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
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