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HomeMy WebLinkAbout05-16-12COMMONWEALTH OF PENN6VLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 11128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT KIMEL VIOLET G 2150 HOMESTEAD HILLS DR WINSTON SALEM, NC 27103 REV-1162 EXI11-96) N0. CD 015978 ACN ASSESSMENT AMOUNT CONTROL NUMBER rola ESTATE INFORMATION: ssN: zss-as-~soz FILE NUMBER: 2112-0019 DECEDENT NAME: KIMEL ROBERT JAMES DATE OF PAYMENT: 05/16/2012 POSTMARK DATE: 05/14/2012 couNTY: CUMBERLAND DATE OF DEATH: 12/01/2011 101 ~ 5497.98 TOTAL AMOUNT PAID: REMARKS: SEAL CHECK# 6237 INITIALS: HEA RECEIVED BY: 5497.98 GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS COMMONWEA LTM of PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES Po Box zegeDl HARRISBURG PA 17128-0601 INFORMATION NOTICE FILE NO. 21 12-0019 AND ACN 12502054 TAXPAYER RESPONSE DATE 05-01-2012 vfv ~vsme ur n-eon TYPE OF ACCOUNT EST. OF ROBERT J KIMEL ^ sECURITr S.S. N0. 239-44-7602 X^ ssc ACCT DATE OF DEATH 12-01-2011 ^ srpcx COUNTY CUMBERLAND ^ BONDS REMIT PAYMENT ANO FORMS T0: JOHN S KIMEL REGISTER OF WILLS 2150 HOMESTEAD HILLS DR 1 COURTHOUSE SQUARE r,, WINSTON SALEM NC 27103-6444 CARLISLE P~ 17013 ~ N -T ~~ ~ ~~ •~ ~ ~ l.. U,. ~ ~ l L'- r y FIDELITY INVESTMENTS has orovitletl the Depart ant with the inf Prnati on listed below whi cf~~ve en useAaln . -~ calcglat ing the ootential tax tlue. Their reco rtls in tlicate khat at the death of the above decedent, you were ~1~ae~aficiarylDl thss assT If you Feel this inf ova aYion is incorrect. Please obtain written correction from the transfer agent, attach y- y. to this~om ar~ ~;.~ return it to the above address. This account is taxable in accortlance with the Inheritance Tex Laws of the 4~•1Z••1••°.•ealkh of Penn sy~oa~. puestions nay be answe retl by calling O1]) 7H]-832]. :'r!~1 i'~f ~ COMPLETE PART 1 BELOW ^ ^ ^ SEE REVERSE SIDE FOR FILIN~AFIb PAYMENT~NSTRUC TQA N?S ~n Account No. 239447602 To insure proper cretlitlo your account, two (2) copies of this notice oust accoapanY Your payment to the Register of Wills. Make check 000 Valuation 8,299.64 Parable to: "Ravi star of Wills, Agent". Percent Taxable X 50.000 NOTE: If tax parnents are aade wikhin three Amount Subject to Tax 4,149.82 (3) moot h:s of the decedent's tlate of death, Tax Rate X 1 2 you nav tleduct a SY. discount of the tax tlue. Am inheritance tax tlue will becoae tlelinauen4 POteDtlal Tax Due 497 98 nine (9) mo nYhs after the data of death. PART TAXPAYER RESPONSE 1^ p. (RXfhe above inforwation antl kax tlue is correct. 1. You nav choose to remit PaYnent to the Register of Wills with two copies of this notice to obtain a di scounY or avoid interest, ar you nav check box "A" and rat urn this notice to the Repisker of r CHECK I ONE ~ Wills antl an official assessment will be issuetl by the PA Department of Revenue. L BLOCK B. ^ The above asset has been or will be reported antl tax paid with the Pennsylvania Inheritance Tax return ONL Y to be filetl by the tlec etleni's rem resenYative. C. ^ The above info motion is incorrect and/or debts antl tleductions were paid by vou. You oust complete PART ^2 and/or PART ^3 below. PART If You indicate a different tax rate, please state your © relationship to decedent: TAX RETURN - COMPUTATION OF TAX ON ABOVE ASSET(S) LINE 1. DOD Valuation 1 2. Percent Taxable 2 X 3. Ampunt Subject to Tax 3 4. Debts and Dedu<t3ons 4 5. Amount Taxable 5 6. Tax Rake 7. Tax Due 7 PART DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION AMOUNT PAID 'HONE NUMBER DATE Under penalties of perjury, I declare that the facts I have reportetl above era true, eor rest antl comple to the best of may knowledge and belief. HOME I~~~ )~~(L Be/6 ~'a]~J~f~ WORK C ,_,_- T a m w ~~ ~~ ~~ .... f„i ~' Q.; W a d( ~ rµ Y-~ id r'(` i~~s fi ~ t~, ~1 .~ 4 ~' `'. 1 ~~