HomeMy WebLinkAbout08-27-12COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
6UREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1J128-0801
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
NO. CD 016429
QUIRK KATHY A
PO BOX 61103
HARRISBURG, PA 17106
ioltl
ESTATE INFORMATION: ssN: zot-is-asst
FILE NUMBER: 2112-0933
DECEDENT NAME: CRAMER FAY L
DATE OF PAYMENT: 08/27/2012
POSTMARK DATE: 08/24/2012
COUNTY: CUMBERLAND
DATE OF DEATH: 08/18/2011
REMARKS:
CHECK#4353
SEAL
12139881 ~ 525.45
TOTAL AMOUNT PAID:
REV-1162 EX111-961
525.45
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
INITIALS: HEA
RECEIVED BY:
REGISTER OF WILLS
~ PENNSYLVANIA INHERITANCE
BUREAU oP IND1vIDUAL TAxES I NF O RMAT I O N NOTICE
Po BOX 280601 Pennsylvania AND
HARRISBURG PA 1]128-0601 oevneTMervrof0evervue TAXPAYE R RE $ P ONS E
PEV-1541 EZ lip f05 -I1)
FILE N0. 21
ACN 12139881
DATE 07-16-2012
KATHY A QUIRK
PO BOX 61103
HARRISBURG PA 17106-1103
OF TAX ON JOINT
1 t)~i-n/- i
TYPE OF ACCOUNT
SAVINGS
® CHECKING
TRUST
CERTIF.
PNC BANK NA provi tletl the department with the information below. which was used in calculating the inheritance tax due.
Records indicate that at the death of the abOV e-named decedent, you were a joint owner/beneficiary of this account. If y0^ dre 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, Dut you must
notify the deoartment of your relationship to the deceased by checking Box C in PART 1 below and wri ting "spouse" 1n 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 ]ll-787-8327 with euesti ons.
COMPLETE PART 1 BELOW is SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS -
Account No. 5 14 0 0 1 3578 Date 03-01-1974
To ensure proper credit to the account, two
Established conies of this notice Host acconpanv
Account Balance $ 1,B03.00 Paynent to the Register of Wills. Make check
pavabla to "Register of Wills. Agent".
Percent Taxable X 50.000
Amount Subject to Tax
$
9 0 1 .50 NOTES If tax pavnents are made within 4h ree
months of the decedent's date of
~
e at h,
Tax Rata X .045 ..
yy~~
deduct a E. oe rcanscount on erID kax due.
Potential Tax Due $ 40
57 A^y inhe ri.t ante t ue will be4~ del jnpu~
. nine nonths after dote of death- JJ i~
N i-'i n
A. ^ The above information and tax due is correct 7_
~ '~~'
Remit oaynent to the Register of Wills with kwo conies of this notice t ~ rah ~ ..
~
~'+
CHECK a discount or avoid iota rest, or return this notice to the Regiistar of Land _
~~- Lam)
ONE an official assessnent will be issued by the PA Oapa rtnent of Revenue. 2: N ~.- >-h
_y
BLOCK
B.
~ The above asset has been or will be reported and
tax paid with
the Pennsvlva~a inhe ri
tan `n
t
t
ONL Y
filed by the estate rep rasentati ve. ~ ax re
urn
C. ~ The above inforna ton is incorrect and/or debts and tletluctions werE• paid.
Complete PART 2~ and/or PART ~ below.
PART If indicating a different tax rate, please state
relationship to decedent: _
TAX RETURN - CAiCULATION
LINE 1. Date Established
2. Account Balance
3. Pe rcenY Taxable
4. Amount Subject to Tax
5. Debts and Deductions
6. Amount Taxable
7. Tax Rata
8. Tax Due
PART
3^
DATE PAID PAYEE
DESCRIPTION
AMOUNT PAID
_ TOTAL CEntar on Line 5 of Tax Computation) s
Under penalties of perjury, I declare that the facts I reported above are true, correct poop
comp,l/ ~,,tyye~~to th//e~~ pest of~/y knowledge and belief. HOME C~~'~ ) q~/~~gs5'/
` r IA.fd1 .. (.(- ~~~1/Ad i WORK ( 71'1 ) L~~.~ /_L S/l
EST. OF FAY L C:RAMER
SSN 201-16-4791
DATE OF DEATH 08-18-2011
COUNTY CUMBERLAND
REMIT PAYMENT AND F~O RMS TD:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
ACCOUNTS
DEBTS AND DEDUCTIONS CLAIMED
DATE
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