HomeMy WebLinkAbout03-21-11COMMONWEALTH 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 014157
TASCHEK STEPHEN M
600 S DUKE ST
PALMYRA, PA 17078
-------- fold
ESTATE INFORMATION: SSN: 189-18-6881
FILE NUMBER: 211 1-0363
DECEDENT NAME: TASCHEK HERMAN F
DATE OF PAYMENT: 03/21 /201 1
POSTMARK DATE: 03/19/201 1
COUNTY: CUMBERLAND
DATE OF DEATH: 02/ 14/201 1
REMARKS:
SEAL
CHECK# 4027
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
11115036 ~ 5415.88
TOTAL AMOUNT PAID:
REV-1162 EX~11-96)
5415.88
INITIALS: DB
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
BUREAU OF INDIVIDUAL raxES A N D
Po eox zao6ol TAXPAYER RESPONSE
HARRISBURG PA 17128-0601
R~Yr~l94'~~WiC~I~FF rOB'd8) .I. ..
FILE N0. 21 - ~~ ~ L~~
ACN 11115036
DATE 03-04-2011
~.
°i ~ ~ y ~`
~' ~ i~ ~` i
\.. ~..~ i t.J ~+
C,, ~,-~
C ~ _ ,~~ '_r ~'.' _ , i'A
~.~~~~
STEPHEN M TASCHEK
b00 S DUKE STREET
PALMYRA PA 17078
EST. OF HERMAN F TASCHEK
SSN 189-18-6881
DATE OF DEATH 02-14-2011
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
TYPE OF ACCOUNT
® SAVINGS
CHECKING
TRUST
CERTIF.
MEMBERS 1ST FCU 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
Pennsvlvania. Pleaso call C717) 787-8327 with questions,
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 10575-05 Date 08-21-2000 To ensure proper credit to the account, two
Established copies of this notice must accompany
Account Balance 19,456.49 payment to the Register of Wills. Make check
payable to Register of Wills, Agent .
Percent Taxable X 50.000
NOTE: If tax payments are made within three
Amount Subject to Tax $ 9, 728 .25 months of the decedent's date of death,
Tax Rate )( .045 deduct a 5 percent discount on the tax due.
Any Inheritance Tax due will become delinquent
Potential Tax Due $ 437.77 nine months after the date of death.
PART TAXPAYER RESPONSE
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 Register 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
0 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 3~ below.
p~T If indicating a different tax rate, please state \\\\\~~ ~\
2 relationship to decedent: ~ ~\~~~\ ~"~\`~ \.r ~ ~
<,. ~~
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS p}~~\ `~ ~ \\~~~\~ ~ ~~~
~~
LINE 1. Date Established 1 ~~~~~~ ~ ~~~ ~~ ~~ .. O~
2. Account Balance 2 $ 2 ~~ \~~~\\~\
3. Percent Taxable 3 X ~ \~ ~~~~~ ~ ~~
4. Amount Subject to Tax 4 $ 4 ~~~~~~~~~~~~`
5. Debts and Deductions 5 - S ~ ~~ ~~\\~.~\
6. Amount Taxable 6 $ b ~~\\ ~\
7. T a x Rat e 7 X 7 ~~~~~~ ~~~ ~\\
8. Tax Due 8 ~\\~~~\~~\ \~
PART DEBTS AND DEDUCTIONS CLAIMED
3^
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
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. HOME Ct1,`'~ ) CT ~6" ~~,~-~
~.. ~ WORK C ) ~. ...ll
TAX AYER SIGNATURE TELEPHONE NUMBER DATE
TOTAL CEnter on Line 5 of Tax Computation) ~
_ _ '^ t
~..s.
~:~?
}.:.
~~
l~~
~~~
~
i ~
~ c
~
~
C~ ~
/ ~±
~
~
~""'
x
~
~ ~
~ ~.
~
~. ~~
~-
~~i `,~