The URL can be used to link to this page

Home My WebLink About07-07-11COMMONWEALTH 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 BRANNEN JUANITA S 4400 PHEASANT HILL RD APT 359 HARRISBURG, PA 17110 fold ESTATE INFORMATION: SsN: 21o-26-ss~o FILE NUMBER: 211 1-0748 DECEDENT NAME: BOORE JOYCE Y DATE OF PAYMENT: 07/07/201 1 POSTMARK DATE: 07/05/201 1 COUNTY: CUMBERLAND DATE OF DEATH: 06/05/201 1 REV-1162 EX111-961 NO. CD 014674 ACN ASSESSMENT AMOUNT CONTROL NUMBER 11144760 ~ 580.50 TOTAL AMOUNT PAID: REMARKS: CHECK# 528 SEAL INITIALS: VJ 580.50 RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS ~ PENNSYLVANIA INHERITANCE TAX -} p ~, ~ INFORMATION NOTICE FILE N0. 21-i1- 7~-~~j BUREAU OF INDIVIDUAL TAXES r~ ~nF, L PD Box 2aB6o1 ~ ~ri~y~V~~ C AND ACN 11144760 HARRISBURG PA 171zs-o6o1 ~'py;t~+eNr'aFeE~Eri~O~t~. .~.J TAXPAYER RESPONSE DATE 07-04-2011 REV-1543 EX RFP (OS-11> CLERK OF QRPNAN`S COURT CUMR~RI~D C~ . PA, TYPE OF ACCOUNT SAVINGS ® CHECKING TRUST CERTIF. JUANITA S BRANNEN 4400 PHEASANT HILL RD APT 359 HARRISBURG PA 17110-3809 EST. OF JOYCE Y BOORE SSN 210-26-8870 DATE OF DEATH 06-05-2011 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 PNC BANK N A provided the department with the information below, which was used in calculating the inheritance tax due. Records indicate that at the death of the above-named decedent, you were a joint owner/beneficiary of this account. If yoU are the SpOUSe Of the deceased and any amount other than zero is reflected below on the Potential Tax Due line, note no tax may be due, but you must notify the department of your relationship to the deceased by checking Box C in PART 1 below and writing "spouse" in PART 2. If you believe he information ~s incorrect, please obtain written correction from the financial ir.stituticn, attach a copy to this for^~ and return it to the above address. Please call 717-787-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 5005251557 Date 08-06-2007 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 ~` 3 ~ 220 • 00 payable to "Register of Wills, Agent". Percent Taxable X 16.667 NOTE: If tax payments are made within three Amount Subject to Tax $ 536.68 months of the decedent's date of death, Tax Rate ~( 1~j deduct a 5 percent discount on the tax due. Any inheritance tax due will become delinquent Potential Tax Due ~` 80 • 50 nine months after the date of death. PART TAXPAYER RESPONSE FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT A. 1~ The above information and tax due is correct. ~LI- Remit payment to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, or return this notice to the Register of Wills and C H E C K an official assessment will be issued by the PA Department of Revenue. C ONE 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 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 RETURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS PAD _. 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 S 6. Amount Taxable 6 $ 6 7. Tax Rate 7 X 7 8. Tax Due $ '~ 6 PART DEBTS AND DEDUCTIONS CLAIMED ^S HATE PAID PAYEE DESCRIPTION AMOUNT PAID Under penalties of perjury, I declare that the facts I reported above are true, correct and complete to the best of my knowledge and belief. HOME C ~~7 ) L~~~7 ~7~~~4 WORK C ) ~~~- .70 / TAXPAYER SIGNATURE TELEPHONE NUMBER DATE f 1 f ~~ ~' "~ i 1 . ~ i ~~ ~~ ~: liy- I~ rg~ 4"i ¢t }'~ ~~ ~f ,y j ~4 O ^\v\~A_ ~`\v ~ V ` ~r~ ~y} {~ •,~~k ~ 7V1` v ~~ '~ i ~ t t:(~ .a...,,~~ t 1