HomeMy WebLinkAbout12-07-05
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
REED JOYCE A
3 W LAWN CIR
WORMLEYSBURG, PA 17043
_____n_ fold
ESTATE INFORMATION: SSN: 207-07-7089
FILE NUMBER: 2105-1064
DECEDENT NAME: SANDERSON VIOLA L
DATE OF PAYMENT: 12/07/2005
POSTMARK DATE: 12/06/2005
COUNTY: CUMBERLAND
DATE OF DEATH: 03/11/2005
NO. CD 006073
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $81.70
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS:
CHECK# 2793
SEAL
INITIALS: JA
RECEIVED BY:
REGISTER OF WILLS
$81.70
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
*'
INFORMATION NOTICE
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FILE
ACN
DATE
NO. 21 05 - 1fJL,c{
05152268
11-25-2005
-E1;TfI6~:JtI:tLA L SANDERSON
S.S. NO. 207-07-7089
~l5A:I$:OF DEATH 03-11-2005
'CQUNl'Y:~'; CUMBERLAND
TYPE OF ACCOUNT
D SAVINGS
[i] CHECKING
D TRUST
D CERTIF .
JOYCE A REED
3 W LAWN CIR
WORMLEYSBURG PA 17043
REHIT PAYHENT AND FORHS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
SOVEREIGN BANK has provided the Departllent with the inforllation listed below which has been used in
calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a joint owner/beneficiary of
this account. If you feel this information is incorrect, please obtain written correction from the financial institution, attach a copy
to this forll and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth
of Penn~ylvania_ Questions lIav be answered bv calling (717) 7~7-83Z7.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 1051081246 Date 03-26-2003
Established
Account Balance
Percent Taxable
Amount Subject to
Tax Rate
Potential Tax Due
x
3,631.24
50.000
1,815.62
.15
272 . 34
TAXPAYER RESPONSE
To insure proper credit to your account, two
(2) copies of this notice lIust accompany your
paYllent to the Register of Wills. Make check
payable to: "Register of Wills, Agent".
x
NOTE: If tax payments are made within three
(3) months of the decedent.s date of death,
you may deduct a 5% discount of the tax due.
Any inheritance tax due will becolle delinquent
nine (9) months after the date of death.
Tax
PART
[!]
[CHECK ]
ONE
BLOCK
ONLY
A. [] The above inforllation and tax due is correct.
1. You lIay choose to remit payment to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest, or you may check box "A" and return this notice to the Register of
Wills and an official assessment will be issued by the PA Departllent of Revenue.
B. [] The above asset has been Dr will be reported and tax paid with the Pennsylvania Inheritance Tax return
to be filed by the decedent.s representative.
C. ~The above inforllation is incorrect and/or debts and deductions were paid by you.
~ You must cOllplete PART ~ and/or PART ~ below.
PART If you indicate a differentjlax rate, please state your
~ relationship to decedent: DeL U j J.i -t-e R
TAX RETURN - COMPUTATION OF TAX ON JO~NT/TRUST ACCOUNTS
LINE 1. Date Established 1 /J1 a Ie. e,b.2. 4. , 1-. DC> 3
2. Account Balance 2 :3. "" '3 /. ^ ~
3. Percent Taxable 3 X CjO.t:Joo
4. Amount Subject to Tax 4 I) ~ /.5. to:J..
5. Debts and Deductions 5 ---
6. Amount Taxable 6 I . 8" I 5 r lc;J,
,
7. Tax Rate 7 X , 0 1/ .E;
8. Tax Due 8 '8" J, 'JD
PART
[!]
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
PAYEE
DESCRIPTION
AMOUNT PAID
I
TOTAL (Enter on Line 5 of Tax Computation)
l
$
declare that the facts I
nd belief.
have reported above are true, correct
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