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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