Loading...
HomeMy WebLinkAbout01-18-11REV-1162 EX(11-96) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 260601 HARRISBURG, PA 1 7 1 26-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT DUPLICATE UPHOLD CONSTANCE R 3017 NORTHWEST 62ND TER GAINESVILLE, FL 32606 -------- fold ESTATE INFORMATION: FILE NUMBER: DECEDENT NAME: DATE OF PAYMENT: POSTMARK DATE: COUNTY: DATE OF DEATH: SSN: 196-14-5340 2110-1270 UPHOLD MYRTLE Y 01/18/2011 01 /15/2011 CUMBERLAND 11/07/2010 TOTAL AMOUNT PAID: REMARKS: CHECK#1176367 SEAL INITIALS: CJ RECEIVED BY: NO. CD 013900 $3,836.41 GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS ACN AMOUNT ASSESSMENT CONTROL NUMBER COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES PO BOX 280601 HARRISBURG PA 17128-0601 CONSTANCE R UPHOLD 3017 NORTHWEST 62FD 32606 GAINESVILLE CI..C(`f,. ~n,~ ~~~'~.~ ~~~'~ ~:''"BURT Tax Rate _ __. _, r~,r nue has vrovided the Departwent with the inforwation listed below which has been used in calculating the Potential tax due.cTheir records indicate that at the death of the above decedent, You were a beneficiary of this ass AMERIPRISE orrect, Plaase obtain written correction frow the transfer agent, attach a copy to this forty and the Inheritance Tax Laws of the Cwworn+ealth of Pennsylvania. If You feel this infonation is in return it to the above address. This account is taxable in accordance wi Questions nay b~ answered by calling (717) 787-8327. nr~nW x e * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTION COMPLETE rwR ~ ~--- ~°- To insure Proper credit o you your Account No. 311799225 DOD Valuation Percent Taxable Amount Subject to Tax CHECK ONE C BLOCK ONLY F~C~ ' '_..;. ~- ~ - REY-1543 11FP (7-00) 179,481.39 50.000 X 89,740.70 .045 X 4,038.33 TYPE OF ACCOUNT SECURITY SEC ACCT STOCK BONDS REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 C2) copies of this notice wust accowPany paywent to the Register of Wills. Nake check payable to: "Register of Wills. Agent". NOTE: If tax Paywents are wade within three C3) wonths of the decedent's date of death, you way deduct a 5Y. discount of the tax due. Any inheritance tax due will becowe delinquent nine C9) wonths after the date of death. The above infonation and tax due is correct. 1 aodiscountooreavoideinterest nortyouhwayecheckrbox WA°landlreturn thisenoticehto the1Re9istertofn Wills and an official assesswent will be issued by the PA Departwent of Revenue. The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return to be filed by the decedent's representative. .d b you. n C, ~ The above infonation is inen~ rt PAR °~ beioand deductions were Pai v You wust cowplete PART 2~ .uuy PART If You ~,:~~~~-- - © relationship to decedent: TAX RETURN - COMPUTATION Oi TAX ON ABOVE ASSET(S) LINE 1. DOD Valuation 2 X 2. percent Taxable 3. Amount Subject to Tax 3 4. Debts and Deductions 4 5 5. Amount Taxable 6 6. Tax Rate 7 7. Tax Due DEBTS AND DEDUCTIONS CLAIMED DATE Under penalties of perjury. co/m~plete Ito the bes of my k ow] I declare that the facts I have reported above are true, ~_, s..c unMF C ~~.Z ) ~~~ INFORMATION NOTICE AND TAXPAYER RESPONSE FILE N0. 21--~p--~ ~~~ ACN 11500034 DATE 01-06-2011 EST. OF MRYTLE Y UPHOLD S.S. N0. 196-14-5340 DATE OF DEATH 11-07-2010 COUNTY CUMBERLAND PART © DESCRIPTION AMOUNT PAID _ -oo W J o ~ ~ ~ M Q _ ^ , r ~ JIl7• F- \ VN y~ ,~peO~JO •Z ~y~_ YY.'> - l~ ~~~ +, s M_ o r ~~ ., ~~ S ~ ~ ~ O I N F ~$ ti -~ ` == m r __- ~ ~~ _~ 0 _.____. ._____. o ~= __.___ ~ ______ ~ _.____ __= o ~` ' ~ m .~. ~ 3 =. ~~ ~~ ~-o ~~ ,~/'~ ~"+„'. ((~~~ - J '~ .,;. lam' ~ ~ ~~ ~ ~, ~~ dd ~~ ~~"E4~~~$Wf1 .t~~30: ~,'~'0 ~0 ~~~~ r~:~ ~d 8~ ~{`.~i:1~Ba f'+ N '1 j i r~"Y ~ ~ ~ 4 ..i ~~~~~U ~~ ~~~~~