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HomeMy WebLinkAbout04-09-12 (2)COMMONWEALTH OF PENNSYLVANIA REV-1162 EXI11-961 DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 71 28-060 7 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 015812 TREGL ROSE E 1 16 STRAYER DR CARLISLE, PA 17013-4407 ACN ASSESSMENT AMOUNT CONTROL NUMBER fold ESTATE INFORMATION: ssly: iao-o7-sass FILE NUMBER: 2112-0423 DECEDENT NAME: TREGL RUTH A DATE OF PAYMENT: 04/09/201 2 POSTMARK DATE: 04/06/201 2 couNTY: CUMBERLAND DATE OF DEATH: 03/08/201 2 REMARKS: SEAL CHECK# 3682 12122196 ~ 510.78 TOTAL AMOUNT PAID: INITIALS: DMB RECEIVED BY: 510.78 GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS ~ ~ PENNSYLVANIA INHERITANCE TAX r ~,..,,, INFORMATION NOTICE c BUREAU OF INDIVIDUAL TA ! ,~!',- `' - FILE ND. 21 - ~ ~ ~'' "f ~~ Po Box zaocol ~ ~ ' ~• 8 AND ACN 12122196 HARRISBURG PA 17128-060 ~- ;~, ` .L ..'„'~#€PnarM€Nrb~a~ ue TAXPAYER RESPONSE _,~f DATE 03-29-2012 REV-1543 E% rAFP (OS-I1) '38~~~ ~~~! _9 ~, ~; ~~ TYPE OF ACCOUNT EST. OF RUTH A TREGL ~ SAVINGS pC~LhE~RfK ~F $$N 180-07-6866 ® CHECKING ORl"I~Y',!V1~ VO1.1RT DATE OF DEATH 03-08-2012 ~ TRUST - Y'!V A COUNTY CUMBERLAND ~ CERTIF. CUi~F~~=f~i a,r~~, r,~ P REMIT PAYMENT AND FORMS T0: RONALD TREGL REGISTER OF WILLS 116 STRAYER DR 1 COURTHOUSE SQUARE CARLISLE PA 17013-4407 CARLISLE PA 17013 0 RRST OWN 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 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, Alease 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 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 103000234 Date 04-17-1998 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 $ 1 ~ 750.82 payable to "Register of Wills, Agent'•. Percent Taxable X 50.000 NOTE: If tax payments are made within three Amount Subject to Tax $` 875.41 months of the decedent's date of death, TaX Rate X .045 deduct a 5 percent discount on the tax due. Any inheritance tax due will become delinquent Potential Tax Due ~` 39.39 nine months after the date of death. PART TAXPAYER RESPONSE FAILURE 70 PO ~.~ S11L.'~\I ~ FFICIAL TAX ~ Sl4~NT /z u~ A. ^ The above information and tax due is correct. Remit payment to the Register of Wills with two copies of this notice to obtain C H E C K a discount or avoid interest, or return this notice to the Register of Wills and 0 N E an official assessment will be issued by the PA Department of Revenue. BLOCK ONLY C The above asset has been or will be reported and tax paid with the Pennsylvania inheritance tax return filed by the estate representative. -}, ~he above informs ion is incorrect and/or debts and deductions were Daid. ~ 1y~ ~.~ ~5 ~C7CTG_' ~~~-Y'~ "7~h' Complete PART 2~ and/or PART ~ below. ~` ( ~,. ~~ ~ b©~lt ~ SC (gyp PART If indicating a different tax rate, please state OFFICIAL SE ONLY ~ AAF relationship to decedent: PA DEPARTMENT OF REVENUE TAX RETURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxable 7. Tax Rate PART 8. Tax Due 1 3 X +P S`'D . d~ 4 $ ~~_~a 5 - 6 s a5a,~ PAD 1 2 3 ,. 4 5 6 7 8 DEBTS AND DEDUCTIONS CLAIMED TOTAL CEnter on Line 5 of Tax Computation) S Under penalti s of perjury, I declare that the facts I reported above are true, correct and complete t t e be s. of n le ge and belief. HOME C"711 ) ~ ~t-~ Z.t~ :3an - 3 ul ~ ~3Sa ) ~Y ~-~..Z.lo S :~ rZ TAXPAY S GNAT TELEPHONE NUMBER DATE DATE PAID PAYEE DESCRIPTION AMOUNT PAID u:ra vi ~ '` ~2 G/> O ¢ Cn `. f1 /rF. fs" f:. "~ i '{ '-'.!t t .~ ~,J i~ `'./ '~ _~ ~\ t V `~ - ~~~ V \v ~ 1 ` ~ v J r~ Q u /~~ t ~.~ ~~~~~ ~~i { ~~~ •Y'~ i. ~~ ,r..} ` { ~^ v ~~ + M~ ~ Y V V ~. _ `J c``r. '' `~ ~' `~` ~