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HomeMy WebLinkAbout02-24-11COMMONWEALTH 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 014050 WADLINGER SHIRLEY A 545 PEAK VIEW RD YORK, PA 17372 -------- fold ESTATE INFORMATION: SSN: 196-14-1111 FILE NUMBER: 21 1 1 -0250 DECEDENT NAME: WEAVER MIRIAM G DATE OF PAYMENT: 02/ 24/ 201 1 POSTMARK DATE: 02/24/201 1 COUNTY: CUMBERLAND DATE OF DEATH: 05/03/2010 REMARKS: CHECK#5890 SEAL ACN ASSESSMENT ,AMOUNT CONTROL NUMBER 1 1 108417 ~ $ 47.04 TOTAL AMOUNT PAID: INITIALS: DB REV-1162 EX111-96) $47.04 RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS BUREAU OF INDIVIDUAL TAXES PO BOX 280601 HARRISBURG PA 17128-0601 PENNSYLVANIA INHERITANCE INFORMATION NOTICE AND R~~:,' ~_~ ,~ ~~ TAXPAYER RESPONSE ,r -. - ~-1543 EX AFP t 08-08~> °~ ~' TAX FILE NO. 21 ~~- ~ ~ - L ~~' ACN 11108417 DATE 02-11-2011 ~w . :a ~~; SHIRLEY A WADLINGER ~~' 545 PEAK VIEW RD YORK SPRINGS PA 17372-9782 EST. OF MIRIAM G WEAVER SSN 196-14-1111 DATE OF DEATH 05-03-2010 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS CHECKING TRUST CERTIF. P NC BANK NA 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/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 <717) 787-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 5140198541 Date 11 - O 1 - 1971 To ensure proper credit to the account, two Established copies of this notice must accompany Account Balance $ 2, 090.31 payment to the Register of Wills. Make check payable to "Register of Wills, Agent". Percent Taxable X 50.000 Amount Subject to Tax $ 1 , 045.16 NOTE: If tax payments are made within three months of the decedent's date of death, Tax Rate X ~ 15 deduct a 5 percent discount on the tax due. Potential Tax Due $ 156.77 Any Inheritance Tax due will become delinquent nine months after the date of death. PART TAXPAYER RESPONSE FAII.UItE T© RESPOND WILL ;RESl~i.7 IN AN flFFICIAI 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 Relister 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 O 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 If indicating a different tax rate, please state OFFICIAL ~~~ ONLY relationship to decedent: ~N~`Y1 ~ ~/,~~' PA DEPARTMENT' OF REVENUE TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS pAD LI".fE i . Dote Established j ~ 2. Account Balance 2 $.~~ ~1 90, .~''/ ~ 3. Percent Taxable 3 X s"D (~~ 3 4. Amount Subject to Tax 4- $ ~ ~ Y •~D 4 5. Debts and Deductions 5 - 5 6. Amount Taxable 6 $ /(7y.S,~,~ 7. Tax Rate 7 X ,~ S 7 8. Tax Due g $ 7 0 8 PART DEBTS AND DEDUCTIONS CLAIMED 0 DATE PAID PAYEE DESC'RTPTTf1N ,...,,,,.._ .,___ Under penalties of perjury, I declare that the facts I have reported above are true, correct and complete_to the best of my knowledge and belief. ~• ~ H O M E C ~/ ,>) ~~ ~--~~-a %'' >~ acs` TAXPAYER SI NATURE TELEPHONE NUMBER DATE ..,