The URL can be used to link to this page

Home My WebLink About08-24-12COMMONWEALTH OF PENNBVIVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 2BOfi01 HARRISBURG, PA 1J128-0801 RECEIVED FROM: KOONS MICHELLE C 121 N SAINT JOHNS DRIVE CAMP HILL, PA 17011 mla PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ACN ASSESSMENT CONTROL NUMBER ESTATE INFORMATION: SSN: t9t-t2-5261 FILE NUMBER: 2112-0686 DECEDENT NAME: PFLUGER MAGDALEN M DATE OF PAYMENT: 08/24/2012 POSTMARK DATE: 08/24/2012 COUNTY: CUMBERLAND DATE OF DEATH: 06/08/2012 REV-1162 EX111-96) N0. CD 016423 AMOUNT 12136966 ~ 52,426.31 TOTAL AMOUNT PAID: REMARKS: SEAL CHECK#101 INITIALS: HEA RECEIVED BY: 52,426.31 GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS ~ PENNSYLVANIA INHERITANCE TAX (o INFORMATION NOTICE FILE N0. 21 ~ ~ ~~ BUREAU OF INDIVIDUAL TAXES PD BOX 280601 Pennsylvania AND ACN 12136966 HARRISBURG PA 17128-0601 pePnq*mEwTOfnevemue TAXPAYE R RE SPON S E DATE 06-20-2012 REV-1343 EY 1FG IOF-ll) MICHELLE C KOONS 121 N SAINT JOHNS DR CAMP HILL PA 17011-1932 EST. OF MAGDALEN M PFLUGER SSN 191-12-5281 DATE OF DEATH o6-OS-2012 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS CHECKING TRUST CERTIF. MEMBERS 1ST FCU provitletl the department with the information below, which was used in calculating the inheritance tax due. Records intlicate that at the death of the above-named Oecetlent, you were a joint owner/beneficiary of this account. If you are the spouse of the tleceased and any amount other than zero is reflected below on the Potential Tax Due 11 ne, note no tax may be due, but you must notify the department of your relati onshtp to the deceasetl 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 antl return it to the above address. Please call 717-787-8327 with questions. CONPi ETE PART 1 HELON * SEE RE.YERSE.SIDE FOR FILING AND.PAYMENT INSTRUCTIONS Account No. 400790-41 Date 01-27-2011 To ensure proper credit to the account, two Established conies of this notice Husk eccpnpanY payment to the Register of Wills. Make check Account Balance $ 34 R 053.45 parable to •'Register of wills. A6ent". Percent Taxable X 50.000 NOTE: IF tax paYnents ere node wikhin three Amount Subject to Tax $ 17.026.73 months of khe decedent's tlate of death. Tax Rate )( 1 5 deduct a 5 percent discount on the tax due. AM in heritance tax due will become delinquent Potential Tax Due $ 2,554.01 nine months of ker the date of death. PART TAXPAYER RESPONSE .Sl ~r `~ ~ N A. The above inforeatian and tax due is correct. ~ (;~'"+ L., Remit pave ant to the Rapist ar of Wills with two copies of this notice to ob ~ ~w 11": Z ~~ CHECK a di seounk or avoid inke rest, or rat urn this notice to the Register of Wi115f~kd ~ lv }3 7pJ'i ' r an official assessnentw iTl De issuetl by the PA Department of Revenue. ~i [ ~ ~ I ONE ~ L BLOCK B. ~ The above asset has been or will be reported and kax paid wikh ~ ' y ' ~ the Pennsylvania nramr~iSance taxT74tu rn ' V ONLY filed by the estate representative. 3 . C .~ nG r~~ a c- C. ~ The above inf orna ton is incorrect and/or debts and detluctions f7 were paid. ~ Complete PART ~2 and/or PART ~ below. CJt ' PART If indicating a different tax rate, please skate relaLlonShip t0 decetlent: TAX RETURN - CALCULATION OF TAX ON JDINT/TRUST ACCOUNTS LINE 1. Date Established 1 2. Account Balance 2 $ 3. Pe rcant Taxable 3 X 4. Amount Subject to Tax 4 $ 5. Debts antl Deductions 5 6. Amount Taxable 6 $ 7. Tax Rate 7 X 8. Tax Due 8 $ PART DEBTS AND DEDUCTIONS CLAIMED 3^ DATE PAID PAYEE DESCRIPTION AMOUNT PAID r penalties of pe u I tleclare that the tacks I reported above are true, corre<Y antl _ 1Fit to bas my knowletlge and belief. HOME ( ~ ) 7 3 _ ~~ .J A - y7QZ_ WORK C ) Y R SIGNATURE TELEPHONE NUMBER ATE