HomeMy WebLinkAbout10-23-13 COMMONWEA�TN OF PENNSYIVANkA REV-11C)2 EJC{��-$8}
DEPARTMENT OFREVENVE
BUR6AU OF INDIVIDUAL TAXES
DEPT.280801
HARpiS6URG,PA 17126-0865
PENNSYLVANIA
RECEIVED FROM: INWERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 018309
WI�T TYLER D
594 BELLE VISTA 6RIVE
ENOLA, PA 17025
ACN
ASSESSMENT AM4UNT
CdNTRdI
NUMBER
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13151863 � 570.76
ESTATE ItV�ORMATI4N: SStv: � �
FILE NUMBER: 2113-1 128 �
DECEpEPIT IdAME: WI�T TERESA � �
DATEOFPAYMENT: 10/25/2013 �
POSTMARK DATE: 1 012 2/201 3 '
CouNTY: CUMBERLAND (
DATEOFDEATH: 09/21/2073 �
�
TdTAL AMC3UNT PAID: 810,76
REMARKS:
CHECK#732
IMTIALS: DB1
SEA� RECEIVED BY: GLENdA FARNER STRASBAUGH
REGISTER OF WILLS
REGIS7ER OF WILLS
BUREAU OF INDIViM1RL TAXES j s� pennsylvania
Po eax zeosoi Pennsylvania lnheritance Ta�c
141RRISBUItG P� }�128-0601 Informatian Notice ���1 QEPAR7MENT pF REVENUE
Arxi Taxpayer Response °EV•�ssa eK n.acKFC �re��a
FI�E NO..i�12� -13- � 1"2�
ACN 1315Y863
DATE 10-03-2013
Type of Accpunt
Esta[e of 7ERESA 1.WILT Savings
SSN Chedcing
Date ofi Death 09-21-20�3 'c: ;� Trust
TVLER p WILT CountyCUMBERLAND c� �^' m Certificate !.
594 BELI.E VIS7A DRIVE � c5 '- �? '
ENDIA PA 17025 �". %' ��`.'�� t/t �
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MEMYERS �,SF FCU p�nvided the department with the Information below indicating that at the death of#he
abave-named decedent ou were a 'oint owner or beneficia of the accaunt identified.
ac�um�o.xsases a�n nay�t�a�ofm�s to:
Date EstaWfsMed 10-?8-2006 REGISTER OF WILI.S
Accoun[Balance $478.36 1 COURTHOUSE 9QUARE
CARUS�E PA 1T013
Percenz Ta7cabie x so
Amount Subject to Tax $239.78
Ta�c Rate X 0.045
Potentiai Tax C?us �7p_7g NOTE': If tax payments are made within three months of the
decede�Ys date af death,deduct a 5 parceni discrount on the ta�c
Wkh 5°fo Discount(FaY x 0.95} ��S¢g NOTE`) due. Any inherita�e tax due wiN become delinquant nine months
after the date of death.
PART S`�8i? �: Pfease oheck the appropriate baxes betow.
1
�+ �Na tax is due. i am tlre x�ouse�of the decxassd or 1 sm tl�e parent af a decedent who was
21 year�c aid or younger at date of dasfh.
Prnc+sed to Step 2 on nsverse. Da not chedc any other boxes arrd disrogard the amount
shawn abov@ as Potenti�l Tax Due.
g informatian is The above infarmation is carzect,na daductions are t�ir�}taken,and payment wili be sent
corcect. with my response.
P Step 2 on reverse. Do not check any other boxes.
� �1'he ta�c rate is ir�atrect. 4.5°� I am a Iineal beneficiary{�ent,chiid,grandchiid„etc.)of tt�e c�cessed.
(SefeCt comect tax rate at .
right,and complete Part � y�, I am a sibling of the deceased.
3 on reverse.)
� 7 59', AII other re4ationships(includ'mg none}.
� ❑Changes or deductions The information above is incorrect and/or debts and deductions were paid.
listed. COmptete PaR 2 artd patt 3 as�ptoptiat8 on the b�k of fhis fotm.
E �Asset will be repqrted on The above-identlfied asset has been or will be reported and tguc paid with the PA Inheritance Tax
inhe�tance ta�c form Return fited by the estate r�resantative.
REV-1$00. Procaed to Step 2 ar reverse. Do nof ch�k s»y o#rer boxes.
Please sign and date the back af tl�e farm when finished. `
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