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HomeMy WebLinkAbout11-21-11COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280801 HARRISBURG, PA 17128-0801 RECEIVED FROM: MCSHERRY ROBERT J 22 FALLING SPRINGS RD LANDISBURG, PA 17040 fold ESTATE INFORMATION: SSN: 166-20-4027 FILE NUMBER: 2111-1185 DECEDENT NAME: MCSHERRY WILLIAM R DATE OF PAYMENT: 11 /21 /2011 POSTMARK DATE: 11 /18/2011 COUNTY: CUMBERLAND DATE OF DEATH: 09/23/201 1 REMARKS: CHECK#1457 SEAL PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EXI11-96) NO. CD 015229 ACN ASSESSMENT AMOUNT CONTROL NUMBER 11166431 ~ 585.44 TOTAL AMOUNT PAID: INITIALS: HMW RECEIVED BY: 585.44 GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS PENNSYLVANIA INHERITANCE TAX BUREAU of INOIVIDWL TAXES 'INFORMATION NOTICE Po Bcnc zso6ol pens ~ r ~FC~(~ AND FIARRIS6uRG PA lnzs-o6o1 oeraxsaa~ ~ ~ ~; '1~~~1 ~ 'TAXPAYER RESPONSE REY-1543'~~r~~iei p ~_~~ 20tl~i~V2I At~l1~ ~ CLERK CF ORPHAN'S COURT ~1lMBFRI.,AND C0 , f~4 ROBERT, y.J l~CSNERRY 22'<1TALLLNG.~SPRIN6S RD LANDIS~Uf~6 PA 17040-9201 FILE N0. 21"'~!' ~' ~~ ACN 11166431 v DATE 10=07-201'1 TYPE OF ACCOUNT EST. OF WILLIAM R MCSHERRY Q sAVINGs SSW 166-20-4027.. n CHECKING DATE OF DEATH 09-23-2011 ^ TRUST COUNTY CUMBERLAND ®cERTIF. REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE.. CARLISLE PA 17013 MENBERS 1ST FCU provided the department with the inforaation.below„which was used in catcu]atiny the inhefiitancC $fx due. Records indicate that at the death of the above-named decedent, you were a foint,ownerlbeneficiary of this account. It you are the~sp04se 01 the deceased and any°a~ount other than zero is retletted`Delow on the Potential Tax Due line, note no tbX slay De-due, but'yyou dust notify the 'd!~artalent of your--relationship to the deceased by checking Box C in PART 1 be}oW 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 to the above address. Please call 717-787-8327 with questions. ____ COMPLETE. PART 1 BELOW * SEE REVERSE_SIDE FOR FILING. AND P'Y.MfiNL INSTRUCTIONS _ Account No. .7388-42 Date 12-28-2004: To ensure proper credit to the account. twe Established eooias of this"notice au'st accoap~,~r ' 39,972.69 poYment to the~Ripiiter'of Willa. Rako check Account Balance ~ payable to "Regiaker`of Wills, Ageh't". Percent. Taxabi• )( 5.000 NOTEi If tax pay1NF1#s s» made within three Awount Subject to Tax S 1 , 998.63 months of the decedont's date of death, Tax Rate X .045 deduct a 5 pprcerrtdiscamt on tM tax dur. Potential Tax Due $, 89.94 Aro inheritance tax dw will beeoae WiiMUent nine months after the'}date of 4aath.' P~T TA~CPAYER: RESPONSE ~- ~.; . 1 A. Tho above information :and tax due is correct. ` '" Remit payment to the Register of Wills with two copies of this notice to obtain _ C N EC K a discount or avoid interest, or return this notice to 'the Resister of Ylills and 0 NE an official assessment will be issued by the PA Department of Revenue. BLOCK ~ B, ~ The above asset has been or will be reported and tax paid with the Pennsylvania ihherftane• tax return ONLY filed by the estate representative. C. ~ The above info ~a ion is incorr ~t and/or debts and deductions were paid. Complete PART 1=1 and/or PARTCJ below. PART If indicating a different tax rate, please state cahationship to decadent: TAX RETURN.- CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS LIME 1. Date E~iAlilish9d. .1 2. Account Baianca 2 ~ _ .__ __ 3. Percent Taf sbio_~ 3" .~(, 4. Aaount Subject to Tax 4 5. Debts and, Deductions 8 6. Awtount Taxable 6 $ 1. Tsx Rsta 7 X 8. Tax:' Dw B ~ PART DATE PAID PAYEE (IONS CLA'IMfD , "' .' DESCRIPTION AMOUNT PAID "- :?"'~'9r •-. 'i'~ ..`. T~Ot'A C .`C6,tta~~ et~''Lina ~ of ~Yaiic rern~i:!••*=inn ~- ~~ . Underk P~naltief qt t~trrlnrir-,~s I' :d~llrr that the facts I reported- above ~1+~ ;>Y.4'+A~IC ~(C,7a'l~at~•:ind" }. co^ ~ . tQ~ than b1Es't of y'knoirl~d' and-belief.. ~ .HOME ~ ..~ 7 ° ~~ ~ ~ ~., ., , ;, ._>. ~ _ TA S 6 U TELEPH N NUMBE A x_ ~,~ N a~ >~ w. V w . ~. w. X '+~T" is w ~4 ~r`~` W~ wt ~ r. r r ~. ~~ %~ G • 1 -~---~.s ~~ ~ ~ .~ I 1 i*'7 /.." ~ ~ f '' [ '~' _, „~ f 4 ` ~ ` f"") ~t"1 .. (-~ ' A (~ "w' , ~c~ '~ -' ~ b ~ ~ " ~ ~` t.~t c ~ ~? :: ~' F. s I K~ O f~{{~~,{ ()t i"" ~~,1• 1~ ~ ` ,~ ~. `~~ ` t y' i : T ~ ~~ © ~ ~ ~~ ~ ~