HomeMy WebLinkAbout04-13-11COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL. TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 E~:(11-96)
NO. CD 014295
HUGHES ROBERT P
1732 WEST TRINDLE RD
CARLISLE, PA 17015
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ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
ESTATE INFORMATION: ssrv: ooo-oo-oooo
FILE NUMBER: 211 1-0445
DECEDENT NAME: HUGHES NEWTON S
DATE OF PAYMENT: 04/ 13/201 1
POSTMARK DATE: 04/ 12/201 1
COUNTY: CUMBERLAND
DATE OF DEATH: 01 / 16/201 1
REMARKS:
1 1500745 ~ $175.09
TOTAL AMOUNT PAID:
S 175.09
CHECK# 1275
INITIALS: DB
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO BOX 280601
HARRISBURG PA 17128-0601
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ROBERT P HUGHES
1732 WEST TRINDLE ROAD
CARLISLE PA 17015
TYPE OF ACCOUNT
EST. OF NEWTON S HUGHES ^ SECURITY
S . S . NO . 146 - 22 - 5851 X^ sEC ACCT
DATE OF DEATH O 1 - 16 - 2011 ^ srocK
COUNTY CUMBERLAND ^ BONDS
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
AMERIP RISE has provided the Department with the information listed below which has been used in
calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a beneficiary of this asset.
If you feel this information is incorrect, please obtain written correction from the transfer agent, attach a copy to this farm and
return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth of Pennsylvania
Questions may be answered by calling (717) 787-8327.
COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 931070051491004 To insure proper credit to your account, two
(2) copies of this notice must accompany your
DOD Valuation 20 , 479.09 payment to the Register of Wills. Make check
payable to: "Register of Wills, Agent .
Percent Taxable X 20.000
NOTE: If tax payments are made within three
Amount Subject to Tax 4, 095.82 (3) months of the decedent's date of death,
Tax Rate X . 045 you may deduct a 5% discount of the tax due.
Any inheritance tax due will become delinquent
Potential Tax Due 184 • 31 nine C9) months after the date of death.
PART TAXPAYER RESPONSE
FAILURE TO RESPOND ~L RESULT IN AN OFFICIAL TAX ASSESSMENT BASED ON THIS NOTICE
A. a above information and tax due is correct.
1. You may choose to 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 you may 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 tiled by the decedent's representative.
C. ^ The above information is incorrect and/or debts and deductions were paid by you.
You must complete PART ~ and/or PART a below.
PART If you indicate a different tax rate, please state your OFFICIAL 1.15E ONLY ^ AAF
relationship to decedent: PA DEPARTMENT DF REVENUE
TAX RETURN - COMPUTATION OF TAX ON ABOVE ASSETCS~ .PAD
LINE 1. DOD Valuation 1 1
2. Percent Taxable 2 X 2
3. Amount Subject to Tax 3 3
4. Debts and Deductions 4 - ~
5. Amount Taxable 5 5
6. Tax Rate 6 X 6
7. Tax Due 7 ~
8
PART DEBTS AND DEDUCTIONS CLAIMED
a
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
Under penalties f perju.y, I declare that the facts I have reported above are true, correct .and
complete to the be of my k wl ge and belief.
e,~/.~ ~ °~ HOME C
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE N0. 21 "' ~ ~-~ ~ ~(~
ACN 11500745
DATE 04-04-2011
WORK C
TAXPAYER SIGNATURE TELEPHONE NUMBER
DATE
IUTAL ctnter on Line 5 of Tax Computation) $