The URL can be used to link to this page

Home My WebLink About06-12-12COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: FRIEDLINE TAMMY L 228 S 17TH ST CAMP HILL, PA 1701 1 fold ESTATE INFORMATION: FILE NUMBER: 2112-0671 DECEDENT NAME: FRIEDLINE CRAIG DATE OF PAYMENT: 06/ 1 3/201 2 POSTMARK DATE: 06/1 1 /201 2 COUNTY: CUMBERLAND DATE OF DEATH: 05/18/2012 REMARKS: CHECK#107 SEAL PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX~11-96) NO. CD 016102 ACN ASSESSMENT AMOUNT CONTROL NUMBER 12134162 ~ 9127.20 TOTAL AMOUNT PAID: INITIALS: HMW 9127.20 RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS ~~ PENNSYLVANIA INHERITANCE TAX I / ~ ;_~.`~ ~ INFORMATION NOTICE FILE N0. 21 ~/,~-(~ BUREAU OF INDIVIDUAL TAXES PD sox zso6ol ap ~a~,l AND HARRISBURG PA 17128-0601 r'- -'`fir ~ ~ ACN 12134162 o A~~~~T~r>w;ff~~rNoE. -~-'~ TAXPAYER RESPONSE DATE 05-30-2012 ~. EV-1543 EX AFP (05-11) `r~t2 JUN 12 Q~i 3: ORPK~U'~ ~~~~j ~,~~,® co.. PA EST. OF CRAIG FRIEDLINE DATE OF DEATH 05-18-2012 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: SHAWNA R FRIEDLINE 228 S 17TH ST CAMP HILL PA 17011-5509 REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT O SAVINGS CHECKING TRUST CERTIF. MEMBERS 1ST FCU 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, please 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. 121676 - 00 Date 08- 05- 1991 To ensure proper credit to the account, two Established copies of this notice must accompany Account Balance $ 5,950.79 payment to the Register of Wills. Make check payable to "Register of Wills, Agent". Percent Taxable X 50.000 NOTE: If tax payments are made within three Amount Subject to Tax $` 2,975.40 mo ~deeederyl's date of death, Tax Rate )( . 045 educt a 5 percent dis ount on the tax due. 7~Ti eTl2arrce ue will become delinquent Potential Tax Due $ 133.89 lx~•Zu nine months after the date of death. P~r TAXPAYER RESPONSE ~ FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT 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. B L 0 C K B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania inheritance tax return 0 N L Y filed by the estate representative. C. ~ The above information is incorrect and/or debts and deductions were paid. Complete PART ~ and/or PART ~ below. PART If indicating a different tax rate, please state OFFICIAL USE ONLY ~ AAF relationship to decedent: PA DEPARTMENT OF REVENUE TAX RETURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS PAD LINE 1. Date Established I 1 2. Account Balance 2 $ 2 3. Percent Taxable 3 X 3 4. Amount Subject to Tax 4 +t 4 5. Debts and Deductions 5 - 5 6. Amount Taxable 6 '~ 6 7. Tax Rate 7 X 7 8. Tax Due 8 $ 8 PART DEBTS AND DEDUCTIONS CLAIMED ^3 DATE PAID PAYEE DESCRIPTION AMOUNT PAID Under penalties of perjury, I declare that the facts I reported above a re true, correct and complete to the best of my knowledge and belief. HOME ~ y C /~~ ~~')~'"~~.L <' WORK C"~~ ~ 1 TAXPAYER SI N TURE TELEPHONE NUMBER DATE TOTAL CEnter on Line 5 of Tax Computation) S