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HomeMy WebLinkAbout01-17-12COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 ~I128-0601 PENNSYLVANIA RECEIVED FROM:, INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT CATSELIS~ GEORGE JR 4173 NANTUCKET DRIVE MECHANICSBURG, PA 17050 fold ESTATE INFORMATION: SSN: 227-34-6960 FILE NUMBER„ 2112-0060 DECEDENT NAME: CATSELIS ELNA DATE OF PAYMENT: 01 / 1 7/ 2012 POSTMARK DATE: 01 /17/2012 COUNTY: CUMBERLAND DATE OF DEATH: 04/1 1 /2011 REMARKS: SEAL CHECK# 2421 ACN ASSESSMENT CONTROL NUMBER REV-1162 EX(11-961 N0. CD 015461 AMOUNT 11135486 ~ 590.01 TOTAL AMOUNT PAID: INITIALS: HEA RECEIVED BY: 590.01 GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS PENNSYLVANIA INHERITANCE INFORMATION NOTICE r BUREAU OF INDIV:[DUAL TAXES Po Box zaocol _ ! ~ ~ ~`~~ TAXPAYER RESPONSE HARRISBURG PA 17128-0601 - ~'~ i~ FILE N0. 21 ' ja.-(op ACN 1113548b DATE 05-25-2011 - °:; i ~ ~, GR~~~,A~,~.,. ,,~ ,~ ;, i~ ~;.. : A'ir'-,.~ r .,'-; Gi.,~~ , ~!'~. GEORGE CATSELIS 4173 NANTUCKET DRIVE MECHA,NICSBURG PA 17050 EST. OF ELNA CATSELIS SSN 227-34-6960 DATE OF DEATH 04-11-2011 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 has been used in calculating the potential tax due. Records indicate that at the death of the above-named decedent, you were a point owner/beneficiary of this account. If you feel the :information is ihcorrect, please obtain written correction from the financial institution, attach a copy to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Commonwealth of Pennsylvania. P:Lease call (717) 787-8327 with questions. COMPLETE PART 1 BELOW ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account Mo. 22957 - 04 Date 11 - 05- 1979 To ensure proper credit to the account, two Established copies of this notice must accompany payment to the Register of Wills. Make check Account Balance ~` 4 ~ 000 • 27 payable to "Register of Wills, Agent". Percent Taxable X 50.000 NOTE: If tax payments are ^ade within three Amount Subject to Tax ~` 2 ~ 000 • 14 months of the decedent's date of death, Tax Rate X .045 deduct a 5 percent discount on the tax due. Any Inheritance Tax due will become delinquent Potentia:L Tax Due $ 90 • O1 nine months after the date of death. PART TAXPAYER RESPONSE AILUttE `fid RESPQl~F WILL RESULT; Ott Ali iIFF~ i S $S EDIT' 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 check box "A" and return this notice to the Register of CHECK Wills and an official assessment will be issued by the PA Department of Revenue. C ONE B L 0 C K B. ~ The above asset has been or will be reported and tax paid with the Pennsvlvania Inheritance Tax return 0 N L Y to be 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 tax rate, please state F~j AL Y AAF~, relationship to decedent: pj{" DEPARTMENT OF REVENUE , TAX RETURN - COMPUTAfiION OF TAX ON JOINT/TRUST ACCOUNTS PAD LINE 1. Date Established 1 1 2. Account Balance 2 $ 2 3. Percent Taxable 3 X 3 ~------~ 4. Amount Subject to Tax 4 $ ~ 4 -_ 5. Debts and Deductions 5 - 5 ~ 6. Amounnt Taxable 6 '~ b ~ 7. Tax IRate 7 X 7 8. Tax '.Due 8 $ ~ ~ ~ PART DEBTS AND DEDUCTIONS CLAIMED nerF Porn PAYEE DESCRIPTION AMOUNT PAID nder c ple penalties te to the of perjury, I declare that the facts I have b~t of my nowledge and belief. reported above HOME { Z17 are true~,j ) 3 ~ ( correct7and -~~ C CO ;: ~ , ` 6 "( ~TjZ~_ TAXPAY ATURE WORK C ) TELEPHONE NUMBER DATE TAX iuin~ ttncer on Lane ~ u, .,~~~r..~=~_~~•-