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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 - ~`~,C~j~~ i •y~d p~ ~V81118 INFORMATION NOTICE AND FILE NO. 21 • ~o~ ACN HARRISBURG PA Iyl~z,~-~osel Y i oeaa'~T~n ToFae~erv~E 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) & ~.~. to ~ a 'C ~ (~' r~-11~.+` °tit ~ ~..! {~ ~,,,_ c `fi, ~~ ~A 1t~ ` ~ q ~ Q~~ ~ '`r mot"' '~''~`; ',~' ~. ((_.. '' ~.J~i ~!'~ ~ ~ ~ . ..... - • ~ ~ _ . r ~ ~.;, f~"} „ "~, .+e ~i c<~ . A _ ' ~ ~j tRS~-~Lr U~