HomeMy WebLinkAbout02-07-14 COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE REV-1162 EX(11-96)
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG,PA 17128-0601
, PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 018740
RUSS JAMES L
49 ACRI MEADOW RD
ENOLA, PA 17025
ACN
ASSESSMENT AMOUNT
CONTROL
� NUMBER
-------- fald
14102545 � $204.46 ,
ESTATE INFORMATION: sstv: 210- I
FILE NUMBER: 2114-@� p���_,,,�� I
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DECEDENT NAME: RUSS DOROTHY R I
DATE OF PAYMENT: 02/07/2014 I
POSTMARK DATE: 02/07/2014 I
COUNTY: CUMBERLAND I
DATE OF DEATH: 05/10/2013 I
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TOTAL AMOUNT PAID: 5204.46
REMARKS:
CHECK# 137
INITIALS: HMW
sEA� RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS
BUREAU OF INDIVIDWL TAXES Pennsylvania lnheritance Tax � pennsylvania
PO BOX 280601
HARRISBlNi6 PA 17128-0601 Information Notice DEPARTMENT OF REVENUE
And Taxpayer Response RE"_'�3 Ex°°`�E``.°-'Z'
FILE NO.21•— �� I/�
ACN 14102545
DATE 01-17-2014
Type of Account'
Estate of DOROTHY R RUSS Savings
Chedcing
KAROL E I GH A R USS Date of Death 05-10-2013 T��
49 ACRI MEADOhI RD County CUMBERLAND Cer�ificate
ENOLA PA 17025-1902
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SANTANDER BANK provided the department with the inform�tion below indicating that at the d ath of t e
above-named decedent ou were a joint owner or beneficia of the account identified.
A���.14g»5 Rem�t Payment and Forms to:
Date Estatiiished p5.p4.2p11 REGISTER OF WILLS
Account Balance $2,72614 1 COURTHQUSE SQUARE
Percent Taxable X gp_, CARLISLE PA,17013 '�
Amount Subject to Tax $1,363.07
Ta�c Rate x�.y 50
Potentiat Tax Due � ` ` `
�20q,.,� NOTE": If tax payments are made wi#hin three months of the
With 5%o Discount(Tax x 0.95) ${see NOTE*) d��ent's date of deatM�deduc�:�5 peccent discount on the.tax
due. Any inheritance tax due will become`delinquent rti�e mbnths
after the date of death.
PA� St@p 1: Please che�k the ap ro riate boxe�
� P P .below.
A [��lo ta�c is due. i am the spouse a#,the deceased or 1 am th
21 years olc�or younger at date of death, e parent of a decedent who was
Proceed to St�ep 2 on r�everse. Do not check any other boxes and disr�egar�d the amount
` . show►►above as Potentia!Tax Due. �
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B ��tnfarma�- TFie abpve mforrriation is correct,no deducti4ns are being taken,and a ment will _ -���-- _ _
correct. with my response. P Y be sent -
Proceed to Step 2 on reverse. Do not check any other boxes.
C �The tax r�#s is i�correc#. � 4.5% I am a lineal beneficiary(parent,child,grandchild etc. of h _
(Select:�rrect tax rate a# , ) t e deceased. ..
right,and complete Part � ���o 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 aid. —
listed. Complete Part 2 and part 3 as appropriate on the back of this orm.
E �Asset.will be reported on The above-identified asset has been or will be reported and tax paid with the P�1 Ir�heritance Tax
inheri�tnce tax form Retum filed by the estate re�presentative.
REV-i 500. Proc,�eed to Step 2 on r�everse. Do not check any other boxes. —
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Please sign and date the back of the form when finished.