HomeMy WebLinkAbout04-06-11COMMONWEALTH 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 014248
BOWLEY MARGARET J
205 ERIE STREET
DAUPHIN, PA 17018-0090
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ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
---------- --------
ESTATE INFORMATION: SSN: 163-30-1513
FILE NUMBER: 21 1 1-0281
DECEDENT NAME: AUGUSTINE ELIZABETH REID
DATE OF PAYMENT: 04/06/201 1
POSTMARK DATE: 04/05/201 1
COUNTY: CUMBERLAND
DATE OF DEATH: 01 / 14/201 1
REMARKS:
SEAL
CHECK# 1608
11113140 ~ $25.18
TOTAL AMOUNT PAID:
RE'V-1162 EX(11-96)
$25.18
INITIALS: DB
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
PENNSYLVANIA INHERITANCE TAX
- INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES A N D
Po eox 2ao6o1 TAXPAYER RESPONSE
HARRISBURG PA 17128-0601
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F I L E N O. 21 -- ~ ~ -~ :-~
ACN 11113140
DATE 02-25-2011
TYPE OF
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MARGARET J BOWLEY
2503 N 2ND ST
HARRISBURG PA 17110
EST. OF ELIZABETH R AUGUSTINE
SSN 163-30-1513
DATE OF DEATH 01-14-2011
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
ACCOUNT
SAVINGS
CHECKING
TRUST
CERTIF.
METRO BANK provided the Department with the information below, which has been used in calculating the
potential tax due. Records indicate that at the death of the above-named decedent, you were a joint owner/beneficiary of this account..
If you feel the information is incorrect, please obtain written correction from the financial institution, attach a copy to this form
and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Commonwealth of
Pennsylvania. Please call C717) 787-8327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 3201$b73 Date 10-31-1990 To ensure proper credit to the account, two
Established copies of this notice must accompany
Account Balance
$ 3 3 5. 7 5 Payment to the Register of Wills. Make check
payable to "Register of Wills, Agent".
Percent Taxable X 50.000
Amount Subject to Tax
$`
167. $$ NOTE: If tax payments are made within three
months of the decedent's date of death,
Tax Rate ~( 1j deduct a 5 percent discount on the tax due.
Potential Tax Due
$`
25.1$ Any Inheritance Tax due will become delinquent
nine months after the date of death.
PART TAXPAYER RESPONSE
FAILURE Tt3 RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT
A. M The above information and tax due is correct.
/lA-,J 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 information is incorrect and/or debts and deductions were paid.
Complete PART 2~ and/or PART 3~ below.
PART If indicating a different tax rate, please state OFFIC>IAL USE ONLY ~ AAF
relationship to decedent: PA DEPARTMENT OF REVENUE
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS pqp
!INE :. Batc Established 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 - ~
6. Amount Taxable 6 $ 6
7. Tax Rate 7 X ~
8. Tax Due g $ $
PART DEBTS AND DEDUCTIONS CLAIMED
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
Under penalties of perjury, I declare that the facts I have reported above are true, correct and
c~ plete to th /yt of my knowledge and belief.
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TAX AYE SIGN URE TELEPHONE NUMBER DATE
IUINL itnter on pine 5 of Iax Computation) $
USDA FIRST-CLASS FOREVER
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