The URL can be used to link to this page

Home My WebLink About04-07-11COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 014258 REHM SUSAN C 1 1 1 1 APPLE DR APT 3 MECHANICSBURG, PA 17055 ACN ASSESSMENT AMOUNT CONTROL NUMBER -------- fold ESTATE INFORMATION: ssrv: ~s~-34-08~~ FILE NUMBER: 21 1 1-0443 DECEDENT NAME: REHM NORMAN J DATE OF PAYMENT: 04/07/201 1 POSTMARK DATE: 04/05/201 1 COUNTY: CUMBERLAND DATE OF DEATH: 02/01 /201 1 11117096 ~ S265.05 TOTAL AMOUNT PAID: REMARKS: $265.05 CHECK# 1441 INITIALS: DB SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS .-,,r Q~ -,; _,~ ~ - BUREAU ~ ND~ID11AL 'TAXES PO BOX -~Q~` " HARRISBURG PA 17128-0601 s )'A~ .+ ~ ~ - RFV-IF43 FX AFP (08-08) PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE AND TAXPAYER RESPONSE FILE NO. 21 - ~ ~ ` ~-'~`~ ~~ ACN 11117096 DATE 03-14-2011 ~~~~'i1. ~ ' r T *~~~ ~ ', :~ Cq ~~, at ~ i-~; l ~,` ' SUSAN C REHM 1111 APPLE DR APT 3 MECHANICSBURG PA 17055-3936 EST. OF NORMAN J REHM SSN lb1-34-0817 DATE OF DEATH 02-01-2011 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS CHECKING TRUST CERTIF. PNC BANK 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 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 (717) 787-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 5140051902 Date 09- 12- 1995 To ensure proper credit to the account, two Established copies of this notice must accompany Account Balance $ 1 1 , 780.05 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 $ 5, 890.03 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 $ 265.05 nine months after the date of death. PART TAXPAYER RESPONSE FAI1.U'RE TO RESPdND WILT. RESUtT I'N 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 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 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 DNLY ~ AAF relationship to decedent: PA DEPARTMENT'DF REVENUE TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS pqD L1NE 1. Date Established 1 '~ ~ ~~~~ ~~~~~ ~`~ 2. Account Balance 2 $ 2 3. Percent Taxable 3 X 3 4. Amount Subject to Tax 4 $ C~ 5. Debts and Deductions 5 - 5 6. Amount Taxable 6 7. Tax Rate 7 X 7 8. Tax Due 8 $ g 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, corre<:t and complete to the best f my knowledge and belief . HOME C`2'~,i ) bf~~ "- ~ ~J ~ W O R K ( ) ~-` TAXPAY R S GNATURE - TELEPHONE NUMBER DATE TOTAL (Enter on Line 5 of Tax Computation) S STONE LAFAVEF~ &SHEKLETSKI ATTORNEYS AT LAW 414 BRIDGE STREET DAVID H. STONE POST OFFICE BOX E GERALD J. SHEKLETSKI NEw CUMBEBLAND. PA 17070 www stonelaw.net April 5, 2011 Cumberland County Register of Wills 1 Courthouse Square Room 102 Carlisle, PA 17013 RE: Estate of i~Torman J. Rehm Social Security No.: 161-34-0817 Greetings: OF COUNSEL CHARLES H. STONE JON F. LAFAVER TELEPHONE (717) 774-7435 FA~~SIMILE (717) 774-3869 Please find attached the Pennsylvania Inheritance Tax Information Notice and Taxpayer Response for the following ACN No.: 11117096. Also enclosed is a check in the amount of $265.05 for tax due. Thank you for your attention in this matter. Please don't hesitate to contact me should you have any questions regarding this matter. Very truly yours, STONE LaFAVER &SHEKLETSKI -_...._~ ~~r. ~~.. ~~ Gerald J. S ekletski, Esquire GJ S/jam Enclosures ~~a - i G ;;~ ,,'_ ~, +~ t{ ; LL- C; fY ~r~ o-L^ t _ ~V A (J~. ~_ h4 ~ ~i ~- ~ .,x~~ .- ~~ Sl ~ . ~ c0 e~ S. .a ~`S ~'l~.i.iN~ti C~ ~, ~ ~, C j ~~ ~ , ~ !. -~' ca-* G N Ul . •'A ~ ~~ y, r, Cd, ~, ~ . o o :~ ..% ~, ~, ~ o ~~ ~; ~ ~'' ~, y ~ ~.:,, p~v ~~ o w W W X ~' o~,~mo N UZ W dt~ ~y , p W ~ ~ m ~7d m NN `L 7 j ~ d ~, U a W Z U~