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HomeMy WebLinkAbout03-26-12COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7128-0601 RECEIVED FROM: BARYON CATHERINE 113 HILLCREST DR NEW CUMBERLAND, PA fold PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT 17070 ESTATE INFORMATION: SSN: ~ 74-05-9500 FILE NUMBER: 2112-0280 DECEDENT NAME: BROWN CATHERINE A DATE OF PAYMENT: 03/26/2012 POSTMARK DATE: 03/12/2012 CouNTY: CUMBERLAND DATE OF DEATH: 07/15/201 1 REV-1162 EX(11-96) NO. CD 015749 ACN ASSESSMENT AMOUNT CONTROL NUMBER 12101326 ~ S 12.77 TOTAL AMOUNT PAID: REMARKS: CHECK# 2330 SEAL INITIALS: DMB RECEIVED BY: S 12.77 GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS j PENNSYLVANIA INHERITANCE TAX PORBOX 28060DIVIDUAL TAXES i;~r-_;, Q~ I N F O R MA T I O N N O T I C E ~ r~6~n~rFSyEvaH1'~ i ~ AND FILE N0. 21 " ~~ r~~~-~~i HARRISBURG PA 17128-0601 ~R~MFNTOF,RE~EN~E,~..,.~~ TAXPAYER RESPONSE ACN 12101326 ~R~~I543 E%qFP (05 -11] DATE 01-06-2012 ~1~~~ft 26 I'~- IZi OU CLERK ~JF ORPH,~,U'S ~CJRT CUc~,~a~::i c,~,i_ ~~ ,.. ~A CATHERINE BARYON 113 HILLCREST DR NEW CUMBERLND PA 17070-3031 EST. OF CATHERINE A BROWN SSN DATE OF DEATH 07-15-2011 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS © CHECKING TRUST CERTIF. SOVEREIGN 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 joint owner/beneficiary of this account. If y0U 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 ;t rn the ahove_address._ Please call 717-787.-8327 with questigns. - _ __ COMPLETE PART I BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 2471707033 Date 11-24-1998 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 $ 510.61 payable to "Register of Wills, Agent". Percent Taxat~le X 16.667 NOTE: If tax payments are made within three Amount Subject to Tax $ 85.10 months of the decedent's date of death, Tax Rat e ~( 15 deduct a 5 percent discount on the tax due. Any inheritance tax due will become delinquent Potenti al Tax Due ~` 12.77 nine months after the date of death. PART TAXPAYER RESPONSE NT SSM `~ A FAILURE TO RESPOND idILL RESULT I AN OF X ASSE E ICI T The above information and tax due is correct. A. ~ Remit payment to the Register of Wills wlth two copies of this notice to obtain a discount or avoid interest, or return this notice to the Register of Wills and C H E C K 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 Pennsylvania inheritance tax return 0 N L Y 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 ~~~~~ r~u°` OFFICIAL USL~ONLYk ~Q~iA relationship to decedent: PA DEPARTMENT OF REVENUE TAX RETURN - CALCULATION 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. Amount Taxable 6 '~ 6 7. Tax Rate 7 X 7 8. Tax Due 8 $ 8 PART DEBTS AND DEDUCTIONS CLAIMED 3^ DATE PAID PAYEE DESCRIPTION AMOUNT PAID Under penalties of perjury, I declare that the facts I reported above are true, correct and complete to the best of my know edge and belief. HOME C ) I~fL~-f~~-~' L/~~~`' WORK C ) ~/~' „y~0~' ~- TAXPAYER SIGNATURE TELEPHONE NUMBER AD TE TOTAL (Enter on Line 5 of Tax Computation) S ;~~ iY, ,~` fi,~ ~{ ~-~ ,,: r~ ;'. :~ s ==' O c; ` ~ -. -., ., i:;: y; ~ r '~. "~-. t'`• T ~.J ~..J CN _ ~ ~ U tY"\7' '~. ,r... ,~~ ..~ ~~ J o*_ ~ J '~ .l ~~ ~~, ~~_ , ~ ,` '~ ~ 4 J ~~ GG ` ~ ~ ,,i /' `. 1 \\ i r. , /~ .~ '~ ~. `~ J ~`\ ~~ -,. ~' ,~ .,.., tai 1,„I {.}~ t11 ~~~ •ra .r.}