HomeMy WebLinkAbout08-15-11COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
GARTHWAITE DAVID S
406 RADCLIFF WAY
DOWNINGTOWN, PA 19335
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PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ESTATE INFORMATION: SSN: 773-76-4454
FILE NUMBER: 211 1-0871
DECEDENT NAME: ARMBRUST VIRGINIA C
DATE OF PAYMENT: 08/ 1 5/201 1
POSTMARK DATE: 08/09/201 1
COUNTY: CUMBERLAND
DATE OF DEATH: 1 1 / 1 3/201 0
REV-1162 EX111-961
NO. CD 014848
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
11120410 ~ 5586.94
TOTAL AMOUNT PAID:
REMARKS:
5586.94
CHECK#1336
INITIALS: DB
SEAL RECEIVED BY: GLENDA EARNER STR~4SBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
'`_ rit' AN D
BUREAU OF INDIVIDUAL TAXES '
Po Box zeocol ' '~' TAXPAYER RESPONSE
HARRISBURG PA 17128-0601 _ . -- ~ _ ~ - ~
FEV-1543 EX RFP fOB-YB)
EST. OF VIRGINIA C ARMBRUST
C~ ~~'~ ~~ SSN 113-16-4454
D~~~~a\r~ ' ~~'~~~~ DATE OF DEATH 11 - 13 - 2010
~i~i~fJ~•`~`.~~-',~ .i •~'~' '~,~~ , PA COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
DAVID GARTHWAITE REGISTER OF WILLS
~~~-'e~~ievv,r-cT J1JV 1 COURTHOUSE SQUARE
CARLISLE PA 17013
p~vv'ny1~~w/~.°f /~~} 1935
TYPE OF ACCOUNT
SAVINGS
CHECKING
TRUST
CERTIF.
AMERICHOICE 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 joint owner/benefi.ciary 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 (:ommonwealth of
Pennsylvania. Please call (717) 787-8327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 28690 Date 11-13-1996 To ensure proper credit t:o the account, two
Established copies of this notice mu3;t accompany
payment to the Register of Wills. Make check
Account Balance $ 7,825.83 payable to "Register of Mlills, Agent".
Percent Taxable X 50.000
NOTE: If tax payments ar•e made within three
Amount Subject to Tax $ 3, 912.92 months of the decedent's date of death,
Tax Rate ~( . 15 deduct a 5 percent discount on the tax due.
Any Inheritance Tax due will become delinquent
Potential Tax Due ~ 586.94 nine months after the date of death.
PART TAXPAYER RESPONSE
FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT
A. ~j(~ The above information and tax due is correct.
~l 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 Fegister of
C 0 N E ~ Wills and an official assessment will be issued by the PA Department of Revenue.
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.
C. ~ The above informs ion is incorrect and/or debts and deductions were paid.
Comvlete PART ~2 and/or PART 3^ below.
PART If indicating a different tax rate, please state OFFICIAL USE ONLY ~ AAF
relationship to decedent: PA DEPARTMENT OF REVENUE
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS .PAD
LINE 1. Date Established 1 1
2. Account Balance 2 $ Z
3. Percent Taxable 3 X 3
4. Amount Subject to Tax 4 $ 4
5. Debts and Deductions 5 - 5
6. Amount Taxable 6 $ 6
7. Tax Rate 7 X ~
8. Tax Due 8 $ $
PART DEBTS AND DEDUCTIONS CLAIMED
0
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
~~ ~ ~ TOTAL (Enter on Line 5 of Tax Computation) S
d, pens ties of perjury, I declare that the facts I have reported above ar
e
t
rue
c
orrect and
tr/p ete the best of my kn owledge and belief. HOME CG+~~ 11
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XPA ~ SIGNATURE C`~~ ~ ~~r~+'Att~ TELEPHONE NUMBER A E
FILE N0. 21 "~
ACN 11120410
DATE 03-28-2011