HomeMy WebLinkAbout04-27-11COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
REV-1162 EX111-96)
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 014364
MATHNA RAE H
1 14 FLINSTONE DR
NEWVILLE, PA 17241
-------- fold
ESTATE INFORMATION: SSN: 162-24-3691
FILE NUMBER: 211 1-0252
DECEDENT NAME: MEASLER JOYCE D
DATE OF PAYMENT: 04/27/201 1
POSTMARK DATE: 04/26/201 1
COUNTY: CUMBERLAND
DATE OF DEATH: 1 2/01 /2010
REMARKS:
ACN
ASSESSMENT ,4MOUNT
CONTROL
NUMBER
11105522 ~ 57.63
11109713 ~ S2,2g
TOTAL AMOUNT PAID:
X9.92
CHECK# 864
INITIALS: DB
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
BUREAU OF INDIVIDUAL TAXES
PO BOX 280601 r,{~~r ~,r~ - _ ~ ~~.~'
HARRISBURG PA 17;fi~~.-~16D1
r, ~~'~ ~-~ ~ REV~~154~!F,~ AFP (08-08>
PENNSYLVANIA INHERITANCE TAXI
INFORMATION NOTICE
AND FILE_ N0. 21 11-0252
TAXPAYER RESPONSE ACN 11109713
* ~ * REVISED NOTICE ~ * * DATE: 04-13-2011
_ r , ; -~g , , ,~
G! ELK ~~
C3 lti~l'~ nn d~
. ~ ~ -;~-.
Ct)~~~~_~,~ _r=,f ~ ~ ! , gyp.
DIANE R KREINER
16 BELLAIRE AVE
CARLISLE PA 17013
EST. OF JOYCE D MEASLER
SSN 162-24-3691
DATE OF DEATH 12-01-2010
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
TYPE OF ACCOUNT
SAVINGS
a CHECKING
TRUST
CERTIF.
ORRST OWN 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 (717) 787-8327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRl1iGTIONS
Account No. 143000280 Date 04-29-2003 To ensure proper credit 'to the account, two
Established copies of this notice must accompany
305.2$ payment to the Register Hof Wills. Make check
Account Balance $` payable to "Register of I~Vills, Agent".
Percent Taxable X 16.667
NOTE: If tax payments are made within three
Amount Subject to Tax $ 50 . $$ months of the decedent's date of death,
Tax Rate X . 045 deduct a 5 percent discount on the tax due.
Any Inheritance Tax due will become delinquent
Potential Tax Due ~` 2.29 nine months after the date of death.
PART TAXPAYER RESPONSE
1 FAiLUItE TO RESPOND WILL Rf513'i.T IN AN OFFiCTAL TAX ASSESSMEN3" ~
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
0 N E Wills and an official assessment will be issued by the PA Department of Revenue.
BLOC 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 3~ below.
PART If indicating a different tax rate, please state OFFICIAL USE ONLY ~ A~¢
relationship to decedent:
PA DEPARTMENT OF REVENUE
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS PAD
LINE 1. Date Established 1 1
2. Account Balance 2 $ 2
3. Percent Taxable 3 X 3
4. Amount Subject to Tax 4 $ ~
5. Debts and Deductions 5 - ~
6. Amount Taxable 6 $ 6
7. Tax Rate 7 X 7
8. Tax Due 8 $ $
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, correct and
complete to the best of my knowledge and belief. H 0 M E C )
WORK ( )
TAXPAYER SIGNATURE TELEPHONE NUMBER DATE
IViAL (Enter on Line 5 of Tax Computation) 5
__
ennsylvan~a •~
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
~ ' _,_ ,-- r_ REV-1.54g EX AFP (12-10)
('~~~ ~ ALLOWANCE OR DISALLOWANCE
~ TA~CEIS ~ '~-~~• ~f~APPRAISEMENT,
BUREAU OF INDIVIDO~k.• ~;;~(~ OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
INHERITANCE TAX DIVISIQN1 t- " ~
PO gDX 2go6o1 JOINTLY HELD OR TRUST ASSET 03-28-2011
HARRISBURG PA 17128-0601 DATE JOYCE D
MEASLER
~- ESTATE OF
DATE OF DEATH 12-0 `1201~,~r~
FILE NUMBER CUMBERLAND
C~E~~~ ~,~ COUNTY
SSN/DC 162-24-3691
~~':`': •';~ 1,~T 11105522
C~1~~F'~~~~r~r~~ ,.-,, ~ ~i~. ACN APPEAL BY DATE : 05 - 27 - 2011
RAE "M
4 F L I NT ST O N E D R (See reverse side under Objectio
11 pA 17241
NEWVILLE Amount Remitte
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQ~OR3
CARLISLE PA
(-~ _
_-_-- __ _
_.. ~ ~ ~ T u~ •~-~ RETAIN _LOWER PORTION FOR YOUR RECOR