HomeMy WebLinkAbout07-23-13 BURFAU OF INOIVIOIML T�ES Pennsylvania lnheritance Tax � Pennsylvania
PO BOX 280601 DEPARTMENTOFREVENUE
IURRISBURG PA 1�128-0601 Information Notice 6i7 ,E�,�,a,E,p„E,E�,o.-,,,
And Taxpayer Response FILE NO.21 - �3--1g1�
ACN 13129856
DATE 06-19-2013
Type of Account
Estate of LOUISE H OYLER �Savings
SSN 186-24-9612 Checking
Date of Death 05-17-2013 Trust
■■ TAMMY POFFENBERGER CountyCUMBERLAND Certificate
4116 ROSEMONT AVE
CAMP HILL PA 17011-7817 � " "x
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MEMBERS isr Fcu provided the department with the information below indicating that at the death of the
above-named decedent you were a joint owner or beneficiary of the account identified.
RemR Payment and Forms to:
Account No.16131
Date Established 07-06-2012 REGISTER OF WILLS
Account Balance $2,022.97 1 COURTHOUSE SfiUARE
Percent Taxable X 33.333 CARLISLE PA 17013
Amount Subject to Tax $674.32
Tax Rate X 0.045 NOTE': If tau payments are made within three months of the
Potential Tax Due $30.34 decedenYs date of death,deduct a 5 percent discount on the tax
With 5%Discoun[(Tax x 0.95) $(see NOTE') ,��, $'� due. Any inheritance tax due will become delinquent nine months
aRer the date of death.
PART Step 1 : Please check the appropriate boxes below:
1
A �No tax is due. I am the spouse of the deceased or I am the parent of a decedent who was
21 years old or younger at date of death.
Proceed to Step 2 on reverse. Do not check any other boxes and disregard the amount
shown above as Potential Tax Due.
g�The information is The above information is corred, no deductions are being taken, and payment will be sent
correct. with my response.
Proceed to Step 2 on reverse. Do not check any other boxes.
� �The ta�c rate is incorrect. �4.5% I am a lineal beneficiary(parent,child,grandchild, etc.)of the deceased.
(Select correct tau rate at �`—�
right, and complete Part � �p�, I am a sibling of the deceased.
3 on reverse.)
� 15�o All other relationships(including none).
p �Changes or deductions The information above is incorrect and/or debts and deductions were paid.
listed. Complete Part 2 and part 3 as appropriate on the back o/this lorm.
E �Asset will be reported on The above-identified asset has been or will be reported and tax paid with the PA Inheritance Tax
inheritance tax form Return filed by the estate representative.
REV-1500. Proceed to Step 2 on reverse. Do not check any other bozes.
Please sign and date the back of the form when finished. �1,�
CoMMOMVEAITH OF PENNSYLVANIA REV-11&2 EX{��-96)
DEPARTMENT OFFEVENVE
BUREAU OF INDIVIDUALTAXES
DEPT,280601
HAFtAiS6VRG,PA 1 7 7 26-4801
PENNSYLVANIA
RECEIVED FROM: INHERITANCE ANp ESTATE TAX
OFFICIAL RECEIPT
NO. GD 01 ?924
TAMMY PCIFFENBERGER
4116 ROSEMON7 AVE
CAMP HILL, PA 17011-7$17
ACN
ASSESSMENT AMOUNT
CdNTROL
NUMBER
--------- --------
___"_"_, tob I
13129856 � 528,82
ESTRTE INFORMATION: ssN; �ss-2a-ss7z (
FILE NUMBER; 2113-0786 �
DECEC7ENT NAME: OYLER LOl11SE H (
DATE OFPAYMENT: 07/2�/2013 �
POSTMARK DATE: d7/2212013 �
CouN7Y: CUMB£RLAND �
DATE OF DEATH: 05/17/2013 �
(
TOTAL AMOUNT PAID: 528.82
REMRRKS: TAMMY L POFFENBERGER
CHECK# 5460
1NITIALS: DB1
SEAI RECENED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
FEGI57ER OF WILLS �
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