HomeMy WebLinkAbout12-16-11COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0801
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
MOWERS HENRY D
1864 HUNTER DR
MECHANICSBURG, PA 17050
REV-1162 EX(11-96)
NO. CD 015355
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
,o~
ESTATE INFORMATION: ssrv: 524-ao-3434
FILE NUMBER: 211 1-1347
DECEDENT NAME: MOWERS JOAN L
DATE OF PAYMENT: 12/ 16/2011
POSTMARK DATE: 12/16/201 1
COUNTY: CUMBERLAND
DATE OF DEATH: 12/02/2010
REMARKS: RECEIPT TO ATTY
SEAL
CHECK#182
11123900 ~ 557.69
TOTAL AMOUNT PAID:
INITIALS: HMW
RECEIVED BY:
557.69
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
., _-
PENNSYLVANIA INHERITANCE T
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES AN II
Po Box zsosol TAXPAYER RESPONSE
HARRISBURG PA 17128-0601 ~~ ~- J ~a ~j`w (}~
FILE N0. 21 '~1 ~ldT~
ACN 11123900
DATE 04-07-2011
CLERK ~t
~}~~~~~ vQ~'}~~
Ctl~fR~t~-. "fir ~;~~ . PA
HENRY.. D MOWERS
1864 HUNTERS DR
MECHANICSBURG PA 17050
TYPE OF ACCOUNT
-. E$T AR - ~ ~ SAVINGS
SSN 524-40-3434 ^ CHECKING
DATE OF DEATH 12-02-2010 ^ TRUST
COUNTY CUMBERLAND ^ CERTIF.
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SpUARE
CARLISLE PA 17013
WACHOVIA BK NA provided the Departaent with the infonation below, which has bean used in calculating th
potential tax duo. Records 3ndicata that at the death of the above-nand dacadant, you ware a 3oint ownaM6anaficiary of this scc nt.
If you foal the inforaation is ineorract, please obtain written correction frog the financial institution. attach a copy to this f n
and return`it to the abov sddrass. This account is taxable in accordance with t M Inheritance Tax laws of the Cea~onwaslth of
Pennsylvania. Pluses call C717) 787-8327 with swstions.
COMPLETE'PART l BELOMI~* SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 3061980551563 Date 02-17-1981 To ansura proper eradit to the account, two
Established copies of this notice gust aceoapany
Account Balance
Percent Taxabla>
Amount Subject to Tax
Tax Rat•
Potential Tax Du•
PART
CHECK
ONE
BLOCK.]
ONLY
$ 7,691.55
X 16.667
S 1,281.95
X .15
$ 192.29
A. ^ Tho abov SnforYation and tax dw is correct.
payaent to the Ragstar of Wi113t Mak• chadc
payable to "Raeistir of Nills, Apant^
NOTES If tax palrRents era asda within thr~•
aonths of the deead~nt's date of death,
deduct a 5 percent discount on the sax duo..
Aro Inharitanca Tax dw will bacons dalineuant
nine months after the dots of death.
Resit payunt to.tha Ragistec of Wills with two eopias of this notiea to obtain
a discount or avoid intarasY. or chsdc box "A^ and return this notice to the Register of
Wills and an official assusnent will ba isswd by the PA Departunt of Rawnw.
B. ~ Tha above asset has bean or will b• reported and tax paid with the Pennsylrania Iniwritsnce Tax return
to ba filed by the estate reprasantative.
C. ~ Tha abov infon ion is incorr and/or debts and deductions ware paid.
Complat• PART Y and/or PART 3~ below.
PART if indicating a different tax rat9, R}'~so state
relaCionship to decedent: __.~~",~,.~.`---
TAX RETURN - COMPUTATION OF TAX ON JOINT/~TfRUST ACCOUNTS
LINE 1. Date Established 1 _ - ~ ! ~-dfl
2. Account Balance 2 Q ~/:q/_ S~
3. Pareelnt Taxable 3 X /G_ lifi 7.
4. Amount Subject to Tax 4 $ ~~ g ~ 4 G"
5. Debts and_Deduetions 5 4 0
6. Amount' Taxable 6 $ ~1 ~l) . ~-
7.` Tax Rat• 7 X ~ a~
B. Tax Dw a $ K~7<~~'1 .
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
PART DEBTS AND DEDUCTIONS CLAIMED
~_.
Under p natives of .per , I declars that the:'facts I have reported above era true. correct and
eom b's of rlldga ir-d belirf.= HOME t ) ''
--° ._
WORK.. ~/7-)7~~~` ~~~ ~ ~_
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TA AY SIGNATU E TF'1 FPHf)Nf- RFR na