HomeMy WebLinkAbout06-06-05
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU Of INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
PHILIP G CUNIO
130 BROOKWOOD AVENUE
CARLISLE, PA 17013
uu_~n fold
ESTATE INFORMATION: SSN: 186-01-7298
FILE NUMBER: 2105-0508
DECEDENT NAME: CUNIO ALMA H
DATE OF PAYMENT: 06/06/2005
POSTMARK DATE: 06/03/2005
COUNTY: CUMBERLAND
DATE OF DEATH: 02/13/2005
NO. CD 005397
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
05121200 I $51.36
I
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I
I
I
I
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TOTAL AMOUNT PAID:
$51.36
REMARKS: P CUNIO
CHECK# 196
SEAL
INITIALS: VZ
RECEIVED BY:
REGISTER OF WillS
GLENDA FARNER STRASBAUGH
REGISTER OF WillS
C~ONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG~ PA 17128-0601
*'
INFORMATION NOTICE
AND
TAX~~V~~~~SPONSE
. ........,... \. i ''-h.. "_'
FILE
ACN
DATE
NO. 21-05-508'
05121200
05-31-2005
REV.l!i45 EIlAFP (It-OIl
TYPE OF ACCOUNT
2m JL.l -tj:s'PrI q~ ~MA H CUNIo 0 SAVINGS
S.S. NO. 186-01-7298 IX] CHECKING
C.:tE.T)l?'Ir~. DIF DEATH 02-13-2005 0 TRUST
ORPH:'Ir~,~l;:mtm- CUMBERLAND 0 CERTIF.
CUM"." REHIT PAVIIENT AND FORIIS TO:
REGISTER OF WILLS
CUMBERLAND CD COURT HOUSE
CARLISLE, PA 17013
PHILIP G CUNIo
130 BRooKWooD AVE
CARLISLE PA 17013
H & T BAt<< has provided the Depart.ent with the inforllation listed below 'which has been usBd in
calculating the potlllf1tial tax dUe. Their records lrxl!cate that at the death of the abOve decedent~ YOU were a joint owner/benefic1ar)' of
this account~ If !IOU feel this infcr.atlon is incorrect, plaaslII obtain written correction fro. the fln...cial institution, attach II copy
to this for-. and return it to the above address. This account is taJ(Bble in accordance with the Inheritance Tax Laws of thII COllllllonwealth
of PennsYIVlllnill. Questions IIBY b8 ..,s_r8d W _11ina (717) 787-8321.
COMPLETE PART 1 BELOW
Account No. 8892404628
. SEE REVERSE SIDE FOR
Data 08-10-2002
Established
. .
FILING AND PAYMENT INSTRUCTIONS
To insure proper credit to your account~ twa
(2) copIes of ~15 notice .ust acc~an)' your
P8!1'Mmt to the Raolster of Wills. Mue chllCk
pSYllble to: ~Register of Wills, Agentn.
Account: Balance 2 I 282 . 52
P.rc....t Taxabla K 50.000
A_unt Subject to T.x 1,141. 26
Till( Rat. K .045
Pot.ntial Tax Due 51 .36
PA~ TAXPAYER RESPONSE
[!]i",iU,!~Jill.~IB.~-____I""_"'''
NDTE: If tax pay.ents lire IIIl1de within thrllB
(3) IKlnths of the decedent"s date of dBllth~
you RY deduct. 5% discount of the tax due.
Any inherItance tax due will bIIIco.e dIIl1nquent
nine (9) .anths after the dllte of death.
A. 0 The above infor_tion and tax dLlB is correct.
~ 1. 'tau .liIY choose to ralt paYlll8f1t to the Register of Wills with tNO capi.s of 'U1is notiClill to obtain
a discount or liIvoid interest~ or YOU ~Y check box nAn and return this notice to the Register of
Wills and an official assesSlllent will be issued bY the PA Depart.entof Revenue.
B. D The liIbOve asset has been or will be r8Portad and tax paid with the Penns~lvanla Inh.ritance Tax return
to ba filed by the decedent"s representative.
c. 0 The above infor_tion is incorrect and/or debts and deductions were paid by you.
'tau .ust coeplet& PART ~ and/or PART [!] below.
[CHECK ]
ONE
BLOCK
ONLY
PART
[!J
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Dat. E~tabljohod 1
2. Account Balance 2
3. Percent Taxable 3 X
4. AItount Subject to Tax 4
S. Debts and Deductions S
6. Allount raxllbl. 6
7. Tax Rai.. 7 X
8. Tax Due 8
If you indic.te a di ff.....nt t.x rat., please state your
r.l.tlonship to decadent:
PART
l!J
DATE PAID
AMOUNT PAID
PAYEE
DESCRIPTION
I
TOTAL lEnter on Line S of Tax Comput.tion)
perjury I 'I decla.... that the facts I
knowledge and b.lief.
I
.
hey. reported 8lboY8 .re true I corr.:t .-wi
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