HomeMy WebLinkAbout12-12-11COMMONWEALTH OP PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARFISBURG, PA 1 71 28-060 1
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 015320
GEORGE THOMAS R
5480 MARGARET COURT
MECHANICSBURG, PA 17050
------- fold
ESTATE INFORMATION: ssrv: 301-26-7~s2
FILE NUMBER: 21 1 1 - 1 301
DECEDENT NAME: MORRONE ANTONIO
DATE OF PAYMENT: 1 2/ 1 2/201 1
POSTMARK DATE: 1 2/ 1 01201 1
couNTY: CUMBERLAND
DATE OF DEATH: 09/ 20/ 201 1
REMARKS:
CHECK#1779
SEAL
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
11502679 ~ 5219.56
TOTAL AMOUNT PAID:
INITIALS: CJ
REV-1162 EX(11-96)
5219.56
GLENDA EARNER STRASBAUGH
RECEIVED BY:
REGISTER OF WILLS
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO BOX 280601 r-r -~„
HARRISBURG PA 17128-0601 ~~.
REV-1543"A '~qFP (7-00)
.I~ ,. I
~ rri'I~ ~ ~
1J(~; ~I ! p~ ~'
MARISA M GEORGE
5480 MARGARET CT
MECHANICSBURG PA 17050-7292
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE N0. 21
ACN 11502679
DATE 11-09-2011
TYPE OF ACCOUNT
EST. OF ANTONIO MORRONE
S•S• N0. 301-26-7192 ^ SECURITY
DATE OF DEATH o9-20-2011 0 sEC Accr
COUNTY CUMBERLAND ^ srocK
^ BONDS
REMIT PAYMENT AND FORMS TD:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
JANUS
calculating the has provided the Department with the information listed below which has
potential tax due. Their records indicate that at the death of the
If you feel this information is incorrect, been used in
return it to the above address. This accountedsetaxable inlaccordancecwith themInheritanceeTaxnLawsoofwere a beneficiar
Questions ma be gent, attach a co y of this asset.
Y answered by calling (717) 787_8327 pv to this form and
COMPLETE PART 1 BELOW * * the Commonwealth of Pennsylvania.
* SEE REVERSE SIDE. FOR FILING AND PeVMGU-r r.~..~....___
Account u., znir~.,-.,._
•"• ~~./uJ07
PART
10,272.04
x 50.000
5,136.02
x .045
231.12
R~+~. 1 TUNS
To insure proper credit to your account, two
(21 copies of this notice must accompany your
payment to the Register of Wills. Make check
payable to: "Register of Wills, Agent".
NDTE: If tax payments are made within three
(31 months of the decedent's date of death,
you may deduct a 5: discount of the tax due.
Any inheritance tax due will become delinquent
nine (9) months after the date of death.
___ .-~... vnJC
AILURE TO RESPOND WILL RESULT IN AN OFFICIA! 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 C H E C K a discount or avoid interest, or you may check box
0 N E ~ Wills and an official assessment will be issued b ,.A~~ and return this notice to the Re
BLOC K Y the PA Department of Revenue, gister of
0 N L Y B' ^ The above asset has been or will be reported and tax
to be filed by the decedent's representative, paid with the Pennsylvania Inheritance Tax return
~• ^ The above information is incorrect and/or debts and deductions were
You must complete PART ~ and/or PART ^ paid by you.
3 below.
PART If you indicate a different tax rate, please state your
relationship to decedent:
OFFICIAL USE ONLY
TAX RETURN - COMPUTATION OF TAX ON ABOVE ASSET(S~ PA DEPARTMENT OF ^ AAF
LINE 1. DOD Valuation I PAD REVENUE
1
2. Percent Taxable p X 1
3. Amount Subject to Tax 3 - I 2
4. Debts and Deductions y 3
5. Amount Taxable 5 4
6. Tax Rate 6 x 5
7. Tax Due ~ 6
7
PART
DATE PAID
PAYEE
DESCRIPTION
AMOUNT PAID
TOTAL (Enter on Line 5 of Tax Computation)
Under penalties of $
perjury, I declare that the facts I have reported above are true, corre
corm-,p-l~1te to the be/~t of my knowledge and belief.
t1 !/i .L,.,r... lA1r ~ , .. , HOME C ~]) `/ ~ 7 hrA. .'1?ia~
DOD Valuation
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
8
DEBTS AND DEDUCTIONS CLAIMED