The URL can be used to link to this page

Home My WebLink About08-24-11COMMONWEALTH 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 CALAMAN DOUGLAS 709 WEST PINE STREET MT HOLLY SPRINGS, PA 17065 -------- fold ESTATE INFORMATION: ssrv: 202-20-4328 FILE NUMBER: 211 1-0829 DECEDENT NAME: CALAMAN LENA L DATE OF PAYMENT: 08/ 24/ 201 1 POSTMARK DATE: 08/24/201 1 COUNTY: CUMBERLAND DATE OF DEATH : 06/ 04/ 201 1 REV-1162 EX(11-96) NO. CD 014882 ACN ASSESSMENT AMOUNT CONTROL NUMBER 11142544 ~ $314.43 TOTAL AMOUNT PAID: REMARKS: $314.43 CHECK# 265 INITIALS: CJ SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS ~~ PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES _. ; _~,.., F I L E N0. 21 ~-- (~ - ~~ Po Box z8o6ol penns~i~~' ~ `l~t~ Q~ AND ACN 11142544 HARRISBURG PA 17128-0601 t DEPARTMENT OF 6V.fiNUE °+ { "f', ~F~4XPAYER RESPONSE ~-- ~ ~ , DATE 06-23-2011 REV-1543 EX A .~~65 )~) ~ ~~'! C~.ERK C~ fi~~~i ~'~;S' °~ ~ ~`"~ ~A: DOUGLAS CALAMAN 709 WEST PINE STREET MT HOLLY SPRINGS PA 17065 EST. OF LENA L CALAMAN SSN 202-20-4328 DATE OF DEATH 06-04-2011 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS ® CHECKING TRUST CERTIF. MEMBERS 1S T F C U 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 is incorrect, please obtain written correction from the financial institution, attach a copy to this form and return it to the above address. Please call 717-787-8327 with QuPStions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 173864 -11 Date 02-1 3-1998 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 482 1 7 ~ .57 payable to "Register of Wills, Agent". Percent Taxable X 50 .000 NOTE: If tax payments are made within three Amount Subject to Tax $ $ ~ 741 .29 ' months of the decedent s date of death, Tax Rate )( . 045 deduct a 5 percent discount on the tax due. Any inheritance tax due will become delinquent Potential Tax Due $ 393 .36 nine months after the date of death. P1RT TAXPAYER RESPONSE 3l 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 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. 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. ~~y```---''' Complete PART 2~ and/or PART 3~ below. PART If indicating a different tax rate, please state \ relationship to decedent: \~ TAX RETURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS LINE l . llate Established 1 ~~ 1 ~~ ~~ ~' ~~\..\~ ~~ ~ \ \, 2. Account Balance 2 $ t ~ I 7 ~ \~ ~~~~ ~... \~~ a~s~~~\~~ 3. Percent Taxable 3_ X ~1 y ~ ~~ ~\\ ~~ ~~~ ~ . ~~~~ 4. Amount Subject to Tax 4 $ 7i \~ \ ~ \\ ~~~~~~~ 5. Debts and Deductions 5 - ~ ~.7 ~ \ ~ ~ ~\ \....~'\ 6. Amount Taxable 6 $ ~ ~ ~~~~ \~~ ~~~\~ ~\ ~ S ~~~ ~\\ 7. Tax Rate 7 X ~ ~ \\~ ~\\~~\~ ~ ~~.~~~~ \~ 8 . Tax Due 8 ~ 3 9 ~ ~~~~~ ~°~~\~` ~ ~~o~ ~ \ . \ ... \ •\\~ s ~~~~~~ ~ ~~ PART DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION AMOUNT PAID r w a v ~ 1. i u i ~a~ renter on pine s or i ax uompuLaLion) ~ !, Sam(/ ~ ZS- Under penalties of perjury, I declare that the facts I reported above are true, correct and co e best of my knowledge and belief . m~lete to th HOME C ~ 1 7) ~ ~ b ~7~ ~ .l. / y 7 ~ b ~ G ~r, TAXPAY SIGNATURE TELEPHONE NUMBER DATE