HomeMy WebLinkAbout04-13-11 (3)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX(11-96)
NO. CD 014297
HUGHES ROBERT P
1732 WEST TRINDLE RD
CARLISLE, PA 17015
-------- fold
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
---------- --------
11500755 ~ S38.75
ESTATE INFORMATION: ssrv: ooo-oo-oooo
FILE NUMBER: 211 1-0445
DECEDENT NAME: HUGHES NEWTON S
DATE OF PAYMENT: 04/ 1 3/201 1
POSTMARK DATE: 04/ 12/201 1
COUNTY: CUMBERLAND
DATE OF DEATH: 01 / 16/201 1
REMARKS:
TOTAL AMOUNT PAID:
$38.75
CHECK# 1273
INITIALS: DB
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REV EN F~,- _
BUREAU OF INDIVIDUA ~-Tr~4~(~5: ~ '~'~ (~
PO BOX 280601 r ``~ ~~ V
HARRISBURG PA 17128-kQ¢QL ~ i !i t f~
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REV-1543A AFP (7-00)
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE N0. 21 °~ ~ I "~ ~~u ~j
ACN 11500755
DATE 04-04-2011
TYPE OF ACCOUNT
EST. OF NEWTON S HUGHES ^ SECURITY
~~~'RK ~r S . S . NO . 146 - 22 - 5851
X^ SEC ACCT
(~ OF~'i-~~~~,~`S .;{ i~~j DATE OF DEATH O 1 - 16 - 2011
t/~1~'f ~,~-~'i ''''''_i ,r.y ^ STOCK
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"' ,~A COUNTY CUMBERLAND
^ BONDS
ROBERT P HUGHES REMIT PAYMENT AND FORMS T0:
1732 WEST TRINDLE RD REGISTER OF WILLS
CARLISLE PA 17015 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 form 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. 930066061043004
To insure proper credit to your account, two
(2) copies of this notice must accompany your
DOD Valuation 4,532.00 Payment to the Register of Wills. Make check
Percent Taxable payable to: "Register of Wills, Agent".
X 20.000
Amount Subject to Tax 906.40 NOTE: If tax payments are made within three
(3) months of the decedent's date of death,
Tax Rate X . 045 You may deduct a 5% discount of the tax due.
Potential Tax Due 40.79 Any inheritance tax due will become delinquent
nine (9) months after the date of death.
PART
TAXPAYER RESPONSE
FAILURE TU RESPOND ~LL.:~RESULT IN AN OFFICIAL TAX ASSESSMENT BASED flN THIS h10TICE
A• he 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 filed by the decedent's representative.
C• ^ The above information is incorrect and/or debts and deductions were paid by you.
You must complete PART ^2 and/or PART ^ below.
DADT rf •,n~~ .. .~: __i_
-- ~-- -'~~~~a~C d airrerent tax rate, please state your
relationship to decedent:
TAX RETURN - COMPUTATION OF TAX ON ABOVE ASSETCS)
LINE 1. DOD Valuation 1
2. Percent Taxable 2 X
3. Amount Subject to Tax 3
4. Debts and Deductions q
5. Amount Taxable 5
6. Tax Rate 6X
7. Tax Due ~
PAR?
DATE PAID PAYEE
OFFICIAL USE ONLY ^ AAF
PA DEPARTMENT OF REVENUE
PAD
1
2
3
q
5
6
7
8
AIMED
DESCRIPTION
AMOUNT PAID
TOTAL (Enter on Line 5 of Tax Computation)
S
Under penalties of p jury, I eclare that the facts I have reported above a tr
complete to the best of kn a belief. o rect and
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TAXPAYER SIGNATURE WORK ( )
TELEPHONE NUMBER DATE
DEBTS AND DEDUCTIONS CL
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