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Home My WebLink About09-26-12COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX(11-96) NO. CD 016558 GOWER PAUL W 33 PINE RIDGE CIRCLE ENOLA, PA 17025 -------- fold ESTATE INFORMATION: FILE NUMBER: 21 12-1055 DECEDENT NAME: GOWER PATRICIA M DATE OF PAYMENT: 09/ 26/ 201 2 POSTMARK DATE: 09/25/201 2 COUNTY: CUMBERLAND DATE OF DEATH: 04/ 23/ 201 2 REMARKS: ACN ASSESSMENT AMOUNT CONTROL NUMBER 12151726 ~ $261.98 TOTAL AMOUNT PAID: $261.98 CHECK# 2520 INITIALS: HMW SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS ~ PENNSYLVANIA INHERITANCE TAX ,, - NFORMATION NOTICE FILE N0. 21 '~ ,' BUREAU OF INDIVIDUAL TAXES "° ~ , ,~ ~ t ~~J ~'; ;- ,~- -~ ~,, /~' /~ Po Box 280601 pennsylvarna r;r~» -~`~- ~ ` ,,r ~'~~.~~ ND ACN 1215172b "V HARRISBURG PA 17128- 0601 DEPARTMENT OF REVENUE ~)~ L~C~,.% '"' ~ ~ 1 /tX'P' tY ~R R E S P 0 N S E ..--, ':~~-v DATE 09-18-2012 REV-1543 EX AFP C05-11) t:' ~,s r 11 ~~~ '~ E~T. OF PATRICIA M GOWER /\/`~Jjjf~~'\jyf{(~'~ _ -' _ ~r, ~,...,,, f, r DATE OF DEATH 04-23-2012 C~J~~~' n~,~ r~,~~' COUNTY CUMBERLAND ~~1 ~tJ. PA REMIT PAYMENT AND FORMS T0: PAUL W GOWER REGISTER OF WILLS 33 PINE RIDGE CIR 1 COURTHOUSE SQUARE ENOLA PA 17025-205b CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS CHECKING TRUST CERTIF. METRO BAN K 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. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 512065301 Date O1 - 02- 1992 To ensure proper credit to the account, two Established copies of this notice must accompany Account Balance 3 493.07 payment to the Register of Wills. Make check ~ payable to "Register of Wills, Agent". Percent Taxable X 50.000 NDTE: If tax payments are made within three Amount Subject to Tax $ 1 , 746.54 months of the decedent's date of death, Tax Rate X ~ 1 rj deduct a 5 percent discount on the tax due. Any inheritance tax due will become delinquent Potential Tax Due $ 261 .98 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 0 N E an official assessment will be issued by the PA Department of Revenue. 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. ~ The above information is incorrect and/or debts and deductions were paid. Complete PART 2~ and/or PART IJ below. PART If indicating a different tax rate, please state OFFLCIAL- USE ONLY ~ AAF relationship to decedent: 2^ PA DEPARTMENT OF REVENUE TAX RETURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS pqD LINE 1. Date Established 1 1 2. Account Balance 2 $ 2 3. Percent Taxable 3 ~ 3 4. Amount Subject to Tax 4 $ 4 5. Debts and Deductions 5 ~j 6. Amount Taxable 6 $ 6 7. Tax Rate 7 X 7 8. Tax Due 8 $ $ PART DEBTS AND DEDUCTIONS CLAIMED 0 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 '~~ 7 ) ~ ? Z ~ ~~U 9 ZK ~Z. ~~ ~ ~~i WORK ( ) TAXPAYER SIGNATURE TELEPHONE NUMBER DATE TOTAL CEnter on Line 5 of Tax Computation) $ ~~ ~. ~ ,,~ 1- ~~ ~ ~w+y . ^„I~ b ••^ %~ 3 ~ ~~ ~'~~ ,~i f, ~'r'^t ~„ ~~ ,~.} r~. ~ -r. .... ...., sa:~ '~ t h, ~ vry ., ,..~--..,~ ~ ~ '~~ 1 ~ ~ti~~, ~. f. ~./ .~ ~/ ~ i f i ..'t t_1. .~ t r ~...1-- ~ 'V . j~,l `J •r~: ' l J~ T. V v ~~ ~ _ u SUN ~~ ,~ 't3 ~ tea- o~$ .~ .~ ~a~ a~w ~~ ~ ~ ~ ~