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HomeMy WebLinkAbout07-12-11COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0601 RECEIVED FROM: RODE CATHEY L 6435 HUNTSMEN DR HARRISBURG, PA 17111 - fold REV-1162 EX(11-96) PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT DUPLICATE ESTATE INFORMATION: SsN: 210-26-8870 FILE NUMBER: 211 1-0748 DECEDENT NAME: BOORE JOYCE Y DATE OF PAYMENT: 07/ 1 2/201 1 POSTMARK DATE: 07/ 11 /201 1 COUNTY: CUMBERLAND DATE OF DEATH: 06/05/201 1 N0. CD 014697 ACN ASSESSMENT AMOUNT CONTROL NUMBER 11144761 ~ $80.50 TOTAL AMOUNT PAID: REMARKS: SEAL CHECK# 1080 INITIALS: HMW RECEIVED BY: $80.50 GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS ~~ BUREAU OF INDIVIDUAL TAXES PO BOX 280601 pennsylva~' HARRISBURG PA 17128-0601 DEPARTMENT OF REVEN~~~~//{{{{~~~~jj~~~' REV-1543 EX AFP (05-117" PENNSYLVANIA INHERITANCE TAX ~ -~ INFORMATION NOTICE FILE N0. 21 / 7~ ~~_,,,...~, - - ~~ AND ACN 11144761 fir,:'-~ ' .W'[ YER RESPONSE `'~~ F - ~~ ~ , DATE 07-04-2011 .i''v ~.. _. i ...t.,~.l `"~~ ~ ~ ~~~' i ~ ~tE"~ ~ ~ ' ~ ~~ST . OF JOYCE Y BOORE SSN 210-26-8870 Q~ERK Q~ DATE OF DEATH 06-05-2011 QRF'HA~'S CQ~~T COUNTY C U M B E R L A N D e~~FVlt~~i~t~5t~[; ~~ ~'~ REMIT PAYMENT AND FORMS T0: CATHEY L RODE REGISTER OF WILLS 6435 HUNTSMEN DR 1 COURTHOUSE SQUARE HARRISBURG PA 17111-4890 CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS © CHECKING TRUST CERTIF. P N C BAN K 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 deppartment of your rel ati to Ghi`ps to bthen d~eceae ed obye checks no Bne C. Want PART ltibut~on a edtac.n ei nopy' tooth e~~ fonm aA dTre urn .f you bzTizve $'he ~rfor~aticr s i~corr2c 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 $ 53b . 68 months of the decedent's date of death, Tax Rate ~( 1j deduct a 5 percent discount on the tax due. Any inheritance tax due will become delinquent Potential Tax Due $ $0 • 50 nine months after the date of death. PART TAXPAYER RESPONSE 0 ~ ~ \ ~ ~, A. ~ The above information and tax due is correct. 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. 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 i nforms ion is incorrect and/or debts and deductions were paid. Complete PA RT 2~ and/or PART ~ below. ~ \ PART If indicating a different tax rate, please state \ relationship to decedent: TAX RE TURN - CALCULATION 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 $ ~ \ \ and Deductions 5 bt D ' \ 5. s e \ \ 6. Amount Taxable 6 \ 7. Tax Rate T X \ \ 8 . Tax Due 8 $ ~ ~ :~ ~. ~~ ;~ ~.. ~ ~ ~ ~ ~..~~ ~. ~~ DEBTS AND DEDUCTIONS CLAIMED PART 3^ TATC nwrn PAYFF DESCRIPTION AMOUNT PAID IUTAL ltnLer urn ~i~~c ~ o~ ~--• ------••- Under penalties of perjury, I declare that the facts I reported above are true/, correct and complete to the be of knowledge and belief. HOME C ~~p~) ~~~2-~~3~ ~C~ WORK ( ) S •,; `-~!y`t'-S TAXPAYER S NATURE TELEPHONE NUMBER DATE ff . ~ 'l~C 2~ 1 I JUG ~ ,~ . i ; ~ ~, `~~J"1/~ ~~ ~ f ~~ ~~~ S ~7 CU~~ f.,. - ~~ ~~~~ 1 CO., F, = Ol C7 ID ~ N "i W ct Z v~ ~ w (D N 2K O' C C~ r ~ ~+ • (C 3 ~] '~ (D O D 7 T~T.. lU a ~~ V N. ~< ~ (D OD O O t~• tr t~• ~,! 1 ~} fit} ~~ ~~ ~tia C7 N N• N N D ~ ~ (D n ~ o ~• C U1 'J ct ct tD J ~ O C O (~ "h N (n w ~ N C ~ tll N (D V O W ~. ,,, .,~; ~~ ;~»~ f- ~. ; .:: ='•' ., . s: :.~f ~. R, • ~. 3pI ``~~ •~ , ~i.I. r ^! ~j . , ~1 t f Y` .;i ~ 3 ' , ~jj .~ ~ = r i~ t~: ~.+ ~ ~, > ,} : - :, ~ ~; ~~~ ~~ ~ ~ • is ` :t ~ ~ j '. ~ USfT'FI ; -' r~AS~ F ~2E~iER G 1 •.. :; j