HomeMy WebLinkAbout04-16-12COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280801
HARRISBURG, PA 17128A801
RECEIVED FROM:
LOZ LOTS C
120 GREENBRIAR DRIVE
MARYSVILLE, PA 17053
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ESTATE INFORMATION: SSN: 054-16-8004
FILE NUMBER: 2111-1061
DECEDENT NAME: MCGRAIL JOSEPH J III
DATE OF PAYMENT: 04/ 16/2012
POSTMARK DATE: 04/13/2012
COUNTY: CUMBERLAND
DATE OF DEATH: 08/24/201 1
REMARKS:
CHECK# 626
SEAL
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1182 EX111-98)
NO. CD 015852
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
11174611 ~ 518.26
TOTAL AMOUNT PAID:
INITIALS: HMW
518.26
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
BUREAU OF INDIYIDUAI TAXES
PO BOX 280601
HARRISBURG PA 17128-0601
REY-15f3
PENNSYLVANIA .INHERITANCE T
INFORMATION NOTICE
{~ AND
`~~ `_'I AXPAYER RESPONSE
01 APR i 6 ~ii~ 11 ~ 0 3
~~~I(
QRPHAN'S ~~URT
L D s C L oz C[1MBERIA~~C CQ.. PA
1316:.CARLISLE RD
CAMP. HILL PA 17011.-6102
FILE N0. 21 11-1061
ACN 11174611
DATE .l ~ -1!4-2011
E5T. OF JOSEPH J MCGRAIL
GSM 054-16-8004 ~ ;
DATE OF DEATH 08-24-2011`
COtJIiTY CUMBE~tLANp
REMIT PAYMENT AND FORMS T0:
RE6S7ER OF, WILLS
1 CQUR~THOUSE SQUARE
CARLISLE PA 17013
TYPE- OF •ACGOUNT .
,~.SAYIN6S
~~: CHECKING
O tRUST
CERTIF.
PN C BANX NA provided the department with the information below, which was used in calculatfny the inheritari'd:' tax due.
Records;,~ddicatq that. at Lhe death of the above-name0 Qecedegt: you were a 3oint owner/beneficiary of this account. If you -are the Sp4I,tS8, of the
deceased artd-arty ueount other than zero is reflected below on the Potential Tax Due line, note no tax Aay be due.,tiut yyou,~pust
notfify the debatfaiient-of your relationship to the d@ceased by checking Box C fn PART 1 below and Writing "spouse" 1n PART 2.
If you believe the information is incorrect, please obtain written correction frai the financial institution, attach a copy to tfiis -form and. return
it to the above address. Please call 717-787-8327 with questions.
6QNRLE'FE PART 1 $RL6W ~•- S£E R£YERSE SIDE_ Ff3R F~ILIN6 -AND PAYMEiiT-INgTRdCTiONS _
Account No. 5140286381 Dat® 08-23-1991 To ensure proper credit to the account, two:
Established ..copies of this notice dust accompany`
Account Balance 2
435
00 payment to the Rapistar of Wills.. Make cheek.
"
,
. payable to
Rapistar of Wills, Apont^.
Percent Taxable X 16.667 - -
Awount Subject to Tax
~
405
84 NOTEa If tsx payaents aro made wittein threo
. months of the decedent's dat• of death.
Tax Rata X ,.OraS deduct a 5 poreent tliscoiint'on~tM•tax dur '
Potential Tax Dua
~ 1 8
26 Ary inheritaheo tax pua will bocwo'delineuent
-
'
. nine months. after tho
date of death:
PART TAXPAYER • SPQ SE
^ _.
1
A. The above information and tax due is correct.
Romit payment to the Rapistar of Wills with two copies of this rwtice to obtain
CHECK a discount or avoid interest. or return this notice to the Rapistar of Wills and
ONE an official assessment will be issued by the PA Department of Revenue.
BLOCK B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania inheritance tax return
0 NL Y filed by th. es#ate representative.
C. ~ Tho above info a fon is incor ct and/or debts and deductions were paid:,.
Complete PART ~ and/or PART below.
,:.,,, ,:
PART If indicating a differont tax rata, please state
relationship fo'decedent:
TAX RETURN - CALCULATIQN OF TAX ON JOINT/TRUST'ACCOUNTS
LINE 1. Date ~etablishad I -
2. Aecouht_&alsnce 2 ~
3_ Porce~t }7alxabl!- 3 X .
4. Aa-ount Subject to Tax 4 ~
5. Debts.<and Deductions 5 '
6. Amount Taxable 6 $
' 7.~ Tax Rate 7 X
8: Tax Dua 8 ~
PART DEBTS AND DEDUGTIUNS CLAIMED '
3^
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
Undor pipalties'o# derlaeyr`. ~ d'iclari that the facts I rsportpd above era true, carranct and
cowplet• to ibast of ~Y knotrle.dpe and ef. HONE ~~ ~ ~ ~ h / r..~ J
WORK., . {
TAXP' Y IGNATURE TELEPHONE NUMBER DAB TE
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