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Home My WebLink About09-24-12COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 171 28-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT SOLOMON MARTHA O 3812 LEYLAND DRIVE MECHANICSBURG, PA 17050 -------- fold ESTATE INFORMATION: FILE NUMBER: 21 12-1041 DECEDENT NAME: FINNEY DEBORAH E DATE OF PAYMENT: 09/ 24/ 201 2 POSTMARK DATE: 09/22/201 2 COUNTY: CUMBERLAND DATE OF DEATH: 08/ 1 2/201 2 REV-1162 EX(11-96) NO. CD 016546 ACN ASSESSMENT AMOUNT CONTROL NUMBER 12146560 ~ $124.70 TOTAL AMOUNT PAID: REMARKS: $124.70 CHECK# 3630 INITIALS: HMW SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS ~,N PENNSYLVANIA INHERITANCE INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES Po Box 2ao6o1 en ~j 3•--; _-~~ AND HARRISBURD PA 17128-0601 ~ ~~y~ ~~~ ._l ~~ C. ~EPARTME ~jF~RE~~i~U~. , , ' ~~~'t I ~ jE A IC ~~~~ tV~ I ~l. C J ~F 3E REV-1543~~NF;''•, (,D~tl.l ) '{ ~. ~t !~ ~~~ TAX F I L E N O. 21~-~- ~- ~~ ~~ ACN 121 6560 * DATE 09-18-2012 "~~ SCR 24 P~ I ~ t}? ~ t,i ~,J </ V I ~ ~ CUti1BEP~,~i~ CO., PA MARTHA 0 SOLOMON 3812 LEYLAND DR MECHANICSBURG PA 17050-7634 EST. OF DEBORAH E FINNEY DATE OF DEATH 08-12-2012 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS CHECKING TRUST CERTIF. MEMBER S 1S T F C U 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. CaMPLETE PART 1 BELOW * SEE RE`JERSE SIDE FOR FLING AND PAYFIENT INSTRUCTIONS Account No. 425308-1 1 Date 07-15-2011 To ensure proper credit to the account, two Established copies of this notice must accompany payment to the Register of Wills. Make check Account Balance ~` 1 ~ 750.12 payable to "Register of Wills, Agent". Percent Taxable )( 50.000 NOTE: If tax payments are made within three Amount Subject to Tax $ 875.06 months of the decedent's date of death, Tax Rate X , 15 deduct a 5 percent discount on the tax due. Any inheritance tax due will become delinquent Potential Tax Due $ 131 .26 nine months after the date of death. PART 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 an official assessment will be issued by the PA Department of Revenue. ONE 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. d 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 UFFTCIAL USE ONLY ~ AAF relationship to decedent: PA DEPARTMENT. OF REVENUE TAX RETURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS PAD LINE 1 . Date Established 1 ~ ° /~ ~ ~ `f/ 1 2. Account Balance 2 $ r~ 7..~"D '~ ~ Z 2 3. Percent Taxable ~ X ~~Q E ~ 4. Amount Subject to Tax 4 $ ii l~r Cl ~ fl 5. Debts and Deductions 5 - ~ ~ : ~~ tj 6. Amount Taxable 6 $ ~ ~ ~~ ,3 7. Tax Rate 7 X e ~ ~ 7 8. Tax Due 8 $ «`~ ~- 7C~ $ PART DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION AMOUNT PAID Under penalties of perjury, I declare that the facts I reported above are true, correct and complete to the best of my knowledge and belief. HOME C ) ~,~~? Z - Z ~ ~ ,~ ~ _ WORK C ~ ~~'~ ~ Z Z TAXPAYER SIGNATURE TELEPHONE NUMBER ATE TOTAL CEnter on Line 5 of Tax Computation) $ ~~'~ ~' `'' ~.N~ ~ `~ a ~~, m ~~ O o o ~ o 1 .,; _••; '..Jl'~ :_.~ ~' _~ .. i= f ~ =; ~~ ~_~ P, ~ -'.. ~.. 1~ ~' ~ i ~.,..~ . `/ \! W ~ ,..go, ~;: ~. h "r ... /~.J ~::F ~_R., • ~t';. ~+n ,:eM *. ~~~=c .}.. "~: r-. ~~ i ^LL y? ~ ~ ¢ ~ Y Y ~ +i 'Y ~, ~~'' s c ~ G ~ S u . x v, 3 ~ c ' w. r";' ~' `+7 t+7 C -~ ~ `~~. ~ ~, ~c zT~ y fi