HomeMy WebLinkAbout12-29-11REV-1162 EX(11-96)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OE INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
HOWE SUZANNE L
86 PLEASANT VIEW TERRACE
NEW CUMBERLAND, PA 17070
ACN
ASSESSMENT
CONTROL
NUMBER
fold
ESTATE INFORMATION:
FILE NUMBER:
DECEDENT NAME:
DATE OF PAYMENT:
POSTMARK DATE:
COUNTY:
DATE OF DEATH:
SSN: 200-24-0289
2111-1377
HOWE RONALD C
12/29/2011
12/28/201 1
CUMBERLAND
11/25/2011
TOTAL AMOUNT PAID:
REMARKS:
SEAL
CHECK# 285
INITIALS: CJ
RECEIVED BY:
NO. CD 015395
AMOUNT
53.86
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
• PENNSYLVANIA INHERITANCE TAX
f~ INFORMATION NOTICE
FILE
BUREAU OF INDIVIDUAL TAXES `,,,(. ~ ~ - t-~~~~ AND ACN
Po Box 266681 pennsylvarna ::' TAXPAYER RESPONSE DATE
HARRISBURG PA 17128-0601 ~-pp PARTMENY OF REVENUE_ -'
REV-1543 IX AFP (OS-11)
_.. C: ~- F
~`~ ~ V 4 ~ry
f
EST. OF RONALD C HOWE
SSN 200-24-0289
DATE OF DEATH 11-25-2011
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
BEVERLY J HOWE REGISTER OF WILLS
501 9TH ST 1 COURTHOUSE SQUARE
NEW CUMBERLAND PA 17070-1510 CARLISLE PA 17013
11182032
12-16-2011
TYPE OF ACCOUNT
SAVINGS
CHECKING
TRUST
CERTIF.
F
SOVEREIGN BANK provided the department with the information below, which was used in calculating the inheritance tax due.
deceaseddandtanyaamounte ther thanezeroeisareflectedtbelowwonethe~PotentialbeTax)Dueylineh)note~no tax mayobe duehbut you must he
notify the department of your relationship to the deceased by checking Box C in PART 1 below and writing "spouse" in PART 2.
If you believe the information )s incorrect, please obtain written correction from the financial institution, attach a copy to this farm 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. 0771035357 Date 10-20-1998 To ensure proper credit to the account, two
copies of this notice must accompany
Established payment to the Register of Wills. Make check
Account Balance $ 5 4 1 . b 9 payable to "Register of Wills, Agent".
NOTE: If tax payments are made within three
Percent Taxable X lb . bbl
Amount Subject to Tax $ 90.28 months of the decedent's date of death,
X 0 0 deduct a 5 percent discount on the tax due.
Tax Rate Any inheritance tax due will become delinquent
Potential Tax Due $ • ~~ nine months after the date of death.
PART TAXPAYER RESPONSE
FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT
A. ~ The above information and tax due is correct.
Remit payment to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest, or return this notice to the Register of Wills and
C H E C K an official assessment will be issued by the PA Department of Revenue.
BLOC K B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania inheritance tax return
C ONE
0 N L Y filed by the estate representative.
C. ~ The above informs ion is incorrect and/or debts and deductions were paid.
Complete PART ~ and/or PART ~ below.
PART If indicating a different tax rate, please state
relationship to decedent:
TAX RETURN - CALCULATION
LINE I. Date Established
2. Account Balance
3. Percent Taxable
4. Amount Subject to Tax
5. Debts and Deductions
6. Amount Taxable
7. Tax Rate
S_ Tax Due
PART
DATE PAID PAYEE
DESCRIPTION
AMOUNT PAID
TOTAL (Enter on Line 5 of Tax Computation) 8
orrect and
Under penalties of perjury, I declare that the facts I reported above~-a~(re t~ e, c` ` 1 `
complete to the best of my knowledge and belief. HOME C /~~ ( / t
WORK C ~
TELEPHONE NUMBER DATE
TAXPAYER SIGNAT E
OF TAX ON JOINT/TRUST ACCOUNTS
1 ~
2 $
3 X
4 $
5
6 `~
7 X
8
PAD
OFh 1C1AL UJt unL r LJ r~r+:
PA DEPARTMENT OF REVENUE
1
2
4
5
6
7
8
DEBTS AND DEDUCTIONS CLAIMED
~~- PENNSYLVANIA INHERITANCE TAX
,
~
~
INFORMATION NOTICE FILE 7
N0. 21-~~- I~~j 1 7
BUREAU OF INDIVIDUAL TAXES
p~nsylvarna
- r,
~ AND ACN
SPONSE 11182033
16 - 2011
Po Box zao6ol
NTOF:aEVENUr
l~lzs-B6o1
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~ a
~'•-. 1. DATE
TAXPAYER RE 12 -
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.
HARRISBURG PA n
REVkl¢43.Ex AFP (05-11) TYPE OF ACCOUNT
SAVINGS
°~~~^
~ ~ 1 ~
~
'~
~~ EST. OF RONALD C HOWE
~ CHECKING
J , " 200-24-0289
SSN
TRUST
DATE OF DEATH 11-25-2011 ~ CERTIF.
CIE~'=. ~-~ COUNTY CUMBERLAND
_
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~Jk~` V I'i < < ~Fa
1'~%~','
REMIT PAYMENT AND FORMS T0:
~ ~~,., ~ ~
~~_;~:' a
REGISTER OF WILLS
SUZANNE L HOWE 1 COURTHOUSE SQUARE
86 PLEASANTVIEW TER
PA 17070-28
41 CARLISLE PA 17013
NEW CUMBERLAND
SOV EREIG N BANK provided the department with the information below, which was used in calculating the inheritance tax due.
Records indindtanhaamounte ther thanezeroeisareflectedtbelowwonethenPotentialbeTax)Dueylineh)note~no tax mayobe duehbut you must he
notify the department of your relationship to the deceased by checking Box C in PART 1 below and writing "spouse" in PAR
deceased a Y
If you belieove addresormaPleasesca11o717c787p8327ew~thaquestionsn correction from the financial institution, attach a copy to this form and return
it to the ab
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTION
Account No. 0771035357 Date 10-20-1998 To ensure proper credit to the account, two
copies of this notice must accompany
Established payment to the Register of Wills. Make check
$ 5 4 1 . 6 9 payable to "Register of Wills, Agent".
Account Balance 16.667
percent Taxable X NOTE: If tax payments are made within three
9 0 , 2 $ months of the decedent's date of death,
Amount Subject to TaX • 15 deduct a 5 percent discount on the tax due.
Tax Rate X Anv inheritance tax due will become delinquent
1 3 , 5 4 nine months after the date of death.
Potential Tax Due
TAXPAYER RESPONSE
PART
FAILURE TO RESPDND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT
The above information and tax due is correct.
A
ith
two copies of t
his notice to obtain
, ^
Remit payment to the Register of Wills w
i otice to the Register of Wills and
s
a discount or avoid interest, or return th n
PA Department of Revenue.
C H E C K an official assessment will be issued by the
ONE
orted and
tax paid with
the Pennsylvania inheritance tax return
C
BLOC K B. ~ The above asset has been or will be rep
ti
ve.
filed by the estate representa
0 N L Y
r debts
i
orm
re
1
e
~ and deductions were paid.
z
~ below
PART
and/or
PART
t
C
e
Comple ~-I A A C
PART If indicating a different tax~rat`e, YP7~e_aye state
relationship to decedent: +'--~~
TAX RETURN - CALCULATION OF
TAX ON JOINT/TRUST ACCOUNTS `
LINE 1. Date Established 1
z $ ~4L-(_ ( 4
2. Account Balance X ~~ (r 6 -y -
3. Percent Taxable 3
S ~1 L~ ~ `X
4. Amount Subject to Tax 4
5. Debts and Deductions 5 $ ~d, ~~
6. Amount Taxable 6
~ X
7. Tax Rate
PAD
PA DEPARTMENT DF REVENUE
1
2
3
4
5
6
7
8
PART
DATE
DESCRIPTION
AMOUNT PAID
s
TOTAL (Enter on Line 5 of Tax Computation)
-~7 <- c
Under penalties of perjury, I declare that the facts I repor HOME oV( "ir(~t) e~c~rC~rect e` ~ 7
complete to the best of my knowledge and belief. , ( ~ Q~ 7
WORK ( (" DATE
<~~`°-"- TELEPHONE NUMBER
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DEBTS AND DEDUCTIONS CLA1Mtu
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