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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