy -7 ~v~ ~J ~ ~~ ~ ~~ ~~ ~~ ~ ~~ -'. ~ ill i~~...i ~ ~~`v~~} ~i ~~~~~J C+1 (~i 4~'1 ~} t~l L4 ~1 Wd ~ 1 ~0 0lOZ ;/" ^'r7 t ~',L,~ ~ti.1~, ,, o_ _.._`'..o . _. _