The URL can be used to link to this page

Home My WebLink About07-18-11 (2)COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0 601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ACN ASSESSMENT CONTROL NUMBER NO. CD 014722 FRIEND MARK R 506 OHIO AVE LEMOYNE, PA 17043 fold ESTATE INFORMATION: ssN: zi4-20-ssos FILE NUMBER: 211 1-0091 DECEDENT NAME: FRIEND MARGARET C DATE OF PAYMENT: 07/ 18/201 1 POSTMARK DATE: 07/10/201 1 COUNTY: CUMBERLAND DATE OF DEATH: 01 / 1 1 /201 1 REV-1162 EXI11-961 AMOUNT 11146159 ~ $92.73 TOTAL AMOUNT PAID: REMARKS: CHECK# 96 SEAL INITIALS: CJ RECEIVED BY: 592.73 GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS ~~ PENNSYLVANIA INHERITANCE TAX ~~\ INFORMATION NOTICE FILE N0. 21 11-0091 BUREAU OF INDIVIDUAL TAXES Po Box 280601 ~^.r~',` ~.~~~anl~ AND ACN 11146159 HARRISBURG PA I7llrp} c t ~PARr~ NT REVENUE TAX P AY E R R E S P O N S E ~.~:~ }"•'~ } ~ DATE 07- 14-2011 tL ''rji\, ~ a.- ~~ ,..REV-1543. F7P.~FP (05-11) tj~.,L~lI\ Qi a~~s couR~ afMBE~'LAr3'? ~ ~„ PA MARK R FRIEND 506 OHIO AVE LEMOYNE PA 17043-1524 EST. OF MARGARET C FRIEND SSN 214-20-8809 DATE OF DEATH o1-11-2011 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS CHECKING TRUST CERTIF. WELLS F ARG 0 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 y0U 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 the information is incorrect, please obtain written correction from the financial institution, attach a copy to this form and return it *_o the above address. Please call 717-787-8327 with o.uestions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 3086016478003 Date 12-12-1994 To ensure prover credit to the account, two Established copies of this notice must accompany payment to the Register of Wills. Make check Account Balance $ 3,709.00 payable to "Register of Wills, Agent". Percent Taxable X 16.667 NOTE: If tax payments are made within three Amount Subject to TaX $ 618 • 18 months of the decedent's date of death, Tax Rate X , 1 rj deduct a 5 percent discount on the tax due. Any inheritance tax due will become delinquent Potential Tax Due ~` 92.73 nine months after the date of death. PART TAXPAYER RESPONSE FAILURE ~ O RESPOND WILL RESULT; IN AP1~ DFFI,CIAL SAX ASSESSMENT A. he above information and tax due is correct. Remit payment to the Register of Wills with two copies of this notice to obtain CHECK a discount or avoid interest, or return this notice to the Register of Wills and an official assessment will be issued by the PA Department of Revenue. C ONE 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 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 U5E ONLY ~ AAF relationship to decedent: PA DEPARTMENT DF 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 r. 5 6. Amount Taxable 6 $ 6 7. Tax Rate 7 X ~ 7 8. Tax Due 8 +~ ~ 8 PART DEBTS AND DEDUCTIONS CLAIMED TOTAL CEnter on Line 5 of Tax Computation) S Under penalties of perjury, I declare that the facts I reported above are true, correct and ete to the b st of my nowledge and belief. HOME C /~ ~ ) ~~ !~ " %y !~ WORK C / ) /3 - %~ -ZC /~ AXPAYER SIGNAT RE TELEPHONE NUMBER DATE DATE PAID PAYEE DESCRIPTION AMOUNT PAID ;~ ~.a ~'. `• ~:. zr.. ~;_ a~l ar: ..~ A~: ~ ~ '~~ ~ va ~ _ 3 ~ ~ 0 o a +; ~ ai y- ~ N ~ V ~~ ~ .-~ U ` ~ U ~~~/ .~ v~! UN~~a~fOlil~.. ~~~ ~~ ~0 ~~ M a~ ~ ~Qa v1~H ~ ~ C IJ.r ~4 ~''.sJ ..~J . ~ L~11 J t ~l I~'1 ,-s f"t ~~ m~