HomeMy WebLinkAbout03-05-12COMMONWEALTFI OR PENNBYLVAtJiSti"
DEPAIITMlNT OF gBVENUE F ~
BUREAU OF INDIVIDUAL TAXES
DEPT. 280801
HARRISBURG, PA 17128.0801
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1182 EXtt t-g8)
NO. CD 01561
BROWN EDWARD
323 SHARON DR
NEW CUMBERLAND, PA 17070
told
ESTATE INFORMATION:
DECEDENT NAME: BROWN CATHERINE A
DATE OF PAYMENT: 03/05/2012
POSTMARK DATE: 03/02/2012
COUNTY: CUMBERLAND
DATE OF DEATM: 07/ 15/2011
REMARKS:
CHECK# 688
SEAL
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
12101327 ~ $12.77
.TOTAL AMOUNT PAID:..
S 12.77
INITIALS: HMW
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
TAXPAYER
PENNSYLVANIA INHERITANCE TAX -
` INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES FILE NO. 21 ~ /~ ~2~
Po aox zao6ol AND
HARRISBURG PA 17128-0601 ~~ ~ ACN 12101327
oEP~'~~•~€ ,~ ~ ~+ -TAXPAYER RESPONSE DATE
~~~Z ~AR _5 ~~ ~~ ~~ EST. OF CATHERINE A BROWN
-. SSN. 174-D5.-9500
DATE t)F DEATH 07-15-2011
/ Q~IANAA~~SR~-}{~C~OnUhRT CQUNTY CUMBERLAND
.; - _- - `~~tVVJ CO.. PA' '.` REMIT PAYMENT AND FORMS T0:'' ,
EDWARD BROWN REGL.STER,OF WILLS
113 HILLCREST DR 1 C[)URTHOUSE SQCIARE
NEW CUMBERLND PA 17070-3031 CARLISLE PA 17013
ACCOUNT
snvlNCs
® CHECKING
TRUST
CERTIF.
SOVEREI6 N BANK 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 ,point owner/beneficiary of this account.. If you are the spouse Of the
deceased acrd any amount other than zero 1s reflected below on tfie Potential Tax Due line, note no tax may be due, but you a~ust
notify the department of your relationship to the deceased by checking Box C in PART 1 below and writing "spouse" 1n PART 2.
If you believe he information is incorrect, please obtain written,correcbion from the financial institution, attach a copy to this form and return
it to,.the above address. Please calf 717-787-8327,with questions.
_s. .. s
~ COMPLETE PART l BELOW *-SEE REVERSE~~I~E~~i'fR FILING ANb PAYNENT"'INSTRUCTIONS
Account No. 2471707033 Date .11-24-1998 To ensure proper credit to the account, two
Established copies of this notice oust aeeo~pam
payment to the Register of Wflls. Make check
Account Balance ~ 510.61 payable to "Register of Wills, Agent".
Percent Taxable. X 16.667
NOTE: If tax payments are ^ade within three
Amount Subject to Tax ~ 85.10 months of the decedent's date of death,
Tax Rate ~( deduct a 5 percent discount on the tax due.
Aw fnharitance tax due will be
Potential Tax Due nine. ionths after the data of deome delinquent
Bath.
PART : TA7~AYE S x;ON~,E
A. ha above inforyation and tsxtdua is correct. ''~ ~'
ReNit payment to'the Repi~ster off Wills.wiah two copies of this notice to obtain: •
CN E CK a discount or avoid interest, or return this notice to the Register of. Wills. and
pNE an bfficial assessment will be issued by the PA Department of Revenue.
[ BLOCK J 'Y B. ~ The above asset has bien or will be reported and tax paid with the Pennsylvanfe inheritance tax return
0 NL Y filed by the estates representative.
C. ~ The above infon ion is,incorr t and/or debts and deductions were paid.
Co
lete PART 2~'
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PART If indicating a different tsx rats: please state _
ralatiortshp to decedent:
TAX RE TURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Date Establlshod ___ 1 ''
2. Account Ssianes 2 ~`
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4. Amount Subject to Tax 4 ~
5. Debts and Deductions. 5
6. Amount'Taxable 6 ~
7. tax Rana 7 X
8. Tax Dua 8 ~ '
PART DEBTS AND DffDUCTIONS CLAIMED
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
Under penalties of perjury, 18eclars that' tfia facts I reported above are true, correcty~~ Q // (~'
eo o • mY knowledge end belief. HOME C ) 4 ~V Vii~.T~
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.WORK.. ( ) l
TELEPHONE NUMBER D
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