HomeMy WebLinkAbout12-20-10COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 260601
HARRISBURG, PA 1 7 1 2 8-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX111-96)
NO. CD 013805
TURLEY JACQUELINE P
211 ZION ROAD
MOUNT HOLLY SPRINGS, PA 17065
fold
ESTATE INFORMATION: ssty: 163-18-6932
FILE NUMBER: 2110-1223
DECEDENT NAME: POWELL EDNA M
DATE OF PAYMENT: 12/20/2010
POSTMARK DATE: 1 2/ 1 7/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 1 1 /01 /2010
REMARKS:
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
10168888 ~ 558.48
TOTAL AMOUNT PAID:
558.48
CHECK# 5890
INITIALS: CJ
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
PENNSYLVANIA INHERITANCE T
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES ~ AN D
PD BOX 280601 ~~ }~ ! ~r TAXPAYER RESPONSE
HARRISBURG PA 17128-0601 jr
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FILE N0. 21-1~" 12.23
ACN 10168888
DATE 12-06-2010
~~
~:
~~ `!~~ 4"~ TYPE OF
EST. OF EDNA M POWELL
SSN 163-18-6932
DATE OF DEATH 11-01-2010
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
JACQUELIN P TURLEY REGISTER OF WILLS
211 ZION RD 1 COURTHOUSE SQUARE
MT HOLLY SPRINGS PA 17065 CARLISLE PA 17013
ACCOUNT
SAVINGS
® CHECKING
TRUST
CERTIF.
PNC BANK NA provided the Department with the inforwation 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 ioint 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. Please call (317) 787-8327 with questions-.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 000005140189725 Date 04-01-1963 To ensure proper credit to the account, two
Established copies of this notice must accompany
7 9 7.4 7 payment to the Register of Wills. Make check
Account Balance $ 7 ~ payable to "Register of Wills, Agent".
Percent Taxable X 16.667
NOTE: If tax payments are made within three
Amount Subject to Tax $ 1,299.60 months of the decedent's date of death,
Tax Rate X .045 deduct a 5 percent discount on the tax due.
Any Inheritance Tax due will become delinquent
Potential Tax Due ~ 58.48 nine months after the date of death.
PART TAXPAYER RESPONSE
FI~tT~.~E ~d `~.~ , .~1ti17 SdI ~ ~`.~t ULT ti ~-ll~= f3FF~£ IAi. ;T AS'SE
A. ICS The above inforsation and tax due is correct.
JAI Reeit 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
Wills and an official assessment will be issued by the PA Department of Revenue.
C ONE
B L 0 C K g, ~ 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 Daid.
Complete PART 2~ and/or PART ~ below.
PART If indicating a different tax rate, please state
relationship to decedent:
TAX RETURN - COMPUTATION
LINE 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
PART
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DEBTS AND DEDUCTIONS CLAIMED
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
OF TAX ON JOINT/TRUST ACCOUNTS
1 _ __
2
3 X
4 $
5
6
7 X
8 $
TOTAL CEnter on Line 5 of Tax Computation) i
Under penalties of perjury, I declare that the facts I have reported above areL ,tArue, correct and
complete to the best of my kno ledge and belief. HOME C ~~7 ) '7d ~ - S ~~j/ S?
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