HomeMy WebLinkAbout01-03-12COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
N0. CD 015412
NOLAN MICHAEL J
1 136 DRY POWDER CIRCLE
MECHANICSBURG, PA 17050
fold
ESTATE INFORMATION: SSN: 073-~8-~3s9
FILE NUMBER: 2112-0006
DECEDENT NAME: NOLAN MARGARET T
DATE OF PAYMENT: 01 /03/201 2
POSTMARK DATE: 1 2/31 /201 1
couNTY: CUMBERLAND
DATE OF DEATH: 07/24/201 1
REMARKS:
CHECK# 301
SEAL
ACN
ASSESSMENT
CONTROL
NUMBER
REV-1162 EX111-961
AMOUNT
11151996 ~ 585.79
TOTAL AMOUNT PAID:
585.79
INITIALS: DMB
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
~ PENNSYLVANIA INHERITANCE TAX
BUREAU OF INDIVI ~T/~S
Po Box zao6ol -
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p~ ~V81118 INFORMATION NOTICE
AND
FILE NO. 21 • ~o~
ACN
HARRISBURG PA Iyl~z,~-~osel Y
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TAXPAYER RESPONSE 11151996
DATE 08-05-2011
REV-1543 E% AFV [OS -I1>
,.' .:r ., ~.3
MICHAEL J NOLAN
1136 DRY POWDER CIRCLE
MECHANICSBURG PA 17050
EST. OF MARGARET T NOLAN
SSN 073-18-7399
DATE OF DEATH 07-24-2011
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
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 below, which was used in calculating the inheritance tax due.
Records indicate that at the death of the above named decedent, you were a joint owner/beneficiary of this account. If yoU art the 5pou5e Of the
deceased and any amount other than zero is 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 in PART 1 below and writing "spouse" in PART 2.
If you believe the information is incorrect, please obtain written correr-tion from the financial institution, attar.h 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 PAYMENT INSTRUCTIONS
Account No. 239338-1 1 Date 01-02-2004 7o ensure proper credit to the account, two
Established copies of this notice must accompany
payment to the Register of Wills. Make check
Account Balance $ 3,812.80 payable to "Register of Wills, Agent'•.
Percent Taxable X 50.000
NOTE: If tax payments are made within three
Amount Subject t0 Tax $ 1 , 906.40 months of the decedent's date of death,
Tax Rate )( . 0 4 5 deduct a 5 percent discount on the tax due.
Any inheritance tax due will becoee delinquent
Potential Tax Due ~` 85.79 nine months after the date of death.
P~T TAXPAYER RESPONSE
1
L RE ~ t'1 a SF D MILL RESIT T IM Alt O FIZZ T SSESSM~NT
A. ~ The above information and tax due is correct.
Remit payment to the Register of Wills with two copies of this notice to obtain
C H 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,
BLOCK ~ B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania inheritance tax return
0 N L Y filed by the estate representative.
C. ~ The above informs ion is incorrect andlor debts and deductions were paid.
Complete PART ~Z and/or PART 3^ below.
PART If indicating a different tax rate, please state s ~ Fx~~ ~,
~j Q~~
Y
~
AA
2 relationship to decedent: ,
.
-
.
PA DEPAR7'fE'~ DF: REYENkiE
TAX RETURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS pAD '
LIN£ 1 . Date Established i 1 ~~~ ~~~~_~ n-i:..r~r.+ar+.
2. Account Balance 2 $ ~ `2
.
3. Percent Taxable 3 X \
3
4. Amount Subject to Tax 4 $ x (+
5. Debts and Deductions 5 - t, `'} ~ '
6. Amount Taxable 6
7. Tax Rate 7 X 7
8. Tax Due 8 $ 8
PART DEBTS AND DEDUCTIONS CLAIMED
0
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
Under penalties of perjury, I declare that the facts I reported above are '7t rue, correct and
complete to t be~s~t~~of my knowledge and belief. HOME C ?~ / )
. /'~/~~ WORK ( ) /~ /.n3~/ /,
TAXPAYER GNATURE TELEPHONE NUMBER A E
IuIAL Ctnter on Line 5 of Tax Computation) &
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