The URL can be used to link to this page

Home My WebLink About03-24-11COMMONWEALTH 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 NO. CD 014194 OTT LISA M 1421 BRIDGE ST NEW CUMBERLAND, PA 17070 -------- fold ESTATE INFORMATION: SSN: 172-24-9166 FILE NUMBER: 211 1-0395 DECEDENT NAME: OTT WILLIAM R DATE OF PAYMENT: 03/25/201 1 POSTMARK DATE: 03/23/201 1 COUNTY: CUMBERLAND DATE OF DEATH: 03/07/201 1 REMARKS: CHECK# 4073 SEAL 11117904 ~ 5152.00 ACN ASSESSMENT AMOUNT CONTROL NUMBER ---------- -------- TOTAL AMOUNT PAID: REV-1162 EX(11-96) ~ 152.00 INITIALS: HMW RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS PENNSYLVANIA INHERITANCE TAX EST. OF WILLIAM R OTT SSN 172-24-9166 DATE OF DEATH 03-07-2011 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: LISA M OTT REGISTER OF WILLS 1421 BRIDGE STREET 1 COURTHOUSE SQUARE NEW CUMBERLAND PA 17070 CARLISLE PA 17013 TYPE OF ACCOUNT SAYINGS 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 .ioint 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. 132985-44 Date 02-25-2006 To ensure proper credit to the account, two Established copies of this notice must accompany Payment to the Register of Wills. Make check Account Balance 7 ~ 106.70 payable to "Register of Wills, Agent". Percent Taxable X 50.000 NOTE: If tax payments are made within three Amount Subject to Tax $ 3, 553.35 months of the decedent's date of death, TaX Rate X ~ Q Cy~j deduct a 5 percent discount on the tax due. Any Inheritance Tax due will become delinquent Potential Tax Due $ 159.90 nine months after the date of death. PART TAXPAYER RESPONSE FAILURE TO RESPOND WI1.1: iS~I..T.\ IN` A~~ ,FICT/~~ TAX AS~SSMENT 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 Wills and an official assessment will be issued by the PA Department of Revenue.. ONE 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 tiled 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. If indicatin a different tax rate, please state PART 9 ~~ flFF°iCIA~. USE la~~\\~ ~F~ relationship to decedent: ^ FA DEPARTMENT OF REVENUE TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS PAD \ LINt i. Date Estabiisneo i 1 2. Account Balance 2 $ 2 3. Percent Taxable 3 X 3 ~` 4. Amount Subject to Tax 4 $ 4 `\~~~ 5. Debts and Deductions 5 - 5 ~,.... 6. Amount Taxable 6 $ { - '~ 7. Tax Rate 7 X 7 \\ ~ ~~ . 8. Tax Due 8 + $ PART DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION AMOUNT PAID nder penalties of perjury, I declare that the facts I have reported above are true, correct and plete to the be of my knowledge and belief . s t HOME ( ~"('~'1 ) ~1~ U' O~'S`~( (" \ 11 1.~ WORK ( , ~ TA YER SIGNATU INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES '~' ` `; ~:~i~[. '- AND Po Box 280601 ,'~~PAYER RESPONSE HARRISBURG PA 17128-0601 ~~,~ ., REV-1543 EX AFP (08-88) CLERK r~. p~PNI'~ ~OU~T CEj~~~t~~~ja:''~~: 'n~ , P~ FILE N0. 21 ACN 11117904 DATE 03-17-2011 DATE TOTAL CEnter on Line 5 of Tax Computation) 5 st`~ ~C'd 7y„ f '~z 4 'i ~z ~ v ~~ R ~ ~.~ ~, ~ ~* '`q _ t , z~',z 0. ~r x d j ...~ `V f ~ s s 1 Mr ` V' ~'kt, Vj ~ ~ i e~ ~>r ° ~ r ~1 ~~~, n~ ~.~ ''11 RT :Q° ;~r~ ~y 1SO~~~~~ ~~~~~. ~~. : ~~ C4., Pr{ -, .1 ~~ ~ 4~ •~ ~ :~ O O C'~° '--+ '~ P-+ N ~ 1 U1 ~' Q ~ '~ ~ ~ ~ .-+ ~ ~ J~ d ~~ ~~ ~~+ W :+ i ~•i t,t~~ 1, i's, :'=1 %!~i 4t'e ••S ~...F