The URL can be used to link to this page

Home My WebLink About04-11-11COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0601 RECEIVED FROM: SAKSA CHARLOTTE M 969 CHARTERHOUSE CT WESTERVILLE, OH 43081 PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ACN ASSESSMENT CONTROL NUMBER fold ESTATE INFORMATION: SSN: i63-44-4552 FILE NUMBER: 211 1-0042 DECEDENT NAME: POZSGAY MADELINE M DATE OF PAYMENT: 04/ 1 1 /201 1 POSTMARK DATE: 1 1 /07/201 1 COUNTY: CUMBERLAND DATE OF DEATH: 1 0/ 29/ 201 0 REV-1162EX(11-96) NO. CD 014275 AMOUNT 11116864 ~ $21.40 TOTAL AMOUNT PAID: REMARKS: SEAL CHECK# 9123 INITIALS: CJ RECEIVED BY: 821 .40 GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS BUREAU OF INDIVIDUAL TAXES PD BDx z8o6o1 ~{G~~ ' HARRISBURG PA 17128-0601`"~ "~~ ~: )~. REV-1543 EX AFP (OB-OB) ~, C~CR~'`. ~~- T G~,~;.~r,,C:a°~ ~O:~R G ~-~ r~~n ~~A_ CRS" r'"'~~ t ,, CHARLOTTE M SAKSA 969 CHARTERHOUSE CT WESTERVILLE OH 43081-2763 PENNSYLVANIA 1NHtK1Iwn~~ ~t+~ INFORMATION NOTICE AND FILE N0. 21 11-0042 TAXPAYER RESPONSE ACN 11116864 DATE 03-14-2011 EST. OF MADELINE M POZSGAY SSN 163-44-4552 DATE OF DEATH 10-29-2010 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 i rrt ui ACCOUNT SAVINGS CHECKING TRUST CERTIF. provided the Department with the information below, which has been used in calculating the r/beneficiary of this account. t PNC BANK NA tential tax due. Records indicate that at the death of the above-named decedent, n from the ti owne you were a poin financial institution, attach a copy to this form po o If you feel the information is incorrect, please obtain written correc cordance with the i Inheritance Tax laws of the Commonwealth of n ac and return it to the above address. This account is taxable Pennsylvania. Please call (717) 787-8327 with questions. REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS COMPLETE PART 1 BELOW * SEE 1005091188 Date 08-24-1998 N To ensure prover credit to the account, two company t o. Account ac copies of this notice mus Established payment to the Register of Wills. Make check ce $ 2,853.26 l payable to "Register of Wills, Agent". an Account Ba Percent Taxable X 16.667 NOTE: If tax payments are made within three Tax $ 475.55 t months of the decedent's date of death, e d t o Amount Subject . u ax deduct a 5 percent discount on the X . 0 4 5 te R Any Inheritance Tax due will become delinquent a Tax 40 21 nine months after the date of death. • Potential Tax Due $ PART TAXPAYER RESPONSE FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT A, ~he above information and tax due is correct. IIIIIIJJJJJJ Remit payment to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, or check box "A" and return this notice to the Register of C H E C K 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 C ONE 0 N L Y to be filed by the estate representative. C, ~ The above information is incorrect belowr debts and deductions were paid. Complete PART 2~ and/or PART PART If indicating a different tax rate, please state relationship to decedent: TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxable 7. Tax Rate ss _ lax Due PART DATE PAID DFF 1L:lAL UJt utr t_ t L~ rtir.r PA DEPARTMENT OF REVENUE PAD 1 2 3 4 5 6 7 8 DEBTS AND DEDUCTIONS CLAIMED PAYEE DESCRIPTION s TOTAL (Enter on Line 5 of Tax Computation) AMOUNT PAID Under penalties of perjury, I declare that the facts I t of my knowledge and belief. b have reported above HOME C 6~y ,re true ~ ~nrJect and complete to the es TELEPHONE NUMBER DATE 1 2 3 X 4 5 - 6 '~ 7 X 8 5~ ~~~ J r,''r - ;(~F O f 4 r I r + I t '`~ ~ ~ l _ ~~~ ~.~J 7, ~' S~ f ~ad~~aYf.p ~dopo EE + ~ £; ~' CtERK ~~ ~~ ` '~~ ` C~1 ~~~-~ ;tip:, ~;- P ~ _ A ,~ ,.f .. ~~~ ~ ~ - tQ M - ;~ ~ ~ cn r3- D __ ~ r,. -- ~ ~ ~- ~- ~ Q O o~ ~ a~ cn ~ cn ,~a ~„ r, ~ t- U ~•~y •r•~ +:..ry ~+.. .r., M ~ ~ N ~ ,Y N ~ r- ~ U o O M O N ~ t L 0 U ~ ~ ~ ~ ca °' U ~ o ~ N m ~ C7 rn 'S