HomeMy WebLinkAbout11-02-10COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 013582
SNYDER THELMA K
324 ACRE DRIVE
CARLISLE, PA 17013
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
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ESTATE INFORMATION: sSrv: ~ 97-40-6546
FILE NUMBER: 21 10-0896
DECEDENT NAME: LONG RUTH A
DATE OF PAYMENT: 1 1 /02/201 0
POSTMARK DATE: 1 1 /02/201 0
COUNTY: CUMBERLAND
DATE OF DEATH: 07/29/2010
REMARKS: THALMA SNYDER
SEAL
CHECK# 3418
10159837 ~ $225.25
TOTAL AMOUNT PAID:
REV-1162 EX(11-96)
$225.25
INITIALS: WZ
RECEIVED BY: GLENDA EARNER STRASRAII~;I-I
REGISTER OF WILLS
REGISTER OF WILLS
BUREAU OF INDIVIDUAL TAXES
PO BOX 280601
HARRISBURG PA 17128-0601
REV-1543 EX AFP (0
PENNSYLVANIA INHERITANCE
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
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rrya r- . i t • : ~ -.
FILE: N0. 21 10-0896
ACN 10159837
DATE: 10-22-2010
EST. OF RUTH A LONG
~o~o~av -2 ~M ~~: ~~srr 197-40-6546
DATE OF DEATH 07-29-2010
CLARK QF COUNTY CUMBERLAND
URF'~-1A1'~`~ COURT REMIT PAYMENT AND FORMS T0:
324LACRE DR SNYDER ~~~~~~~~~~ ~r~, pA, REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013-4272 CARLISLE PA 17013
TYPE OF ACCOUNT
SAVINGS
CHECKING
TRUST
CERTIF.
SOVEREIGN BANK 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/benefi.ciary 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. Please call C717) 787-8327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 1675291999 Date 08-29-2001 To ensure proper credit t:o the account, two
Established copies of this notice must accompany
10 ~ 011.01 payment to the Register of Wills. Make check
Account Balance $ payable to "Register of Wills, Agent".
Percent Taxable X 50.000
NOTE: If tax payments are made within three
Amount Subject to Tax $` 5, 005.51 months of the decedent's date of death,
Tax Rate )( . 045 deduct a 5 percent discount on the tax due.
Any Inheritance Tax due will become delinquent
Potential Tax Due $` 225.25 nine months after the date of death.
P~T TAXPAYER RESPONSE
1 FAILURE TO RESPOND WILL RESULT IN AN QFFICIAt 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 ~ below.
PART It indicating a different tax rate, please state OFFICIAL USE O1+1LY
relationship to decedent: [~ AAF
PA DEPARTMENT OF REVENUE
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS PAD
LINE 1. Date Established 1 1
2. Account Balance 2 $ 2
3. Percent Taxable 3 X 3
4. Amount Subject to Tax 4 $ 4
5. Debts and Deductions 5 - 5
6. Amount Taxable 6 $ 6
7. Tax Rate 7 X 7
8. Tax Due g ~ $
PART DEBTS AND DEDUCTIONS CLAIMED
DATE PAID PAYEE DESCRIPTION AMCIUNT pern
Under penalties of perjury, I declare. that the facts I have reported above are true, correct and
comp to the best of knowledge and belief. HOME C 71 ~ )OC ,3 ~~~5
TAXPAYER SIGNATURE TELEPHONE NUMBER DATE
TAX
~u~H~ ~CnLer on pine 5 of Tax Computation) ;: