HomeMy WebLinkAbout12-20-10COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
BONIN THEODORE J
821 PEACE STREET
HAZELTON, PA 18201
told
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ESTATE INFORMATION: SSN: 2o5-2s-2t t 5
FILE NUMBER: 2110-0261
DECEDENT NAME: BONIN MARTHA G
DATE OF PAYMENT: 12/20/2010
POSTMARK DATE: 12/17/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 02/25/2010
ACN
ASSESSMENT
CONTROL
NUMBER
REV-1162EX111-961
NO. CD 013804
AMOUNT
10045596 ~ 520,442.35
TOTAL AMOUNT PAID:
REMARKS:
CHECK# 203
SEAL
INITIALS: CJ
RECEIVED BY:
520,442.35
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
BUREAU OF INDIVIDUAL TAXES
PO BOX 280601 ,j
HARRISBURG PA 17128-0601
REV-1 !~~
;~~,~~ ~0
PENNSYLVANIA INHERITANCE T
INFORMATION NOTICE
AND
~~ TAXPAYER RESPONSE
;~1..~~
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THEODORE BONIN
821 PEACE ST PA 18201
HAZLETON
,.
FILE N0. 21 10-0261
ACN 10045596
DATE 12-16-2010
EST. OF MARTHA G BONIN
SSN 205-26-2115
DATE OF DEATH 02-25-2010
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
ALLSTATA LIFE INSURANCE CO provided the Department with the information below, which has been used in calculating the
Iftvoulfeelatheuinformation isdin orrectt please obtain writtenbcorrectiondfro ethe financialainstitution~,/attach as opvftohthiscforo
and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Commorn+ealth of
Pennsylvania. Please call C717) 787-8327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. GA16881071 Date 10-30-2003 To ensure proper credit to the account, two
copies of this notice must accompany
Established payment to the Register of Wills. Make check
~ 136,282.35 payable to "Register of Wills, Agent".
Account Balance
1 0 0 ' 0 0 NOTE: If tax payments are made within three
Percent Taxable X
Amount Subject to TaX $ 136 ~ 282.35 months of the decedent's date of death,
. 1 5 deduct a 5 percent discount on the tax due.
TaX Rate X Any Inheritance Tax due will become delinquent
Potential TaX Due $ 20 , 442.35 nine months after the date of death.
PART TAXPAYER RESPONSE
~~ I ~.A,k ~€F~~I~AE:.TAX~:~A~,.,~~~#~T
1 ~'` Sit #: ' ~. .. , K,.
CHECK
ONE
C BLOCK
ONLY
p, ~ The above information and tax due is correct.
Remit payment to the Register of Wills with two copies of this notice to obtain
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.
g, ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
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
e TAY nee
PART
DATE PAID PAYEE
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PAD : ---
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5
TYPE OF ACCOUNT
SAVINGS
CHECKING
TRUST
CERTIF.
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$ -..~ ~ '
DEBTS AND DEDUCTIONS CLAIMED
DESCRIPTION
AMOUNT PAID
s
TOTAL CEnter on Line 5 of Tax Computation)
Under penalties of perjury, I declare that the facts I have reported abov~~ a true, correct and
com etc to the best of my k* wledge and belief • HOME C /TL
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OF TAX ON JOINT/TRUST ACCOUNTS
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