HomeMy WebLinkAbout02-14-11REV-1162 EX(11-96)
COMMONWEALTH 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
LUCAS KATHRYN E
1935 MONTEREY DRIVE
MECHANICSBURG, PA 17050-8510
ACN
ASSESSMENT
CONTROL
NUMBER
fold
ESTATE INFORMATION:
FILE NUMBER:
DECEDENT NAME:
DATE OF PAYMENT:
POSTMARK DATE:
COUNTY:
DATE OF DEATH:
SSN: 232-03-2128
2111-0199
HARDING CARRIE L
02/14/2011
02/ 1 1 /201 1
CUMBERLAND
07/07/2010
TOTAL AMOUNT PAID:
REMARKS:
SEAL
CHECK#177
INITIALS: CJ
RECEIVED BY:
NO. CD 014018
AMOUNT
$58.96
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
BUREAU OF INDIVIDUAL TAXES
PO BOX 280601 ~ ,
HARRISBURG PA 17128-0601 r.{{~~',1~n~`.
REV-1543 E% AF~4YD.aea' }
PENNSYLVANIA INHERITANCE T
INFORMATION NOTICE
AND
^~' `"` `~' AYER RESPONSE
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FILE N0. 21 ~, D~q I
ACN 11101473
DATE 01-07-2011
~~ ~ # ~~ ~ 4 ~~ ~' ~~ EST. OF CARRIE L HARDING
SSN 232-03-2128
CLERK Q~ DATE OF DEATH 07-07-2010
ORPHAN'S ~4EJRT COUNTY CUMBERLAND
CI iM~~~~~~,~~`~ ~~ , PA REMIT PAYMENT AND FORMS T0:
KATHRYN E LUCAS U REGISTER OF WILLS
1935 MONTEREY DR 1 COURTHOUSE SQUARE
CARLISLE PA 17013
MECHANICSBURG PA 17050
TYPE OF ACCOUNT
SAVINGS
® CHECKING
TRUST
CERTIF.
METRO BANK provided the Department with the information below, which has been used in calculating the
Iftvoulfeelatheuinforwation isdincorrectt please obtain written correctiondfromethe financial institutions/ attach aacopYf tohthiscformt
and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Cowmornrealth of
Pennsvlvania. .Please call (.717) 787-8327 with Hues±ions._
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 538077272 Date 02-25-2008 To ensure proper credit to the account, two
copies of this notice ^ust accompany
Established payment to the Register of Wills. Make check
Account Balance $ 786 • 08 payable to "Register of Wills, Agent".
50.000
Percent Taxable X NOTE: If tax pavwents are wade within three
Amount Subject to Tax $ 393.04 months of the decedent's date of death,
X 1 5 deduct a 5 percent discount on the tax due.
Tax Rate Anv Inheritance Tax due will becowe delinquent
Potential Tax Due $ 58 • 96 nine months after the date of death.
PART TAXPAYER RESPONSE
D LITRE r0 R~ ¢ WI RESULT IH _/1tj: DFE .CS~A ,TAX ASSESS NT.
p, (', ~ove inforwation and tax due is correct.
LyY 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
CHECK Wills and an official assessment will be issued by the PA Department of Revenue.
C ONE
B L 0 C K B' ^ toebebfiledsbvtthesestate representativerted and tax paid with the Pennsylvania Inheritance Tax return
ONLY
C. ~ The above informs ion is incorrect and/or debts and deductions were paid.
CowDlete PART 2~ and/or PART ~ below.
L`"1
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
st _ Tax Due
OF TAX ON JOINT/TRUST ACCOUNTS
1
2 $
3 X
4 $
5
6 '~
7 X
8 $
PART
DATE PAID PAYEE
i'A D~Y'h~~~~ .R~YEt##fE--
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_1 ~-,. .~
2
3
4
6 m
7,.
DEBTS AND DEDUCTIONS CLAIMED
DESCRIPTION
AMOUNT PAID
s
TOTAL (Enter on Line 5 of Tax Computation)
Under penalties of periury, I declare that the facts I have reported,~a/bove are-~t/rue, corre`c't ~d [,~
complet the best of my knowledg and belief. HOME C/ ~ ~ ~ / ~ ~~"~
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