Loading...
HomeMy WebLinkAbout05-24-11COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0601 RECEIVED FROM: HAMILL ROBERT H 6 GRANDEE DR CARLISLE, PA 17015 -------- fold PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1 162 EX(11-96) NO. CD 014502 ACN ASSESSMENT AMOUNT CONTROL NUMBER ESTATE INFORMATION: ssN: 211-22-1507 FILE NUMBER: 211 1-0609 DECEDENT NAME: HAMILL MARY L DATE OF PAYMENT: 05/24/201 1 POSTMARK DATE: 05/20/201 1 COUNTY: CUMBERLAND DATE OF DEATH: 1 1 / 16/2010 REMARKS: 11133743 ~ 5210.91 TOTAL AMOUNT PAID: $210.91 CHECK# 788 INITIALS: HMW SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES T ;~ , AND F I L E NO. 21 "- f ~~" t~ ~~~ PO BOX 280601 :~~ l!' ~..j~' HARRISBURG PA 17128-0601 FE,.,- ~r~ ;~ t r ~ PAYER RESPONSE ACN 11133743 `~'' ~'~ ~~' '~~~~`~ DATE 05-19-2011 REV-1543 E% AFP (08-OB) ~~~ ~ ~~Y ~3 ~ ~~ a~ t~.ERK F ~F'NAN`S RT ROBERT H HAMILL 6 GRANDEE DR CARLISLE PA 17015 EST . OF MARY L FIAM I L L SSN 211-~22-1507 DATE OF DEATH 1.1-16-2010 COUNTY CUMBERLAND REMIT PAYMENT AND FCIRMS T0: REGISTER OF WILLS 1 COURTHOUSE SQLIARE CARLISLE PA 17'013 TYPE OF ACCOUNT SAVINGS © CHECKING TRUST CERTIF. SOVEREIG N 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 INSTRUCTIONS 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. Account No. 0461049791 Date 03- 16- 1981 To ensure Firoper credit to the account, two Established copies of this notice must accompany Account Balance $ 2, 812.13 payment to the Register of Wills. Make check vayable to "Register of Wills, Agent". Percent Taxable X 50.000 Amount Subject to Tax $` 1 , 406.07 NOTE: If 1:ax payments are made within three months of 1:he decedent's date of death, Tax Rate ~( ~ 1rj deduct a 5 percent discount on the tax due. Potential Tax Due $ 210.91 Any Inheritance Tax due will become delinquent nine months after the date of death. PART 0 TAXPAYER RESPONSE 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 0 N E a discount or avoid interest, or check box "A" and Wills and an official assessment will be issued by return this notice to the Register of the PA Department of Revenue. 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 relationship to decedent: TAX RE TURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Date Established 1 ~ 2. Account Balance 2 3. Percent Taxable 3 X 4. Amount Subject to Tax 4 +fi 5. Debts and Deductions 5 - 6. Amount Taxable 6 $ \ 7. Tax Rate 7 X 8. Tax Due 8 PART DEBTS AND DEDUCTIONS CLAIMED DATE P AID 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 C ) TAXPAYER SIGNATURE TELEPHONE NUMBER DATE IUTAL ttnter on Line 5 of Tax Computation) $ ,..z. !~f ~; .~ ~t~ ~f .~ {i~ t~~ j~,i ~~~~~~ `~"~ Vl r±,,+1•. 1,. ~" ~l'.J ~ ~ 2~' ~ ~~ y' ~3 F' 3: 04 ERIC C1~ BURT `~ CD:, A4 J W e 4 ~~ w a s l~ i r M '~1 0 ti W P ~i"•'.~~ ;~`!` ~ 4 ~,,. "~'~ ~fi ~ f~~~ 3*'?y '_ ki~. a'~ ~ ~~ .. }; { ai ~.-~ ~: