The URL can be used to link to this page

Home My WebLink About01-13-12COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT EMANUEL ELLEN L 1 1 14 STONE HARBOR BLV STONE HARBOR, NJ 08247 fold ESTATE INFORMATION: SSN: 197-14-5244 FILE NUMBER: 2112-0054 DECEDENT NAME: STRAUSSER ANNE C DATE OF PAYMENT: 01 / 1 3/201 2 POSTMARK DATE: 01 / 1 1 /201 2 couNTY: CUMBERLAND DATE OF DEATH: 04/ 10/201 1 REV-1162 EX(11-96) NO. CD 015457 ACN ASSESSMENT CONTROL NUMBER AMOUNT 11174124 ~ 524.57 TOTAL AMOUNT PAID: REMARKS: 524.57 CHECK# 222 INITIALS: HEA SEAL RECEIVED BY: GLENDA F=ARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS BUREAU OF INDIVIDUAL TAXES to PO BOX 280601 Pennsylvania HARRISBURG PA 17128-0601 DEPARTMENT OF RE4ENUE REV-1543 EX AFP (R5 -11) AI FILE N0. 21 I~ ~ , v' ACN 11174124 DATE 11-11-2011 TYPE OF ACCOUNT EST. OF ANNE C STRAUSSER ® SAVINGS SSN 197-14-5244 ^ CHECKING DATE OF DEATH 04-10-2011 ^ TRUSr COUNTY CIUMBERLAND ^ CERTIF. REMIT PAYMENT ANI) FORMS TO:C) __ -~-~t ELLEN L EMANUEL C~ ' ~" ~` '~ REGISTER OF WILLS _ APT 102 1 COURTHOUSE SQUARE '~ 1114 STONE HARBOR BLV CARLISLE PA 17013 ,r,C7 :° STONE HARBOR NJ 08247-1440 ~:rn --- :7 ::~:: ..J i-- . _ METRO BANK -J-- ^,', ' `_;' ,'r'' Records indicate that at the death of the aboveVnamedtdecedenttment with the information below, which was used in cal~glat"Sng the inh'~ritanfQ j •due. you were a joint owner/beneficiary of i:his account. ]Ffi y0U are t~ Sp0US2 ~fr 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 yqur relationship to the deceased by checking Box C in PART 1 below and writing "spouse" in PART 2. If you believe the information Bs incorrect, please obtain written correction from the financial instil;ution, attach a copy to this form and return it to the above address. Please call 717-787-8327 with questions. COMPLETE PART I BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 616128396 Date 08-01-2000 To ensure proper credit to the account, two Established copies of this notice Bust accompany Account Balance $ 327.62 payment to the Register of Wills. Make check payable to "Register of Wills, Agent". Percent Taxable X 50.000 Amount Subject to Tax $ 163.81 Tax Rate X Potential Tax Due ~` 24.57 PART 1^ CHECK - C ONE BLOCK ONLY PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE AND TAXPAYER RESPONSE XPAYER RE L~; ° R E~$~t 1, ~` ,.I NOTE: If tax payments are made within three months of the decedent's date of death, deduct a 5 percent discount on the tax due. Any inheritance tax due will become delinquent nine nonths after the date of death. st IG~wL ?AXE AS~S~ESSMENT A. 11iyThe above information and tax due is correct. . L~J 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 an official assessment will be issued by the PA Department of Revenue. B. ^ The above asset has been or will be reported and tax paid with the Pennsylvania inheritance tax return filed by the estate representative. C. ^ The above informs ion is incorrect and/or debts and deductions were paid. Complete PART ~2 and/or PART 3^ below. PART If indicating a different relationship to decedent: tax. rate, please state ~ OFFICIAL` USE ONLY ^ AAF- ~~ PA DEPARTMENT OF REVENUE TAX RETURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS AD LINE 1. Date Established 1 1 2. Account Balance 2 $ 2 S. Percent Taxable 3 X _ -3 r_A s ~ ~__.~ .r,. - 1 _ 4. Amount Subject to Tax 4 $ 4 ~ r 5. Debts and Deductions 5 - 5 6. Amount Taxable ( $ 6 ~ 7. Tax Rate 7 X 7 8. Tax Due g $ 8 PART DATE PAID DEBTS AND DEDUCTIONS CLAIMED PAYEE DESCRIPTION AMOUNT PAID ~ TOTAL CEnter on Line 5 of Tax Computation) g U r p lkies of ji, I declare at the facts I reported above are true, correct and ._ millet trb the b of owledge d belief . HOME C O ) ) ~!O ~' ~ ~~~ ~~~ ~ WORK C ) TAXPAY SIGNATUR TELEPHONE (NUMBER DATE