The URL can be used to link to this page

Home My WebLink About09-07-12COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1]128-0801 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT RICKARDS JOHN G 7 ALEXANDRIA CT MECHANICSBURG, PA 17050 REV-1162 EX111-981 NO. CD 016480 ACN ASSESSMENT AMOUNT CONTROL NUMBER -------- rola ESTATE INFORMATION: SSn1: 172-52-2181 FILE NUMBER: 2112-0663 DECEDENT NAME: RICKARDS JUDY M DATE OF PAYMENT: 09/07/2012 POSTMARK DATE: 09/06/2012 COUNTY: CUMBERLAND DATE OF DEATH: 03/20/2012 12142509 ~ 521.46 TOTAL AMOUNT PAID: REMARKS: SEAL CHECK#1297 INITIALS: CJ RECEIVED BY: 521.46 GLENDA FA,RNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS BUREAU OF INDIVIDUAL TA%ES • PD BOX 280601 pennSy~r HARRISBURG PA 17I28-a6a1 DEPRPTMENT DFH REY-1543 E% RiR PENNSYLVANIA INHERITANCE TAX ~ , ~ `, I~!~,EQRMATION NOTICE FILE N0. 21 12-0663 ~,L~s~,~~P\~iQf'Vr AND ACN 12142509 Ali y!„~TIp AYER RESPONSE DATE o7-26-2012 ~fi12 SEP--1 Pt1 {21,06 ~~~-~ - EST. OF JUDY M RICKARDS SSN 172.52-2181 ~~~t,1~.:-~ r DATE OF DEATH 03-20-2012 ~U~~r3A COUNTY CUMBERLAND Cl , ~., PA REMIT PAYMENT AND PDRMS T0: GARTH A RICKARDS REGISTER OF WILLS 7 ALEXANDRIA CT 1 COURTHOUSE SQIJARE MECHANICSBURG PA 17050-8224 CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS ® CHECKING TRUST CERTIF. FULTON BANK NA provitletl the deDa rtment with the information bel ou, which was used in calculating the inheritance tax due. Re<ortls intlicate that at the death of the above-named tlecetlent, you were a joint owner/beneficiary of this account. If you are the SpDUSe 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 debartment of your relationship to the deceased by checking Box C in PART 1 below and wri ting "spouse" in PART 2. If you believe the information is incorrect, please obtain written correction from the financial insti tuts on, attach a copy to this form and return it to the above atltl recs. Please call 717-787-8327 with cuest7 on s. COMPLETE PART 1 BELOW ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account Np. 3623-70 662 Date 01-02-2010 To ensure proper credit to the account, two Established copies of this notice oust accompany payment to the Raei stet of Wills. Make check Account Balance 953.95 payable to "Register of Wills. Avant". Percent Taxable X 50.000 NOTE: If tax payments are made within three A mOUnt Subdect LO Tax $ 476.98 nonths of the decedent's tlate of death, Tax Rata X .045 tlatluc4 a E. percent tli scounk on the tax due. Arty inherit ante 4ax due Rill become delinquent Potential Tax Due $ 21.46 nine nonths after the date of death. PART TAXPAYER RESPONSE 0 A. ~ The above information and tax duo is correct. Resit Pavn ant to the Register of Wills with two co0iea of this notice to obtain a discount or avoid interest, or return this notice to the Register of Wills and CHECK r an official assessment Rill be issued by the PA Depa rkmenk of (Revenue. I ONE L BLOCK g. ~ the above asset has been or Rill be repo rtad antl tax Oaitl Rith the Pen nsvlvania inheritance tax return ONLY filed by the estake representative. L. ~ The above informs Son is incorrect and/or debts antl deductions ware Paid. Complete PART 2~ and/or PART ~ below. PART If indicating a different YaX rate, please Stake relatipnship to decedent: TAX RETURN - CALCULATION LINE 1. Date Established 2. Account Bolan<e 3. Percent Taxable 4. Ampunt Subject tp Tax 5. Debts antl Deductions 6. Amount Taxable 7. Tax Rate e. Tax Due PART DATE PAID PAYEE OF TAX ON JDINT/TRUST ACCOUNTS 1 2 +~ 3 X 4 5 6 $ 8 DEBTS AND DEDUCTIONS CLAIMED DESCRIPTION AMOUNT PAID WORK CI/7 ) Under penalties of par ry, I declare that the facts I re portetl above are true, correct and complete to ~e of my edge andbelief. unur r7/7 i 'I/L -~Ti 7~ 7 r°' ~~ ~~, r~ {"~ '~~a Y~~ ~~ ~~s d; x2r ~--_. ~~ ~ ~ j ~-... +~..~ d a h ~ "'".ca O --t `. V 1 -~,.. ~ .n ~ ~~ • .~ a ~ s ~ ~J 1r o ~~ ~. w ~ ~~~ Ta ~On ~'y, 1 1 t~~l ~~ 4 t~ .`a' \~