HomeMy WebLinkAbout12-16-11 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OP REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
MAY FRANCES T
67 DORY LANE
CLAYTON, NC 27520
tole
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
DUPLICATE
REV-1182 EXI11-96)
NO. CD 015347
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
11158767 ~ 516.54
11158769 ~ 54.69
ESTATE INFORMATION: SsN: z43-3o-2507
FILE NUMBER: 211 1-1343
DECEDENT NAME: MAY GRAHAM H
DATE OF PAYMENT: 12/16/2011
POSTMARK DATE: 12/14/201 1
COUNTY: CUMBERLAND
DATE OF DEATH: 07/01 /201 1
REMARKS: TONY MAY
CHECK#1121
TOTAL AMOUNT PAID:
521.23
INITIALS: WZ
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
BUREAU OF INDIVIDUAL TAXES
PO BOX 280601
penn
s
HARRISBURG PA 17128-0601 y
~
E
F ~~
REV-1563 EY YF 13 ~,. I
GLER pF
ORPHAN'S GG~RT
TONY G MAY
67 DORY LANE
CLAYTON NC 27520-4452
EST. OF GRAHAM H MAY
SSN 243-30-2507
DATE OF DEATH 07-D1-2011
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS TD:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
TYPE OF ACCOUNT
® SAVINGS
CHECKING
TRUST
CERTIF.
MEMBERS 1ST FCU provided the department with the information Del ow, which was used in calculating the inheritance tax due.
Records indicate that at the death of the above named decedent, you were a 3oint owner/beneficiary of this account. If you are the SpoUSe of the
deceased and any amount other than zero 1s 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 1n PART 1 below and writing "spouse" 1n PART 2.
If you believe the tnforma ti on is incorrect, please obtain written correction from the financial institution, attach a coDY to this form and return
it to the above address. Please call 717.787-8321 with questions.
COMPLETE PART I BELOW ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 8751-00 Date 08-31-1966 To enzu re proper credit to the account, two
Established copies of this notice must accompany
Account Balance ~ 2 Y 2 D 5 24 Davment to th• Register of Wills. Nake check
payable to '•Register of Wills. Agant••.
Portent Taxable X 16.667
Amount Subject to TaX
$
367.55 NOTE: If tax payments are made within three
months of the decedent's date of death.
Tax Rate X . 0 4 5 deduct a 5 percent discount on the tax due.
Potential Tax Dua
~
16.54 Any inheritance tax duo will become delinquent
nine months after the date of death.
P~T
1 TAXPAYER RESPONSE
A~ The above information and tax duo is correct.
Remit payment to the Register of Wills with two copies of this notice to obtain
CH E C K a discount or avoid interest, or return this notice to the Register of Wills and
0 N E an official assessment will be issued by the PA Department of Revenue.
BLOC K B. ~ The above asset has boon or will be reported and tax paid with the Pennsylvania inheritance tsx return
ONL Y filed by the estate representative.
C. ~ The above informs ion is incorrect and/or debts and deductions were Daid.
Complete PART ~2 and/or PART 3~ below.
PART If indicating a different tax rate, please state
relationship to decodent:
TAX RETURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Date Established 1
2. Account Balance 2 ~
3. Percent Taxable 3 X
4. Amount Subject to Tax 4 ,S
5. Debts and Deductions 5 -
6. Amount Taxable 6 $
7. Tax Rate 7 X
8. Tax Due 8 ~
PART DEBTS AND DEDUCTIONS CLAIMED
3^
DATE PAID PAYEE DESCRIPTION AMOUNT Pern
PENNSYLVANIA INHERITANCE TAX
IN((F}}F~ORMATION NOTICE FILE N0. 21 -. ~~ , 13y3
~ ` ~~~PAYERNRESPONSE ACN 11158767
,_.: DATE 08-30-2011
_.,~
e
BUREAU OF INDIYIDWL TAXES
PO BOX 280601
HARRISBURG PA 17128-0601
~ PENNSYLVANIA TNHERITANCE TAX
INFORMATION NOTICE FILE NO. 21 _ ~~~ ~J`~J
~ennsylv~ri~` ~.- ~, ;~,~+' aND AcN 11158769
DEPAaTMENT OF eEVEB~E~ ~ l,~CAYER RESPONSE DATE O$-30-2011
REV-156i EX XFP (ESf-1~!i K_ ~ ~ - ~~~-J
CLERK OF
4RPk~~w'S va~Rj
CtIAhR~~' ~1~_i ~ t j3 PA
EST. OF GRAHAM H MAY
SSN 243-30-2507
DATE OF DEATH 07-OL-2011
COUNTY CUMBERLAND
REMIT PAYMENT ANO FORMS T0:
TONY G MAY REGISTER OF WILLS
67 DORY LANE 1 COURTHOUSE SQUARE
CLAYTON NC 27520-4452 CARLISLE PA 17013
TYPE OF ACCOUNT
SAVINGS
® CHECKING
TRUST
CERTIF.
MEMBERS 1ST FCU Drovi tled the department with the information below, which was used in calculating the inheritance tax due.
Records indtcote that at the death of the above named decedent, you were a ,joint owner/beneficiary of this account. If y0U ere the SpOUSe Of th¢
deceased and any amount other than zero is reflected DeloW 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" 1n PAR7 2.
If you believe the information is incorrect, please obtain written torrecti on from tfie financial institution, attach a coDY to thfs 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 PAYMENT INSTRUCTIONS
Account No. 8751-11 Date 09-15-1980 To ensure proper credit to the account, two
Established copies of this notice oust accoaparry
Account Balance g 6 2 5 . 8 9 payment to the Regf star of Wills. Make check
payable to "Register of Wills, Agent".
Percent Taxable X 16.667
NOTE: If tax payments are wade within three
Amount Subject to Tax $` 104.32 months of the decedent's data of tleath,
TaX Rate X . 045 deduct a 5 vercent discount on the tax due.
Am inheritancs tax due will become delinquent
Potential Tax Dub ~` 4 • 69 nine months after the date of death.
CHECK
ONE
[ BLOCK
ONLY
above information and tax duo is correct.
Resit vayment to the Register of Wills with two conies of this notice to obtain
a discount or avoid interest, or return this notice to the Reeistar of Wills and
an official assessment will be issued by the PA Department of Revenue.
B. ~ The above asset has bean or will be reported and tax Daid with the Pennsylvania inheritance tax return
filed by the estate repro sentative.
C. ~ The above inforsa ion is incorrec and/or debts and deductions were paid.
Complete PART 2~ and/or PART ~ below.
PART If indicating a different tax rate, please state
relationship to decedent:
TAX RE TURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Date Established 1
2. Account Balance 2 ~
3. Percent Taxable 3 ~C
4. Amount Subject to Tax 4 s
5. Debts and Deductions 5
b. Amount Taxable 6 $
7. Tax Rate 7 X
8. Tax Due 8 S
PART DEBTS AND DEDUCTIONS CLAIMED
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
V/
Under penalties of perjury, I declare that the facts I reported above true~oet~ejt an _ /~~
complete to the bast of my knowledge and belief. HOME C )VI- Y//
~Y)~f~ WORK C ) ~ ~ ~~~
ae a TrNenjaF TELEPHONE NUMBER DATE