HomeMy WebLinkAbout11-23-13 COMM4NWEAlTH 4F PENNSYI.VANiA REV-11$2 EX{51-$81
DEPAPtMENT OF flEVENUE
BUNEAU OF INDIVIDUALTA%ES
DEPT.280801
HApRiS&JHG,PA 1712&-080t
PENNSY�VANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 01 $310
WI�i` TYLER D
594 BELLE VISTA DRIVE
ENOLA, PA 17025
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
------- �o�d
13151864 � 516.15
ESTATE INP4RMATION: sSN: � �
FILE NUMBER: 21 1�-1 128 I
aECEQEn�T NAMe: WILT TERE�A � j
DATEOFPAYMENT: 10/25/2013 I
POSTMARK DATE: 1012�I2013 �
COUNTY: CUMBERLAND j
DATE OF DEATH: 09j21/2013 �
(
TOTAL AMClUNT PAlD: 516.15
REMARKS:
CHECK# 133
iNIT1ALS: DB1
SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
HEGISTER OF WILLS
sutFwu oF [HOtvtow� rnuES Pennsylvania lnheritance Tax � pennsylvania
Po eox zeosoi ��� DEPARTMENT OF REVENUE
INRRISlURG P� 17128-06 0 1 Information Notice
PEY��56�FR OocE[EC (�l�13)
And Taxpayer Response FILE NO.21 – �3-112�
ACN 13151664
DATE 10-03-2013
Type of Account
Estate of TERESA L WILT Savings
SSN Checking
Date of Death 09-21-2013 � �--'- st
TYLER D WILT CountyCUMBERLAND c �� C�rtificate
594 BELLE VISTA DRIVE . :�'";: o ,_, � c�
ENOLA PA 17025 c-� .. c-, _ o
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MEM3ERS isr vcu provided the department with the information below indicating that at the death of the
above-named decedent u were a'oint owner or beneficia of the account iderttified.
RemR Payment and Forms to:
Aceaunt No.2i4996 �
Date EshblhMd W-17-2010 REGISTER OF WIlL3
Account Balance $7�7,7g 1 COURTHOUSE SWARE
Percent TaxaWe X 50 CAIiLISLE PA 17013
Amount Subject to Tax $358.88
Tau Rate X 0.045 NOTE": If tax payments are made within three months of the
Potential Tax Due $16.15 decedent's date of death,deduct a 5 percent discount on the tax
With 59'o Discount(Tax x 0.95) $(see NOTE') due. Any inheritance tax due will become delinquent nine months
atter the date of death.
PART StEp 1 : Please check the appropriate boxes below.
� —
A �No tax is due. 1 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 chedr any other boxes and disregard the amount
shown above as PotenNal Tax Due.
g �The information is The above information is correct, no deductions are being taken,and payment will be sent
conect. with my respons
P o Stap 2 on reverse. Do not chedc any other 6oxes.
� �The tax rate is incorrect. 4.5% I am a lineal beneficiary(parent,child,grandchild,etc.)of the deceased.
(Select correct tau rate at
right,and compiete Part � 12°/, I am a sibling of the deceased.
3 on reverse.)
� 15% 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 peK 3 as appropriate on the back of this fomt.
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 tau form Retum filed by the estate representative.
REV-1500. Proceed to Step 2 on 2verse. Do not check any other tbxes.
Please sign and date the back of the form when finished. ``n�
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