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HomeMy WebLinkAbout12-05-11COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA L7128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 015290 MORROWNE KATHLEEN A 189 LANTERN PARK LANE N SOUTHBURY, CT 6488}-2324 fold ESTATE INFORMATION: SSN: 301-26-7792 FILE NUMBER: 211 1-1301 DECEDENT NAME: MORRONE ANTONIO DATE OF PAYMENT: 12/05/201 1 POSTMARK DATE: 1 2/01 /201 1 couNTY: CUMBERLAND DATE OF DEATH: 09/20/201 1 REMARKS: CHECK#1020 SEAL ACN ASSESSMENT AMOUNT CONTROL NUMBER 11502673 ~ $219.56 TOTAL AMOUNT PAID: INITIALS: CJ REV-1162 EXI11-961 5219.56 RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS COMMDNWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES PO BOX 280601 HARRISBURG PA 17128-0601 INFORMATION NOTICE r~ n~ AND ~'" .~~: t,~tTAXPAYER RESPONSE iii 4. r - - -. Ir REY 11543A AFP (7-0DJ ~ ''' `., FILE N0. 21-J) "~~Lil ACN 11502673 DATE 11-09-2011 v L~ CRFI~,~,n~~~ ~~ ~~,~T KATHLEEN A MORRONE 189 LANTERN PARK LN N SOUTHBURY CT 06488-2324 TYPE OF ACCOUNT EST. OF ANTONIO MORRONE ^ SECURITY S.S. N0. 301-26-7192 X^ sEC ACCT DATE OF DEATH o9-20-2011 ^ STOCK COUNTY CUMBERLAND ^ BONDS REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 JANUS has provided the Department with the information listed below which has been used in calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a beneficiary of this asset. If you feel this information is incorrect, please obtain written correction from the transfer agent, 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 Commonwealth of Pennsylvania puestions may be answered by calling (717) 787-8327. COMPLETE PART I BELOW * * ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 306538385 To insure proper credit to your account, two C2) copies of this notice must accompany your DOD Valuation 04 payment to the Register of Wills. Make check 1U~272 " . payable to: Register of Wills, Agent". Percent Taxable X 50.000 Amount Subject NOTE: If tax payments are made within three to Tax 5, 136.02 (3) months of the decedent's date of death, Tax Rate X .045 You may deduct a 5% discount of the tax due. P t ti l T Any inheritance tax due will become delinquent 231 12 o en a ax Due nine C9) months after the date of death. PART TAXPAYER RESPONSE 1^ FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT BASED ON THIS NOTICE A. ~ The above information and tax due is correct. 1. You may choose to 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 you may check box "A" and return this notice to the Register of C ONE ~ 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 decedent's representative. C. ^ The above information is incorrect and/or debts and deductions were paid by you . You must complete PART ~ and/or PART ^3 below. PART If you indicate a different tax rate, please state your relationship to decedent: TAX RETURN - COMPUTATION OF TAX ON ABOVE ASSETCS~ LINE I. DOD Valuation 2. Percent Taxable 3. Amount Subject to Tax 4. Debts and Deductions 5. Amount Taxable 1 2 X 3 4 5 6. Tax Rate 6 X 7. Tax Due 7 PAD OFFICIAL USE ONLY ^ AAF PA DEPARTMENT OF REVENUE 1 2 3 4 5 6 7 8 PART DATE PAID PAYEE TAXP DESCRIPTION TELEPH DEBTS AND DEDUCTIONS CLAIMED AMOUNT PAID DATE Under penalties of perjury, I declare that the facts I have reported above are true, correct and complete to the best of my knowledge and belief. HOME C~c73 ~ Z(re ~- ~c~©J ~Z~ ---- WO R K CZ l~ 3 ~ ~ G 7 - ,~ ~~i ;~ ._. CLA55 •lGeF.VER USA fIRS~- PPY`~ ~~ m "^'; j+ajS'~ !!!!"' .~ ~ ~, t 3 I *.. ,~, a<i k_ 6 `; a~ x'j^ ~+; ~!+` *~ '~ "~ ?"'~ .`~°: ~~ p'.v ~~ ~"~ ~,'k ~,. .~ 5 ~3 ~~ 4 ~`~ ~.~. t a ~, >` i ~.~ u ~•,, i, ~ S ~ ,~ `~~- `1~: `a .. ~ s oc, ;;~ .~ "~ ~~ ~ ,,\ ~~ \, \' ..\ ~.,,g -} ~` ~ ~.. ~+.. ~~ ~ \ ~~~ F\ ~ °:til~ f` ~ ~ 'L f }~~ Q t fit, ~~ ~~k~3~i'~ { ,, s :. t ~ ;~ ~m~ .. ,, ;_~ ~~} .. Lit 4t'~ t~: Y a~ L I-