HomeMy WebLinkAbout01-26-12COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
DEVENEY BRUCE M
14 PENNSBORO DRIVE
ENOLA, PA 17025
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ESTATE INFORMATION: sSN: 201-18-0437
FILE NUMBER: 2110-0669
DECEDENT NAME: DEVENEY LEON L JR
DATE OF PAYMENT: 01 /26/201 2
POSTMARK DATE: 01 /25/201 2
couNTY: CUMBERLAND
DATE OF DEATH: 06/21 /2010
REMARKS:
SEAL
CHECK# 1397
AMOUNT
ACN
ASSESSMENT
CONTROL
NUMBER
11502703 ~ 565.07
TOTAL AMOUNT PAID:
565.07
INITIALS: DMB
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
REV-1162 EX(11-96)
NO. CD 015513
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES '~~f~f~•.~~'~
PO BOX 280601 ~~_~°`jr`l [i„''~ `
HARRISBURG PA 17128-0601 ~,;, `~;,` Lim ~~
REY~1543A AiP (7-00)
INFORMATION NOTICE FILE N0. 21 10-0669
AND. ACN 11502703
TAXPAYER RESPONSE
DATE 11-10-2011
CLERK of
oRP~ar,~s couRT
CUMRFRI AN ~ CC. RA
BRUCE M DEVENEY
14 PENNSBORO DR
ENOLA PA 17025-1536
TYPE OF ACCOUNT
EST. OF LEON L DEVENEY ^ SECURITY
$,$, g0. 201-18-0437 ^ sEC AccT
DATE OF DEATH 06-21-2010 ^XTOCK
COUNTY CUMBERLAND ^ sDNDs
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
MET LIFE has provided the Department with the information listed below which has been used in
calculating the potential tax due. Their records indicate that at the death of the above decedent, vau were a beneficiary of this asset.
If you feel this information is incorrect, please obtain written correction from the transfer agent, 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.
puestions may be answered by calling C717) 787-8327.
COMPLETE PART 1 BELOW * *-* SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 591568108 7o insure proper credit to vour account, two
(2) copies of this notice must accompany vour
payment to the Register of Wills. Make check
DOD Valuation 2 ~ 892 ° 14 payable to: "Register of Wills, Agent".
Percent Taxable X 50.000
NOTE: If tax payments are ^ade within three
Amount Subject to Tax 1,446.07 (3) months of the decedent's date of death,
045 you may deduct a 5% discount of the tax due.
Tax Rate X .
Any inheritance tax due will become delinquent
Potential Tax Due b5.07 nine (9) months after the date of death.
PART TAXPAYER RESPONSE
~ L~' ,I /1N 0~ ICI t».'~`,~-XrA SS~t~NT~ASED°ON~TF~IS O IC~°
~ O
a~~3~
.
A. ®The above information and tax due is correct.
1. You may choose to remit payment to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest, or you nay check box "A" and return this notice to the Register of
C H E C K
Wills and an official assessment will be issued by the PA Department of Revenue.
ONE
C
B L 0 C K B. ^ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
0 N L Y to be filed by the decedent's representative.
C. ^ The above information is incorrect and/or debts and deductions were paid by you.
You must complete PART 2^ and/or PART ^3 below.
PART If you indicate a different tax rate, please state your ~ \~~ OF~ICj~~~~ USE L
relationship to decedent: PA DEPARTMENT OF REVENUE
TAX RETURN - COMPUTATION OF TAX ON ABOVE ASSET(S) AD
LINE 1. DOD Valuation 1 1
2. Percent Taxable 2 X 2 ~
3. Amount Subject to Tax 3 3 -'--
4. Debts and Deductions 4 -
4
e
5. Amount Taxable 5 5 ~~
6. Tax Rate 6 X 6
7. Tax Due 7 7 ~~
$ ~~ ~~ ~ ~...o
DEBTS AND DEDUCTIONS CLAIMED
PART
Under penalties of perjury, I declare that the facts I have reported above are true, correct and
complete to the best of my knowledge and belief. HOME C ~ ) 7 ~ ~ 6
A ER SIGNATURE TELEPHONE NUMBER D TE
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
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