HomeMy WebLinkAbout03-22-12COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280801
HARRISBURG, PA 17128-0801
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX(11-96)
NO. CD 015741
WEPFER CAROLYN L
3814 LEYLAND DRIVE
MECHANICSBURG, PA 17050
taa
ESTATE INFORMATION: SSN: tss-of-8~3s
FILE NUMBER: 2112-0075
DECEDENT NAME: WEPFER OLIVE C
DATE OF PAYMENT: 03/22/2012
POSTMARK .DATE: 03/21 /2012
COUNTY: CUMBERLAND
DATE OF DEATH: 12/26/201 1
REMARKS: RECEIPT TO ATTY
CHECK# 3530
SEAL
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
12114183 ~ 5428.35
TOTAL AMOUNT PAID:
INITIALS: HMW
5428.35
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
PENNSYLVANIA INH RITANCE TAX
BUREAU OF INDIVIDUAL TAXES INFORMATION NOTICE FILE N0. 21 12- 075
PO BOX 260601 pe C~[ AND ACN 121141 3
FU-RRIS URG PA 17128-0601 DEPART ~flfiMil~4(E,..
rr ~ : t G TAXPAYER R
f Rlr~ 1 C PONSE DATE. .
02-28- oil
REY-1 - tK%tl~y
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~ TYPE OF CCOUNT
O EST. 0 OLIVE C WEPFER snvlNSs
SSN 1b9-01-8739 "CHECKING
~~'( DATE 0 DEATH 12-26-2011 "TRUST
/M~'~'l!~~,p~piS ~{T C01~NTY CUMBERLAND CERTIF.
Vtl+Yi[7~~_A~ ~ REMIT P MENT AND FORMS T0:
CAROLYN L WEPFER ~ REGIST R`OF'WILLS F
.3814 LEYLAND AR 3 COUR HOUSE SQUARE
1MECHANICSBUR6 PA 17050-7634. CARLIS E PA 17013
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PNC BA~K NA provided the department with the information blow: which was used in calculating the inheritan a tax due.
Records dicate that at the death of the above named dec dent, you were a Ioint ownerlben fictary of this account. If you are the sp0u~e Of the
decease and any amount other than zero is reflec~ed below on the Potential T x Due line, note no tax may be due,. but yyggggu must
notify he department of your relationship to the deceased by checking Box C n PART 1 below and writing "spouse" 1n PAT 2.
If you b ieve the information is incorrect, Dl ease obtaid written correction from the fin octal institution, attach a coDY to this form an return
_.._..it-ts-Cha.above-a9drass.- -Wares call 71~-7Q7-8327 with adastions. g _ =>.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE'FOR FItIN6AND PAYMENT INSTRUCTIONS
Acbount No. 1051328 Data 07-2 6-2007 To ensure proper credit to the account, two
Established a conies of this notiu oust accoepany
f
payaent to the Register of Wills. Make eck
Account Balance 20 ~ X40 . O~ payable to "Register of Wills, Agent".
Percent Taxsble X 50 .000
NOTE: If tax payaents are trade within th ea
Amount Subject to Tax ~` 1 ~ ~ 020 . ~~ months of the decedent's date of death,
Tax Rate X t .045 deduct a 5 percent discount on the tax due.
Potential Tax Due
~ °
450:90 A~hr inheritance tax .due will become delinquent
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A. ~ The above inforaation and tax due is correct. i
Retrit payaent to t" e Bepister•of Wills with two opies of this notiee to obtain
C H E~ K a discount or avoi interest, or return this'het ea to the Rapistar of Wills awd
an official assess ent will be issued by the PA epartaent of Revenue.
ONE
C
BLOCK ~
B. ~ The above asset has be n or will be reported and tax paid with the Pennsylvania inheritance tax r~turn
O NIA Y filed by the estate re resentative.
`
C. The above infon ion
~
P s incorrect and/or debts and eductions were paid. ~
} otaplete PART
an r PART 3^ below.
S
PART If
indicating
a different tax rata „ ~
please state
TAX RETURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNT
LINE 1.; Date Established 1
2.; Account Balance 2 ~
'
S.i_'Ps~e~R> 'Ta-`x3Ts"IA _~~ -- - 3 ; X - -- _: _,.
~~ _ . _ . ._ --_ °-
4.~ Amount Subject to Tax 4 ~ 1
5.~ Debts and Deductions 5
6: Amount Taxable 6 $ 0•
7.' Tax Rate = 7 X
8.~ Tax Due r~$E; ~~~ 8 ~
PART t (,~i9~. ~~,5 D BTS AND DEDUCTIONS CLAIMED
DATE t~AID~ PAYEE DESCRIPTION AMOUNT PAID
TOT" i CEnter on Lin• 5 oY 7 x Cowputation) i
pan as•of par~ury, d ~aclire th t the facts L reported boys era true, correct and
p a to; t~ya-•best of ~/ knowlod9a and -belief. HO C
~s-~o.+~ - WO n ~ -~ - ~ ~ a
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AXP R ~SIONATURE T EPHONE NUMBER DATE