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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