HomeMy WebLinkAbout08-03-05
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
HEWETT NANCY L
507 E KELLER STREET
MECHANICSBURG, PA 17055
___n~n fOld
ESTATE INFORMATION: SSN: 195-28-0993
FILE NUMBER: 2105-0694
DECEDENT NAME: WIBLE SARA L
DATE OF PAYMENT: 08/03/2005
POSTMARK DATE: 08/02/2005
COUNTY: CUMBERLAND
DATE OF DEATH: 03/19/2005
NO. CD 005648
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
05135062 I $157.93
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TOTAL AMOUNT PAID:
REMARKS: N W HEWETT
CHECK# 2504
SEAL
INITIALS: VZ
RECEIVED BY:
REGISTER OF WILLS
$157.93
GLENDA FARNER STRASBAUGH
REGISTER OF WillS
COMMDHWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
~ 0~~~~~~R~fNODN NOTICE
~..~~~~T~A'~~R RESPONSE
FILE
ACN
DATE
NO. 21 - D5-l991
05135062
07-27-2005
RE\l-n.uEIAFPcOf-!HJ
TYPE OF
1""5 r\Ii" -3 PH \Z: 24
_UJ. ,... ~ EST. OF SARA L WIBLE
..5.S. NO. 195-28-0993
CLEF:K 9~.4'l'E OF DEATH 03-19-2005
eee' '. cdUtin CUMBERLAND
I :-!"',
ACCOUNT
o SAVINGS
IX] CHECKING
o TRUST
o CERTIF.
FORI1S TO:
r'\ ',' I
'-..}I
NANCY L HEWETT
507 E KELLER ST
MECHANICSBURG PA 17055
REHIT PAYHENT AND
REGISTER OF WILLS
CUMBERLAND CO COURT
CARLISLE, PA 17013
HOUSE
PNC BANK has provided the Depar-blent with the inforllBtion listed below which has been used in
calculating the potential tax due. Their- r-ecords indicate that at the death of the above decedent, YOU w.re a joint owner/beneficiar-y of
this account. If you feBI this info~tion is incorr-ect, please obtain written correction fro. the financial institution, attach B copy
to this for. and return it to the above address. This account is taxable in accordance with the Inher-itance Tax Laws of the COII80llNealth
of Pennsylvania. Questions 8IIy be anSNared by calling (717) 7&7-&327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 5070054322 D.t. 03-01-1980
Est"'Ushed
Account Balance
Percent Taxable
Amount Subject to
Tax Rat.
Potential Tax Du.
x
Tax
x
To insur-e proper- credit to your account, two
(2) copies of this notice alst aCCOllpBny your
pBy.ent to the Register of Wills. Make check
payable to: -Register of Wills, Agent-.
NOTE: If tIIx PBYllents are .lIde within three
(3) .onths of the dBcedent.s date of dBath,
you .ay deduct a 5;( discount of t:he tax due.
Any inheri tBnce tl!Ix due ,,111 becOlKl delinquent
nine (9) .onths after- the date of death.
[CHECK ]
ONE
BLOCK
ONLY
A. D ThB above infor.ation and tax due is carr-ect.
1. You 8ay ChOOSB to r-e.it pay.ent to the Register- of Hills with two copies of this notice to obtain
a discount or avoid interest, or yoU .ay check box -A_ and retur-n this notice to the RegistBr of
Wills and an official assess.ant will ba issued by the PA Depar-teent of Revenue.
B. D The above assBt has been or will be r-eported and tax paid with the Pemsylvl!ll'1ie Inheritance Tax r-eturn
to be filed by the deC8dent"s representative.
C. ~ ThB abOVB inforllat1on is incor-rect and/or debts and deductions wer-e paid by you.
You IlUst cOllpletB PART 0 and/or- PART [!] beION.
If you lndlcate a different t.~tel p~a~ state your
relationship to decedent: . ~~ y-
PART
~
TAX RETURN - COMPUTATION
LINE 1. Oat. Estob1ishBd
2. Account Balance
3. Percent Taxabl.
4. A~nt Subject to Tax
.5. Debts and Deductions
6. AlIOUnt Taxable
7. T.x Rate
8. Tax Due
OF TAX ON JOINT/TRUST ACCOUNTS
1
2
3
~
5
6
7
8
x
x
It:;~.t~
, y.,
/67, 9 ~
DEBTS AND DEDUCTIONS
PART
[!]
DATE
PAYEE
CLAIMED
PAID
DESCRIPTION
AMOUNT PAID
I
TOTAL (Enter on Line .5 of Tax co.putatlon)
of per jury I I declare that the facts I
of my kno 1. and belief.
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