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HomeMy WebLinkAbout03-28-11COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INOIVIDVAL TAXES DEPT. 280801 HARRISBURG, PA 17128-0801 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX111-96) NO. CD 014202 BOWNAZE JOANNE E 799 LEE LANE ENOLA, PA 17025 ACN ASSESSMENT AMOUNT CONTROL NUMBER ----"--' folA ESTATE INFORMATION: SSIV: 1s3-18-5905 FILE NUMBER: 2111-0400 DECEDENT NAME: REAM NORMA V DATE OF PAYMENT: 03/28/2011 POSTMARK DATE: 03/26/201 1 COUNTY: CUMBERLAND DATE OF DEATH: 02/03/201 1 REMARKS: JOANNE BOWNAZE SEAL CHECK# 3698 11119456 ~ $82.89 TOTAL AMOUNT PAID: INITIALS: WZ RECEIVED BY: 582.89 GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS Ytl'1naIL.vAI'ItA anncnal.+~.~-~ ~~+~ INFORMATION NOTICE rr^ 1-,~ 0. AND FILE N0. 21 ' ~ ~''7~.J~ BUREAU OF INDIVIDUAL TAXES l~ C ~l ~ ACN 11119456 Po Box zaocol ( TAXPAYER RESPONSE HARRISBURG PA 17128-0601 ~~(}(}''''~~yy~~~ 'p_ti .r~~}~ ~ C DATE 03-24-2011 ,fyIf6YEW~ih ~f0 De) ~GI I PEAR 28 P!~ 12: s CLERK Of ORPHAN'S Ct}URT (~}MBEr~L~uUL1 CO., PA. JOANNE E BOWNAZE 799 LEE LN ENOLA PA 17025 EST. OF NORMA V REAM SSN 183-18-5905 DATE OF DEATH 02-03-2011 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS ® CHECKING TRUST CERTIF. M ~ T gpWK provided the DaDartasnt with the inforaation below, which has been used in calculating th• potential taX due. Retards indicate that at the death of the above-naaed decedantr you ware a joint owner/benef iciarY of this account. If you foal the inf oraation is incorreetr please obtain written correction free the financial institution, attach a copy to this fora and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Coaaonwaelth of Pennsylvania. Please call (717) 787-8327 with questions. COMPLETE PART 1 BELOW ~ SEE REVERSE SIDE FOR FILING AND PAYMENT. INSTRUCTIONS Account No. 70594236 Date 04-28-1980 To ensu ra proparcredit to the account, two Establishetl - copies of this notice oust accoapanv payaent to the Regist or of Wills. Make chock Account Balance $ 3,684.20 payable to "Revistar of Wills, Agent". Portent Taxable X 50.000 NOTE: If tax payaents are soda within three Amount Subject to Tax ~ la$42.10 eonths of the decedent's data of death. X .045 deduct a 5 percent discount on the tax due. Tax Rate Aro Inheritance Tex due will 6ecoae delincuant Potential Tax Due $ 8 2. 8 9 nine eonths after the date of death. TAXPAYER RESPONSE PART A. a/t The above info nation and tax due is correct. ~q,J Raait Daymant to the Register of Wills with two copies of this notie• to obtain a discount or avoid interest, or eha ck box "A" and return this notice to the Register of C CHECK Wills and an official assessaent will be issued by the PA Department of Revenue. ONE BLOCK B. ~ The above asset has been or will ba reported and tax paid with the Pennsylvania Inheritance Tax return 0 NLY to ha filed by the estate representative. C. ~ The above infona ion is incorrect and/or debts and deductions ware paid. Coaclete PART 2~ and/or PART 3^ below. PART If indicating a different tax rate, please state relatlonshiD to decedent: TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS LLNE 1. DateEstablished 1 2. Account Balance 2 s 3. Percent Taxable 3 X 4. Amount Subject to Tax 4 ~ 5. Debts and Deductions 5 - 6. Amount Taxable 6 $ 7. Tax Rate 7 X 8. Tax Due B ~ PART DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTIDN AMOUNT PAID TOTAL CEnter on Lina 5 of Tax Computation) ~ Under penaltiesof perjury, I declare that the facts I have reported above are•~true, correct and complete to the best of my knowledge and belief. HDME ~~~~ ) ~z8° ~~ ~~ WORK C 1 ex a Fu SIG T E TELEPHONE NUMBER DATE W N I~ Z O m o QO w 0 a o w A x V O N F~. "~.~ 1~~~ N• }4l+.yS n7 k V1 , ~ R_ .~ ~ ~' ~.~ tits '" ~ Pv O (. V ~ 1 ~~ «:l ~. =3 /' +~ ~. iii "" F,a ~ ~, `.~, t; ~. ~: ;. - u sn