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HomeMy WebLinkAbout09-14-12COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280801 HARRISBURG, PA 77128-0801 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ECKMAN LEONARD W 40 S ENOLA DRIVE ENOLA, PA 17025 ACN ASSESSMENT CONTROL NUMBER ________ fob ---------- ESTATE INFORMATION: SSN: 1sa-s2-8007 FILE NUMBER: 2112-1007 DECEDENT NAME: ECKMAN LORRAINE M DATE OF PAYMENT: 09/ 14/201 2 POSTMARK DATE: 09/14/2012 COUNTY: CUMBERLAND DATE OF DEATH: 07/07/2012 REMARKS: LEONARD ECKMAN SEAL CHECK#148 REV-1162 EX111-98) NO. CD 016500 AMOUNT 12148484 ~ 590.54 12148485 ~ 535.88 TOTAL AMOUNT PAID: INITIALS: WZ RECEIVED BY: 5126.42 GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS BUREAU OF INDIVIDUAL TAXES PO BOX 280601 HARRISBURG PA 17128-0601 ~ PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE FILE NO. 21-~~-~oU~ ennsyl :~E~'1 . J~~ AND ACN 12148484 iPARTMENT OPR _ I~~AYER RESPONSE DATE o9-03-2012 t '~ ^ ii REV-1a4S EX xiP f05~~ fV 1 r 1 f 1 a.. % f'..L.'.~ ?t#12 SEP 14 PM 12~ S~EST. OF LORRAINE M ECKMAN SSN 194-42-8007 ", `. t.,--; :,_ DATE OF DEATH 07-07-2012 ~P~'1NN'S 4UU~j COUNTY CUMBERLAND M M1~~~p ~'O ~i~ REMIT PAYMENT AND FORMS T0: LEONARD W ECKMAN W~~ REGISTER OF WILLS 40 S ENOLA DR 1 CDURTHOUSE SQUARE ENOLA PA 17025-2704 CARLISLE PA 17D13 TYPE OF ACCOUNT SAVINGS CHECKING TRUST © CERTIF. PNC BANK NA provided the deDa rtment with the information below, which was used in calculating the inheritance tax due. Records indicate that at the tleath of the above named decedent, you were a ,l of nt 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" 1n PART 2. If you believe the information is incorrect, Dl ease obtain written correction from the financial instf tuts on, attach a copy to this form and return tt to the above address. Please call 717-787-8327 wf th questions. CONPLETf PART 1 $ELOid * SEE REVERSE SIDE FOR FILING AND-PAYNENT INSTRUCTfONS - account No. 31200293163 Account Balance Percent Tazable Amount Subject to Tax Tax Rate Potential Tax Due PART CHECK C ONE BLOCK ONLY Date o6-03-20D6 Established ~ 1,509.OD X 50.000 $ 754.50 X .12 S 90.54 7o ensure proper credit to the account. two copies of this notice oust accoapany pavaent to Lhe Register of Wills. Make check payable to "Register of Wills. Agent^. NOTE: If tax payaents are ^ade within three aonths of the decedent's date of death, deduct a 5 percent discount on the tax tlue. Any inheritance tex due will becoae delinquent nine aonths after the date of death. A. rR'}'Yhe above inforaation and tax duo is correct. IJ Reait payaent to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, or return this notice to the Re6istar of Wills and an official assessaent will be issued by the PA Departaent of Revenue. B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania inheritance tax return filed by the estate representative. C. ~ The above inforaa ion is incorrect and/or debts and deductions were Daid. Coaplete PART 2~ and/or PART ~ below. PART If indicating a different tax rate, please state relationship to decedent: TAX RE TURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Date Established 1 2. Account Balance 2 $ 3. Percent Tazable 3 X 4. Amount Subject to Tax 4 5. Debts and Deductions 5 - 6. Amount Taxable 6. ~ 7. Tax Rate 7 X 8. Tax Due 8 PART DEBTS AND DEDUCTIONS CLAIMED ^3 DATE P AID PAYEE DESCRIPTION AMOUNT PAID Under penalties of perjury. I declare that the facts I reported above are true ,~jcorrect ancd sgmplete to th• best of my knowledge and belief. HOME C 7~7) /~~"~ ,J Q~ J WORK C ) ~.0 ~XPAYER SIGNATURE ~ TELEPHONE NU E DATE BUREAU OF INDIVIDUAL TAXES PD BOX 280601 pennsyly HARRISBURG PA 17128-0601 DEPAXTMENT(~A REV•1563 EY'mr LEONARD W ECKMAN 40 S ENOLA DR PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE FILE NO. 2L low •~~~ AND ACN 12148485 ;~, n~~~"~f~CPAYER RESPONSE DATE o9-D3-2012 / Vt 2D12 SEP 14 PM 12~ 56 iJl i.J `.. /'µOR~Pj~M~I~yA'~A, `~/'~UR!' ENOLA PA 17025-2704 EST. OF LORRAINE M ECKMAN SSN 194-42-8007 DATE OF DEATH 07-07-2012 COUNTY CUMBERLAND REMIT PAYMENT AHD FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS ® CHECKING TRUST CERTIF. PNC BANK NA 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 atceunt. If yoU are the spDUBe Of the deceased and any amount other than zero 1s 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 checklny Bax C 1n PART 1 below and writing "spouse" in PART 2. If you believe the information is incorrect, please obtain wrf tten correction from the financial institution, attach a copy to this form and return it to the above address. Please call 117-787-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 5003968781 Date 10-15-2002 7o ensure proper credit to the account, two Established copies of this notice oust accompany payment to the Register of Wills. Make check Account Balance $ 59 8. 0 0 payable to "Register of Wills, Agent". Percent Taxable X 50.000 NOTE: If tax payments era made within three Amount Subiect to Tax $ 299.00 months of the decedent's date of death, ~( 1P deduct a 5 percent discount on the tax due. Tax Rato , Am inheritance tax due will become delinquent Potential Tax Due ~ 35 • 88 nine aonths after the date of death. PART TAXPAYER RESPONSE A. Syr :he above info nation and tax due is correct. u Reait payaent to the Register of Wills with two copies of this notice to obtain a discount or avoid interest. or return this notice to the Register of Wills and CHECK en official assessment will be issued 6y the PA Department of Revenue. 0 N E ~ C BLOCK B. ~ Th• 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. ~ The above i nforms ion is incorrect and/or debts and deductions were paid. Complete PART ~2 and/or PART ~ below. PART If indicating a different tax rate, please state a relationship to decedent: TAX RE TURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Date Established 1 2. Account Balance 2 ~ 3. Percent Taxable 3 X 4 Amount Subject to Tax 4 . 5. Debts and Deductions 5 6. Amount Taxable 6 ~ 7. Tax Rate 7 X 8 Tax Due B ~ . DEBTS AND DEDUCTIONS CLAIMED PART DATE PAID PAYEE DESCRIPTION AMOUNT PAID Under penalties of per~U ry, I declare that the facts I reported above are true, correct and co late to the bast of m k Wledge and belief. HOME ~ ) - 5 O/ WORK ( ) ~ :. nxvr~ rruarnoc TFI FPHDNE NliNB DATE