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HomeMy WebLinkAbout06-22-12COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 2 8-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT N0. CD 016154 WATSON LINDA S 523 SPRINGFIELD ROAD SHIPPENSBURG, PA 17257 fold ESTATE INFORMATION: FILE NUMBER: DECEDENT NAME: DATE OF PAYMENT: POSTMARK DATE: COUNTY: DATE OF DEATH: SSN: 202-36-9581 2112-0693 WATSON THEODORE P 06/21/2012 06/21 /2012 CUMBERLAND 06/06/2012 REMARKS: ACN ASSESSMENT AMOUNT CONTROL NUMBER REV-1162 EXI11-96) 59.60 TOTAL AMOUNT PAID: CHECK# 2929 INITIALS: CJ SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS BUREAU OF INDIVIDUAL TAXES PO BOX 280601 HARRISBURG PA 17128-0601 REV-1543 PENNSYLVANIA INHERITANCE TAX tt(~~4_. ('INFORMATION NOTICE lti `~1~~ Vi' AND FILE w° +,A,~i `TAXPAYER RESPONSE acN DATE z~#~ ,l~1N 2 t PM 2~ 35 EST. OF THEODORE P WATSON SSN 202-36-9581 '- ' DATE OF DEATH o6-06-2012 oa~~ ~ uuu~T M `~a~~~~~D CO„ P~ COUNTY CUMBERLAND ERIN may' REMIT PAYMENT AND FORMS T0: 1 MARCELLAMWAYUNG REGISTER OF WILLS CARLISLE PA 17015-9484 1 COURTHOUSE SQUARE CARLISLE PA 17013 N0. 21 ~~ ~~C'~.P`l 12136956 06-20-2012 TYPE OF ACCOUNT ® SAVINGS ^ CHECKING ^ TRUST ^ CERTIF. MEMBERS 1ST FCU ecords 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. notify the deppartment of your relationship to the deceased bre a joint owner/beneficiary of this account. If deceased and any amount other than zero is reflected below on the Potential Tax Due line, note no tax may be due, If you believe fhe information is incorrect, please obtain written correction from the financial institution, attach a coypu are the Spouse of the it to the above address. Please call 717-787-8327 with y Checking Box C in PART I below and writin but you must COMPLETE PART 1 BELOW * questions. 9 "spouse" in PART 2. py to this form and return SEE REVERSE SIDE FOR FILING AND PAYMENT rucro,...~~_.._ account No. 68183-nn -- ..ace 03-20-1987 - -""'^"~11VnS Account Balance Established To ensure proper credit to the account, two copies of this Percent Taxable notice must accompany 1 ~ 280 , (1 payment to the Register of will Amount Subject t s. Make check X payable to "Register of wills, Agent". o Tax 16.667 TaX Rate $ 213.44 NOTE: If tax payments are made within three X months of the d ' Potential Tax Du ecedent s date of death, e • 045 deduct a 5 percent di PART scount on the tax due. 9. 6 0 Any inheritance tax due will beco 1^ me delinquent nine months after the date of death. TAXPAYER RESPONSE FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX A• ASSESSMENT ^ The above informati C H E C K on and tax due is correct. Remit payment to the Register of wills with C 0 N E two copies of this notice to obtain a discount or avoid interest, or return this notice to the R an official assessme i t ~ BLOCK e 0 eg n ster of Wills and will be issued by the PA Department of Revenue. ^ The above as t N L Y se has been or will be reported and tax paid with the Pennsylvania inhe filed by the estate representative. it C• r ance tax return ^ The above info rms ion is incorrIe-ct~ and/or debts and deductions were paid. Complete PART 2~ and/or PART 3^ below. PART If indicative ~ a; « ___ relationshipVto decedent= tax rate, please state 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 OF TAX ON JOINT/TRUST ACCOUNTS 1 2 +~` s X 4 +~ 5 - 6 $ 7 X 8 ~` OFFICIAL USE ONLY ^ ,qq F PA DEPARTMENT OF REVENUE PAD i .__ 2 _ 3 4 __ 5 6 7 8 - DEBTS AND DEDUCTIONS CLAIMED DESCRIPTION TOTAL CEnter on Line 5 of Tax Computation) Under penalties of perjury, I declare that fomplete to the best of m the facts I y knowledge and belief. '_ / w reported above are true, correct and HOME (~~. I ~.~~ ~~~ WORK _~ DATE PAID PAYEE