HomeMy WebLinkAbout05-26-11COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG. PA 1 7 1 28-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 014514
BRYNER STEVEN A
325 PEACH GLEN ROAD
GARDNERS, PA 17324
fold
ESTATE INFORMATION: ssN: 000-00-0000
FILE NUMBER: 21 1 1 -0624
DECEDENT NAME: BRYNER FLORENCE A
DATE OF PAYMENT: 05/26/201 1
POSTMARK DATE: 05/26/201 1
couNTY: CUMBERLAND
DATE OF DEATH: 04/23/201 1
REMARKS:
SEAL
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
11130338 ~ 57.45
TOTAL AMOUNT PAID:
INITIALS: CJ
REV-1162 EX111-96)
57.45
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
BUREAU OF INDIVIDUAL TAXES
PO BOX 280601
HARRISBURG PA 17128-0601
REV-1543 E% RFP
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
AND
~,_, r.Y~,TAXPAYER RESPONSE
_ ,~
-___a of i n
FILE N0. 21 • ~~-UIF~~Z/
ACN 11130338
DATE 05-04-2011
^~ w. ,y EST. OF FLORENCE A BRYNER
~~ ' ~ ~~~ L~ ~~~-~ ~~ `'~' SSN 209-20-2156
r DATE OF DEATH 04-23-2011
`L+~L-ERGC OF COUNTY CUMBERLAND
~~~ `~I~ ~~JJ~T REMIT PAYMENT AND FORMS T0:
STEVEN B BRYNER C~)~~~r~i ~`_~ C~., PA. REGISTER OF WILLS
324 PEACH GLEN RDAD 1 COURTHOUSE SQUARE
GARDNERS PA 17324 CARLISLE PA 17013
TYPE OF ACCOUNT
SAVINGS
® CHECKING
TRUST
CERTIF.
MEMBERS 1ST FCU 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 point 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 INSTRUCTIONS
Account No. 320604-1 1 Date 01-02-2008 To ensure proper credit to the account, two
Established copies of this notice must accompany
payment to the Register of Wills. Make check
Account Balance $ 347.97 payable to "Register of Wills, Agent".
Percent Taxable X 50.000
NOTE: If tax payments are made within three
Amount Subject to Tax $ 173.99 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 ~` 7.83 nine months after the date of death.
PART TAXPAYER RESPONSE
FAT~~i,,,L___,,,rrr,,URE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT
A. },/' The above information and tax due is correct.
,,~1\ 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
C 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 ~ below.
PART If indicating a different tax rate, please state OFFICIAL USE ONLY ~ AAF
relationship to decedent:
PA DEPARTMENT OF REVENUE
TAX RE TURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS PAD
LINE I. Date Established 1 I
2. Account Balance 2 $ 2
3. Percent Taxable 3 X 3
4. Amount Subject to Tax 4 $ 4
5. Debts and Deductions 5 S
6. Amount Taxable 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
co ete to the best of my knowledge and belief. HOME C ~~ ~ ~ / ~ / O
.. ~ i1~ WORK C ) 2 Gfy ~ 2 ?-~~ 5~~-
TOTAL (Enter on Line 5 of Tax Computation) S