HomeMy WebLinkAbout03-21-12COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280801
HARRISBURG, PA 17128-0801
RECEIVED FROM:
DEFTER SUZANNE P
261 HOY RD
CARLISLE, PA 17013
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ESTATE INFORMATION: SSN:
FILE NUMBER: 2112-0338
DECEDENT NAME: DEFTER EDMUND M
DATE OF PAYMENT: 03/21 /2012
POSTMARK DATE: 03/20/2012
COUNTY: CUMBERLAND
DATE OF DEATH: 05/ 29/ 2011
REMARKS:
CHECK# 4674
SEAL
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX(11-96)
NO. CD 015735
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
12111560 ~ S 184.20
TOTAL AMOUNT PAID:
INITIALS: HMW
RECEIVED BY:
S 184.20
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
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BUREAU OF INDIVIDUAL TAX"'~~! "-~ ~~
PO BDX 260601 pennsylvania
HARRISBURG PA 17128-0601
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PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE N0. 21 ~' ~~'~~~
ACN 12111560
DATE 02-17-2012
SUZANNE P DEFTER
281 HOY... RD
CARLISLE PA 17013-8523
TE OF DEATH 05-29-2011
COUNTY CUMBERLAND
RENIT PAYMENT AND FORNS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
TYPE OF .ACCOUNT
SAVINGS
CHECKING
TRUST
CERTIF.
CITIZENS BANK OF PENNSYLVANIA 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 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 your relationship to the deceased by checking Box C in PART 1 below and writing "spouse" in PART 2.
If you believe the information is incorrect, please obtain written correction from the financial institution, attach a copy to this form and return
it to the above address. Please call 717-787-8327 with questions.
COMPLETE PART 1 BROW * SEE REVERSE-SIDE FOR FILING A1iD RAYMENT INSTRUCTIONS
Account No. 6100692620
Date
09-27
-1976 _-
"
To ensure proper credit to the account, two
'
Established copies of this notice ^ust accompany
payment to the Raeister of wills. Make check
Account Balance 2, 455. 94 payable to "Register of Wills, Aeent".
Percent Taxable X 50. 000
NOTE: If tax payments are made within three
Amount Subject to Tax ~ 1 , 227. 97 months of the decedent's date of death,
TeX Rate ~( , lrj deduct a 5 percent discount on the tax due.
Any inheritance tax due will become delinquent
Potential TeX DUe ~ 184. 20 nine months after the date of death.
PART
A. Gyf'The above information and tax due is corroct.
~JJ Raait payaant to the Register of Wills with two copies of this notice to obtain
CHECK a discount or avoid interest, or return this notice to the Register of Wills and
ONE an official assessment will be issued by the PA Department of Revenue.
BLOCK ~ B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania inheritance tax return
0 N L Y filed by the ,estate representative.
C. ~ The above infona 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
relationship to decedent:
TAX RETURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Date Established 1
2. Account Balance 2 ~
3. Percent Taxable 3 X _
4. Amount Subject to Tax 4
5. Debts and Deductions 5
6. Amount Taxable 6
7. Tax Rate 7 X
8. Tax Due 8 ~
PART DEBTS AND DEDUCTIONS CLAIMED
0
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
TOTAL CEntei` on'iini $`of Taz Computation) ;
Uhder penalties of porjurY, I'declare that the facts I reported above are t-rue, correct antl
complete to the best a my.:knawledae and belief. HOME. C ` ~ ) ~ ~ SST
e, _~'~ ~,;~+-- WORK.. C ) 3 .~O ; l ~-
'AXPAY SIGNATURE TELEPHONE NUMBER DATE