HomeMy WebLinkAbout03-27-12COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280607
HARRISBURG, PA 17128-0801
RECEIVED FROM:
FUHRMAN MARZELLA L
1 11 WALMAR MNR
DILLSBURG, PA 17019
fold
PENNSYLVANIA
INHERITANCE AND ESTAI
OFFICIAL RECEIPT
ESTATE INFORMATION: SSN: 202-20-5792
FILE NUMBER: 2112-0365
DECEDENT NAME: MARKEL ESTHER E
DATE OF PAYMENT: 03/27/2012
POSTMARK DATE: 03/26/2012
COUNTY: CUMBERLAND
DATE OF DEATH: 1 1 / 17/2011
REMARKS:
SEAL
CHECK# 285
TOTAL AMOUNT
INITIALS: HMW
RECEIVED BY:
REGISTER OF WILLS
REV-1162 EX(11-96)
'E
4 TAX
NO. CD 015751
ACN
SESSMENT AMOUNT
ONTROL
UMBER
1 109313 ~ 529.93
ID: 529.93
LENDA EARNER STRASBAUGH
EGISTER OF WILLS
PENN§YLVANIA IN ERITANCE T
BUREAU OF INDIVIDWIL TAXES INFORMATIO NOTICE
Po BOX 280601 pennsylvani ~,~~,~ ; - r±', 1- AN
HARRISBURG PA 17128-0601 oErnnrwEwr oFaeveNUt f r~--~"~~ g E SP O N S E
REY-1563 ER 11FP (R5 -11) ~ i {, -
1„, . ~ r~FL . ,.
Date. 05-05-2010
Established
..
.......:.., , a,.: EST. OF ESTHER E MARKEL
SSN 202-20-5792
~~~~ QF DATE OF DEATH 11-17-2011
~(~ T CO ~ CUMBERLAND
/'+t 1liCFf]I ARt~ r(r•'1, REMIT AYMENT AND FORMS T0:
MARZELLA L FUHRMAN t~+lt~Y"r? `1L/"vVIJ LV REGI TER OF WILLS
111 WALMAR MNR; 1 CO RTHOUSE SQUARE
DILLSBURG - ~~° a- PA 17019-1420 CARL SLE PA 17013
TYPE: OF ACCOUNT
SAVINGS
® CHECKING
TRUST
CERTIF.
PNC BANK NA provided the department with the information below, which was used fn calculating the inheritance tax due.
Records indicate that at the death of the above-named decedent, you were a joint owner/b nefitiary of this account. If y0U are the Spouse Of the
deceased and any amount-other than zero 1s 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 in 'PART i below and Writing "spouse" in PART 2.
If yyou be]teve the information is incorrect, please obtain written correction from the f nancial Institution, attach a coDY to this form and return
it to the above address. Please call 717-787-8327 with questions.
CBMMtffif ~AR'P -t 1lft8MF * °F<-`cif =S°DE F9R f-~,l.-I _AN~ RAYME~IT IN&TRUCTIONS __ `
Account No. 5005799571
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
PART
CHECK
C ONE
BLOCK
ONLY
$ 1,330.00
X 50.000
$ 665.00
X .045
$ 29.93
FILE N0. 21 ~~~~~
ACN 12109313
DATE 02-08-2012
To ensure proper credit to the account. two
copies of this notice trust •ccoaparo
payaent to the Register of Wills. Nake check
payable to "Register of Wills, Agent".
NOTE: If tax payaents are aade within three
aonths of the decedent's date of death,
deduct a 5 percent discount on the tax due.
Aro inheritance tax due will becoae delinquent
nine aonths after the date of death.
,... ,
A. ~ The above intonation and tax due is correct.
Resit payaent to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest, or return this notice to thr Register of Wflls and -
an official assessaent will be issued by the PA Departaent of Revenue.
B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania inheritance tax return
filed by the estate representative.
C. ~ The above inforaa ion is incorrect and/or debts and deductions were paid.
Coaplete PART 2~ and/or PART ~ below.
PART If indicating a different tax rate, please state
relationship to decedent:
TAX RE TURN - 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 '
3^
DATE P AID PAYEE DESCRIPTION AMOUNT PAID
''Under p halties of per.~ury.:I declare that'tho Pacts I reported-above ars truQ, correct and
compl a to the b t Of aY knowled"ge and belief. HOME C?/ > ) J~.~--~1J'~`'
,..: WORK f ) ~,ik ~~.
A YE SIGNATUR TELEPHONE NUMBER DATE