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HomeMy WebLinkAbout05-06-11COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: SCHMITT DAVID 6 EAST GREENHOUSE RD DILLSBURG, PA 17019 -------- fold PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ESTATE INFORMATION: ssN: ~ 85-~ 6-5437 FILE NUMBER: 21 1 1 -0558 DECEDENT NAME: CALVER ELIZABETH DATE OF PAYMENT: 05/09/201 1 POSTMARK DATE: 05/05/201 1 COUNTY: CUMBERLAND DATE OF DEATH: 04/ 15/201 1 RE:V-1162 EX(11-96) NO. CD 014430 ACN ASSESSMENT AMOUNT CONTROL NUMBER 1 1 129174 $227.01 TOTAL AMOUNT PAID: REMARKS: X227.01 CHECK# 606860 INITIALS: HMW SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS BUREAU OF INDIVIDUAL TAXES PO BOX 280601 HARRISBURG PA 17128-0601 PENNSYLVANIA INHERITANCE INFORMAL"ION NCITICE ~,,- AND • 'FA R` ,YER RESPONSE .~ ,, REV-1543 EX AFP (O6-4E)- TAXf FILiE N0. 21-- ~ ~ _ ~~th~ ACN 11129174 DA TIE 04-29-2011 ~~ ~~ ~ ..~ , < :~ - ,-., rj !~~'~' r-~ ~^ ~, ~ ~ DAVID SCHMITT 6 EAST GREENHOUSE ROAD DILLSBURG PA 17019 EST. OF ELIZABETH CALVER SSN 185-16-5437 DATE OF DEATH 04-15-201:1 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT © SAVINGS CHECKING TRUST CERTIF. MEMBERS 1ST F CU 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/benef:iciary of this account. If you feel the information is incorrect, please obtain written correction from the financial institution, attaclh 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 INSTRUCTIONS Account No. 11450-00 Date 02-02-1977 To ensure proper credit i;o the account, two Established copies of this notice must accompany Account Balance $ 31 , 861.27 payment to the Register of Wills. Make check payable to "Register of Mlil:ls, Agent". Percent Taxable X 16.667 Amount Subject to Tax NOTE: If tax payments ar•e made within three $ 5, 310.32 months of the decedent's date of death, Tax Rate )( .045 deduct a 5 percent discount on the tax due. Potential Tax Due $ 238.9b Any Inheritance Tax due wi:11 become delinquent nine months after the date of death. PART TAXPAYER RESPONSE 0 FAILU~2E~~~~ ~~;~?~ WILi ...RES'Ih1' ~N'?FICI;~L "i'~!X ASS-ES~~h1~T A. ICI The above information and tax due is correct. I.~ 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. 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 estate representative. C. ~ The above informs ion is incorrre~ct and/or debts and deductions were paid. Complete PART 2~ and/or PART is l below. PART If indicating a different tax rate, please~--state relationship to decedent: OFFICIAL US=E 0~„~~~ „ ~ _ , TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS PAD PA DEPARTMENT OF REVENUE LINE 1. Date Established 1 1 2. Account Balance 2 $ 2 3. Percent Taxable 3 X 3 4. Amount Subject to Tax 4 $ 4 5. Debts and Deductions 5 - 5 6. Amount Taxable 6 $ 6 ~\\\ 7. Tax Rate 7 X 7 8. Tax Due g $ B PART DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE 1)FCf'RTpTTnA1 _.._...._ _ Under pen lties of perjury, I declare that the facts I have reported above are true, correct and complete o the st o my kn edge and belief. HOME C~ r ~ ) L~.3rr~ ~ ~ 7~~ WORK ( ) TAXPAYER S GNATURE TELEPHONE NUMBER `~ DA . j ~~;- ~.1. _ ~< . J C~1L ~. ` ~ ' •~' R, ~a ~ ~ 1 ~e~ 4 , ,~ ~, ~;4 E~ -- - ;,; f•~': ;; 3 i. ~. ~ ~_\~ ~r~v 1V r ~ \~ ~ ~ ~~~. "i, ~ .; .~. ~y ~~' •,`_.~, ~ may. ~~ ~~ ,~~, ~. ~ ~~ \..~`~ r ~. ~ ~~, y \ (~, ~, Y ~ ~' '~. ~,~~, ~. ~ ''~: "~, , ~~ ~~ ~ ~ , v • C +~ ~ ,,d ~ ~ , ~C `~ ~ oa~ ~, ~~ 3 .. t r 1 ~: '~~~ r ~ ,~,.; ~~. ~ u~:F ~, T ~:~~ r..1 t, ,~ ~: M+s: ~~~~ c' .,~i ~, '1 `:,-' j_. 0. ;: t~:i ~~ ~"'.- U `- x4'-, ~j ~< AiF+ y~i; ~7` ~`::.. d A Y 1 L: ~ 4 ~ ~ fi ~.~~~x ,~ „ ~ ~ ~ .~ a i9 `~