HomeMy WebLinkAbout03-25-11COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REINER MAE L
16 S ENOLA DR APT 305
ENOLA, PA 17025-2733
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REV'-1162 EX(11-96)
N0. CD 014199
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
---------- --------
ESTATE INFORMATION: ssrv: 202-20-2s2o
FILE NUMBER: 211 1- 0353
DECEDENT NAME: REINER HARRY L
DATE OF PAYMENT: 03/ 25/ 201 1
POSTMARK DATE: 03/24/201 1
COUNTY: CUMBERLAND
DATE OF DEATH: 10/08/2010
REMARKS:
CHECK#1137
SEAL
11112535 ~ 553.28
TOTAL AMOUNT PAID:
553.28
INITIALS: HMW
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF ~IVILLS
REGISTER OF WILLS
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
~~,~ ~ ~. AND
tt,
BUREAU OF INDIVIDUAL TAXES
Po Box 2BO6o1 ~ "PAYER RESPONSE
HARRISBURG PA 17128-0601 ~~ 't•,1
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REV-1543 EX AFP (08-08) _
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MAE L REINER
16 S ENOLA DR APT 305
ENOLA PA 17025-2733
FILE N0. 21"-l f - ~~/
ACN :11112535
DATE ID2-23-2011
EST. OF HARRY L REINER
SSN 202-20-2920
DATE OF DEATH 10-08-2010
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
TYPE OF ACCOUNT
SAVINGS
CHECKING
TRUST
CERTIF.
WACHOVIA BK 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 point 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 auestion~.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 1005000032111 Date 09-29-1986 To ensure proper credit to the account, two
Established copies of this notice must accampanv
payment to the Register of Wills. Make check
Account Balance $ 710.36 payable to "Register of Wills, Agent".
NOTE: If tax payments are made within three
Percent Taxable X 50.000
Amount Subject to Tax $ 355.18 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 become delinquent
Potential Tax Due $ 53.28 nine months after the date of death.
PART TAXPAYER RESPONSE
0 FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL 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
a discount or avoid interest, or check box "A" and return this notice to the Register of
C H E C K 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 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 USE ONLY ~ AAF
a relationship to decedent: PA DEPARTMENT OF REVENUE
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS PAD
LINE 1. Date Established 1 1
2. Account Balance 2 $ 2
3. Percent Taxable 3 X 3
4. Amount Subject to Tax 4 $ ~
5. Debts and Deductions 5 - 5
6. Amount Taxable 6 $ 6
7. Tax Rate ~ X 7
8. Tax Due 8 $ 8
PART DEBTS AND DEDUCTIONS CLAIMED
a
...~~ ,-,.TT1 ~wvCC DESCRIPTION AMOUNT PAID
Under penalties of perjury, I declare that the facts I have reported above are,•-tt2rue, correct and
complete o the best `a f` my knowledge and belief . HOME C ~~~ ) ! 3 Z - S r15~:
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TAXPAYER SIGNATURE TELEPHONE NUMBER