HomeMy WebLinkAbout08-12-05
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
CAMPBELL JOHN L
13 RANDI ROAD
ENOLA, PA 17025
~__nn_ fold
ESTATE INFORMATION: SSN: 177-24-5425
FILE NUMBER: 2105-0514
DECEDENT NAME: TROUP SHIRLEY L H
DATE OF PAYMENT: 08/12/2005
POSTMARK DATE: 08/11/2005
COUNTY: CUMBERLAND
DATE OF DEATH: OS/20/2005
NO. CD 005682
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
05138444 I $397.00
I
I
I
I
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TOTAL AMOUNT PAID:
$397.00
REMARKS: J L CAMPBELL
CHECK# 526
SEAL
INITIALS: VZ
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
COMMONWEALTH Of PENNSYlVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG~ PA 17128-0601
'* INFORMATION NOTICE
r ~rr r rcAND
,,,CCF:DcDt\Aj{~YER RESPONSE
,',' ",' II \ '
FILE NO. 21 05-0514
ACN 05138444
DATE 08-10-2005
TYPE OF ACCOUNT
2GGS we \ 2 f.\.tlh .2~F SHIRLEY L TROUP 0 SAVINGS
S.S. NO. 177-24-5425 IiJCHECKING
C', Ccc'(, CCDATE OF DEATH 05-20-2005 0 TRUST
rpr{'--- CC<:l)\fNTY CUMBERLAND 0 CERTIF.
~, , . r\
C!;' , REHIT PAYHENT AND FORHS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
If:V-1545 Ell UP u.,.,~~
JOHN
13 RANDI
ENOLA
L CAMPBELL
RD
PA 17025
PNC BANK has provided the Depart.ent with the inforal!lUon listed below which has been usacl in
calculating the potential tax due. Their records indicate that at the death of thB above dacedent~ you were a joint owner/beneficiary of
this account. If you fael thIs infor~tion is incorrect, please obtain writtan corraction fro. the financil!ll institution, attach a copy
to this fora and return it to the above address. This account is taxable in accordance with the Inherit1!ll1C8 Tax lINS of the COUlOnNealth
of Pennsylvania. Questions may be answered b~ ealling (717) 787-8327.
COMPLETE PART 1 BELON
Account No. 5140065052
. SEE 8eVERSE SIDE FOR FILI~G AND ,AYMENT INSTRUCTIONS
Oat. 03-01-1962
Established
To insure proper credit to your account~ two
(2) copies of this notice .ust BCC~pany your
pay.ent to the Ragister of Wills. Make check
payable to: "Register of Wills~ Agantn.
. .
Account Balance
Percent Taxable
AlIOunt Subject to Tax
Tax Rate
Pot.ntial Tax Due
x
x
NOTE: If tax paYllents are .ad. within thres
(3) .onths of the decedent"s data of death,
you ny deduct I!I 5% discount of the tax due.
Any inhtlritance tax due ..Ul beco.e dsUnquent
nine (9) aonths I!Ifter the date of death.
",,~;!~1!.II.r~1m.[.!!f.:~!
PART
[!]~._I~m16~~~~
A. he above infor.ation and tax due is correct.
1. You lIay choose to r.it pay.snt to the Register of Wills with two copies of this notice to obtain
B discount or avoid intsrBst, or you ~y check box RAn and return this notice to the Register of
Wills and an official assessnent will be issued by tha PA Departaent of Revenue.
[CHECK ]
ONE
BLOCK
ONLY
B. D The ebovs asset has been or will be reported and tax paid with the Pennsylvania Inhsritance Tax return
to bfiI filed by the decadent's representative.
C. D The above infor.ation is incorrect and/or debts I!Ind deductions were paid by you.
You .ust cOllplste PART 0 and/or PART @J below.
If you indicat. a different tax ratel please state your
relationship to decedent:
PART
~
TAX RETURN - COMPUTATION OF TAX ON JOINT'TRUST ACCOUNTS
lINE 1. Oat. Establt~d 1
2. Account Balance 2
3. Percent Taxable 3 X
4. Amount Subject to Tax 4
5. Debts and Deductions 5
6. A.ount Taxable 6
7. Tax R.t. 7 x
8. Tax Dull 8
DEBTS AND DEDUCTIONS CLAIMED
PART
[!J
DATE PAID
9//'/"1
PAYEE
DESCRIPTION
I
TOTAL (Enter on line 5 of Tax Co~tation)
facts I
I
$
AMOUNT PAID
~".'l6 0
AX
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