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HomeMy WebLinkAbout04-18-11COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280801 HARRISBURG, PA 17128-0801 RECEIVED FROM: HUGHES KENNETH 108 LECATA AVENUE THOROFARE, NJ 08086 -------- fold PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ESTATE INFORMATION: SsN: oo0-00-0000 FILE NUMBER: 211 1-0445 DECEDENT NAME: HUGHES NEWTON S DATE OF PAYMENT: 04/18/2011 POSTMARK DATE: 04/14/2011 COUNTY: CUMBERLAND DATE OF DEATH: 01 / 16/201 1 REV-1162 EX111-98) NO. CD 014331 ACN ASSESSMENT AMOUNT CONTROL NUMBER 11500746 ~ 5175.09 TOTAL AMOUNT PAID: REMARKS: KENNETH HUGHES CHECK# 0619 SEAL INITIALS: WZ 5175.09 RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS CDMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES PD BDx zeosol HARRISBURG PA 17128-0601 INFORMATION NOTICE ((''~~ AND !~AXPAYER RESPONSE FILE H0. 21 _ ~,`~~~ ACN 11500746 DATE 04-04-2011 ~~ s~ APB i s N~ c ~: 3 CLERK ©F pRPNAN`S COURT CIJMQE~?LA~~C G0 , PA. KENNETH HUGHES 108 LEGATO AVENUE THOROFARE NJ 08086 TYPE OF ACCOUNT EST. OF NEWTON S HUGHES ^ sEGURITY S.S. N0. 146-22-5851 ® sEC ACCT DATE OF DEATH 01-16-2011 ^ srocK COUNTY CUMBERLAND ^ BONDS REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 AMERIPRISE 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 decadent, you ware a benef ieiery of this asset. If You feel this information is incorrect, please obtain written correction from the transfer agent. attach a copy to this fora and return it to the above address. This ateount is taxable in accordance with the Inheritance Tax Laws of the Commonwealth of Pennsylvania. questions may be anawerad by calling (717) 787-6327. COMPLETE PART 1 BELOW * * ^ SEE REVERSE SIDE FDR FILING AND PAYMENT INSTRUCTIONS TO insure proper credit to your account, two CT7 copies of this notice must aeeompalry Your Dsyment to the Register of Wills M k h k DOD Valuation 479 2 0 ~ .09 a • c ac payable to, "Ragistar of Wills. Agent". Percent Taxable X 20 .000 NOTE, If tax payments are made within th re• Amount Subject to Tax 4,095 .82 (3) months of the decedent's data of death, Tax Rate X .045 you may deduct a 5X discount of the tax due. Any inheritance tax due will become delinquent Potential Tax Dua 184 • 31 nine C9) aonths after the date of death. PART TAXPAYER RESPONSE Account No. 9310700514910D4 CHECK ONE BLOCK ] ONLY abeve informstion end tax due is correct. You may choose to remit payment to the Register of Wills with two copies of this notice to obtain a tliseount or avoid interest, or you may cheek box "A" and return this notice to the Register of Wills and an official asse ssmant will ba issued by the PA Department of Revenue. B. ^ The above asset has been or will ba reported and tax paid with the Pennsylvania Inheritance Tex return to be filed by the decedent's representative. C. ^ The above information is incorrect and/or debts end deductions were Daid by you. You must cowplete PART ~ and/or PART ~ below. PART If You indicate a diffmrent tax rate, please state your © relationship to decadent: TAX RETURN - COMPUTATION OF TAX ON A80VE ASSET(S) LINE I. DOD Valuation 1 2. Percent Taxable 2 X 3. Amount Subject to Tax 3 4. Debts and Doduetions 4 5. Amount Taxable 5 6. Tax Rate 6 Y 7. Taz Due 7 PART DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION AMOUNT PAID // TOTAL (Enter on Line 5 of Tax Computation) i de of perjury, I declare that the facts I have reported above are true, rect and comp nowledgo and. belief. HOME C~~~) ~D~L7-~lf(~~ WORK C ) TA PAYER SIG TORE TELEPHONE NUMBER DATE Oop A~ ~ ~ ~ ~~ ~~ ~' ~;~ w ~... w r •.-~... 1~ V. i 1 ti. ~~ ti_W ~~ '1~ ~~ ?V. ~. 'V 1 ~, ~~ ~~ ~. ~ ~,- C ~ ~ `_ ~ ~ 4 ~` \~\\~ ~ ` ' W v ) gouty ~, V~ ~~ .V ry ~i C b O C a