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HomeMy WebLinkAbout06-13-12COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 260601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 016107 DEPNER ANN M 149 WINDSOR DRIVE PITTSBURGH, PA 15235 fold ESTATE INFORMATION: sSN: X71-12-sis6 FILE NUMBER: 2112-0655 DECEDENT NAME: MCCOY KENYON DATE OF PAYMENT: 06/ 1 3/2012 POSTMARK DATE: 06/11/2012 couNTY: CUMBERLAND DATE OF DEATH: 04/09/201 2 REMARKS: CHECK# 1 1 1 SEAL ACN ASSESSMENT AMOUNT CONTROL NUMBER TOTAL AMOUNT PAID: REV-1162 EX(11-961 5.46 GLENDA EARNER STRASBAUGH INITIALS: CJ RECEIVED BY: REGISTER OF WILLS REGISTER OF WILLS ~. PENNSYLVANIA INHERITANCE TAX BUREAU OF INDIVIDUAL raxES I N F O R MA T I O N N O T I C E Po Box 280601 ~] A N D HARRISBURG PA 17128-0601 Pe ] j DEPAR Of ~~ ~~~ ~/~ ACNE t~{ TAXPAYER RESPONSE RED-, CXT~+~pl~tsi ~~ '~~~~~ ~ ~ DATE [~-~ ~~~ ``; ~~ ~~~ O ~ EST. OF KENYON MCCOY SSN 171-12-6166 .::_"~`.'~, DATE OF DEATH 04-09-2012 ~~~~~~lpC~p~~~~~~~ ~V~~ COUNTY CUMBERLAND Vt!lYi17GIlLJ1lVD CO., ~ REMIT PAYMENT AND FORMS T0: ANN DEPNER 149 WINDSOR DR REGISTER OF WILLS PITTSBURGH PA 15235-4518 1 COURTHOUSE SQUARE CARLISLE PA 17013 12133067 05-24-2012 TYPE OF ACCOUNT © SAVINGS CHECKING TRUST CERTIF. PSECU Records indicate that at the death of the above-named decedent, provided the department with the information below, which was used in calculating the inheritance tax due. deceased and any amount other than zero is reflected belowwonetheoPotentialb Tax~Dueylineh~noteDno taxlmayo be due,h but ouse of the 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, please obtain written correction from the financial institution, attach a copy to this form and Ur m DSt 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. 9005690210 Date -- 01-06-2006 7o ensure proper credit to the account, two Established copies of this notice must accompany Account Balance $ payment to the Register of Wills. Make check Percent Taxable X 2 O.5 7 payable to "Register of Wills, Agent". 50.000 Amount Subject t0 TeX $ NOTE: If tax payments are made within three 10.29 Tax Rate X months of the decedent's date of death, . 0 4 5 deduct a 5 percent discount on the tax due. Potential Tax Due $ Any inheritance tax due will become delinquent . 4 6 nine months after the date of death. PART TAXPAYER RESPONSE FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT A. ~ The abo - ve information and tax due Remit is correct. payment to the Register of Wills with two c i C H E C K a discount or avoid interest, or return thi op es of this notice to obtain C 0 N E an official assessment will be s issued by th notice to the P Register of Wills and ~ B L 0 C K e A Department of Revenue. 0 N L Y B. ~ The above asset has been or will b e reported and ta i filed by the estate representati x pa d with the Pennsylvania inherit ve . ance tax return PART If indicating a different tax rate, please state relationship to decedent: TAX RETURN - CALCULATION 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 8. Tax Due PART DATE PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL CEnter on Line 5 of Tax Computation) Under 8 penalties of perjury, I declare that the facts I reported above are true, correct and complete to the best f my knowledge and belief. HOME C /a ~ ?' _ 3 TA AYER SIGNATUR WORK ( /~ I Sa, TELEPHONE NUMBER 6 ~~ a DATE OF TAX ON JOINT/TRUST ACCOUNTS 1 2 3 X 4 $ 5 - 6 7 X 8 C. ~ The above informs ion is incorrect and/or debts and deductions were paid. Complete PART ~2 and/or PART 3^ below. OFFICIAL USE ONLY ~ AAF PA DEPARTMENT OF REVENUE PAD 1 2 3 4 5 6 7 8 DEBTS AND DEDUCTIONS CLAIMED COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: DEPNER ANN M 149 WINDSOR DRIVE PITTSBURGH, PA 15235 fold REMARKS: CHECK#110 PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX(11-96) NO. CD 016106 ACN ASSESSMENT AMOUNT CONTROL NUMBER TOTAL AMOUNT PAID: INITIALS: CJ S 18.24 SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS ~~~~ PENNSYLVANIA INHERITANCE TAX BUREAU OF INDIVIDUAL TAXES INFORMATION NOTICE Po Box 2so6o1 pen •~ `' ~~~ ~ AND FILE NO HARRISBURG PA 17128-0681 DEPARTME~~1~~ i,~f~t ~ C AXPAYER RESPONSE ACN REV-1543 E A COS=t1) r ~`•-.(.1J DATE ~~~~ JUN 13 PM 12~ Q ~ EST. OF KENYON MCCOY SSN 171-12-6166 .,CIS. DATE OF DEATH o4-09-2012 OR~h~y ~ ~:1:1~~ COUNTY CUMBERLAND ~~~""•D CO.. PA REMIT PAYMENT AND FORMS TD: ANN DEPNER REGISTER OF WILLS 149 WINDSOR DR 1 COURTHOUSE SQUARE PITTSBURGH PA 15235-4518 CARLISLE PA 17013 21 --a-uc~SS 12133068 05-24-2012 TYPE OF ACCOUNT SAVINGS © CHECKING TRUST CERTIF. PSECU Records indicate that at the death of the above-named decedent, provided the department with the information below, which was used in calculating the inheritance tax due. 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 notify the department of your relationship to the deceased by checking Box C in PART I below and writing "spouse" in PART 2. If you believe the information is incorrect, please obtain written correction from the financial institution, attach a copy to this farm a~dUretusn 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. 9005690210-S4 Date 01-06-2006 To ensure proper credit to the account, two Established copies of this notice must accompany Account Balance $ 810 80 payment to the Register of Wills. Make check Percent Taxable X payable to "Register of Wills, Agent". 50.000 Amount Subject to Tax $ 405.40 NOTE: If tax payments are made within three Tax Rate X months of the decedent's date of death, . 0 4 5 deduct a 5 percent discount on the tax due. Potential Tax Due $ Any inheritance tax due will become delinquent 18.24 PART nine months after the date of death. TAXPAYER RESPONSE FAItcL--URE TO RESPOND WILL RESULT IN AN OFFICIAL TAX. ASSESSMENT A• I~,-The abo ve information and tax due is correct Remit payment to the Register . of Wills with two i C H E C K a discount or avoid interest, or ret cop es of this notice to obtain 0 N E an official assessment will be urn this i notice to the Register of Wills and C ~ B L 0 C K ssued by the PA Department of Revenue. 0 N L Y B. ~ The above asset has been or will b e reported and tax id filed by the estate representative . pa with the Pennsylvania inheritance tax return PART If i C. ~ The above informs ion is incorrect and/or debts and deductions were paid. Complete PART 2~ and/or PART 3^ below. ^ ••~-~o«~~y a airrerent tax rate, please state 2 relationship to decedent: TAX RETURN - CALCULATION 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 8. Tax Due OF TAX ON JOINT/TRUST ACCOUNTS 1 2 3 X 4 5 6 7 X g $ OFFICIAL USE ONLY ~ AAF PA DEPARTMENT OF REVENUE PAD 1 2 3 4 5 6 7 8 rnKi DATE PAID PAYEE DEBTS AND DEDUCTIONS CLAIMED DESCRIPTION AMOUNT PAID TOTAL (Enter on Line 5 of Tax Computation) S Under penalties of perjury, I declare that the facts I reported above are true, correct and co lete to th best of my knowledge and belief. HOME C (;~ ) 73 ~_ 3 y TAXPAYER SIGN URE WORK ( ~ C~S-~_3 TELEPHONE NUMBER n rF ~` y e ;t~ ~~ ~~~ ~ ~ti ' {~ .'~ ~ . G .~~ ~~ `~ ,- 0 1 OV ~~~ ooh ~~ Nt1f Z1QV ~ o :zi ~a ~~~ ~~~ a 3 a ~~}.~ ~, ~,jf~ ;p*." w ++w :.,u "+ ,.,. -~,. e ~_ w .~.,~, {; ~~ ~7~ !!J ~~# :,.a l,;;4 h•i