HomeMy WebLinkAbout03-06-06
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
CHAIN VIRGINIA M
317 W CREEK RD
NEWBURG/ PA 17240
-------- fold
ESTATE INFORMATION: SSN: 135-44-5060
FILE NUMBER: 2106-0199
DECEDENT NAME: RAMSDEN LILLIAN E
DATE OF PAYMENT: 03/07/2006
POSTMARK DATE: 03/03/2006
COUNTY: CUMBERLAND
DATE OF DEATH: 08/09/2005
NO. CD 006403
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
06108034 I $109.56
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS:
CHECK# 3247
SEAL
INITIALS: MG
RECEIVED BY:
REGISTER OF WILLS
$109.56
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG~ PA 17128-0601
*'
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
ACN
DATE
FILE NO. 21 010 0 Jqq
06108034
02-22-2006
REV-15,,5 EX AFP (09-00)
j I I
TYPE OF ACCOUNT
EST. OF LILLIAN E RAMSDEN D SAVINGS
S. S. NO. 135-44-5060 [X] CHECKING
DATE OF DEATH 08-09-2005 D TRUST
COUNTY CUMBERLAND D CERTIF.
REHIT PAYHENT AND FORHS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE~ PA 17013
VIRGINIA M CHAIN
317 W CREEK RD
NEWBURG PA 17240
F & H TRUST has provided the Department with the information 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 form and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Commonwealth
of Pennsylvania. Questions may be answered by calling (717) 787-8327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 33-24729 Date 10-29-1996
Established
Account Balance
Percent Taxable
Amount Subject to
Tax Rate
Potential Tax Due
x
1~460.80
50.000
730.40
.15
109.56
TAXPAYER RESPONSE
To insure proper credit to your account~ two
(2) copies of this notice must accompany your
payment to the Register of Wills. Make check
payable to: "Register of Wi11s~ 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 become delinquent
nine (9) months after the date of death.
Tax
PART
[!]
A.
[ CHECK ]
ONE
BLOCK B.
ONLY
c.
~ The above information and tax due is correct.
1. You may 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 ~f
Wills and an official assessment will be issued by the PA Department of Revenue.
[] The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
to be filed by the decedent's representative.
[J The above information is incorrect and/or debts and deductions were paid by you.
You must complete PART ~ and/or PART ~ below.
If you indicate a different tax rate~ please state your
relationship to decedent:
PART
~
TAX
LINE
RETURN - COMPUTATION
1. Date Established
2. Account Balance
3. Percent Taxable
4. Amount Subject to Tax
5. Debts and Deductions
6. Amount Taxable
7. Tax Rate
8. Tax Due
OF TAX ON JOINT/TRUST ACCOUNTS
1
2
3 X
4
5
6
7 X
8
PART
@J
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
PAYEE
DESCRIPTION
AMOUNT PAID
I
TOTAL (Enter on Line 5 of Tax Computation)
I
$
Under penalties of perjury~ I declare that the facts I have reported above are true~ correct and
Z.on ete to the b~st,of ny ,oWledge aQ!I belief. HOME (0/>1L:<3-tf.'l.f"5' ,J'-3-;:tJ6
~ .~~)}p' ~~ WORK c') ,
TAXP SIGNATURE TELEPHONE NUMBER DATE
1""
....\
"',
\..,
...t.
i.1~
'"
i.;}
i.J
:"1
'...
I....
...-
:-
::::.
-:-
~
...
...
~
:.::.
...
...
:::.
..,
;::
::::.
...
...
....
...
~
::::.:
-:-
-:-
:.-
...
:::.
-;.....
------
. '\ II
,
~
\
\
\
~
~
~ ~,
\ ~
N~
~~~
k~~
,t ~ ~
~. ~
\j ~
~
~~
~ f'
~ ~
'v
:l.
,:'i '!.l.? :,~
\.jJ .
~J
'~ ~'i'
:~, V')
;'1J q~
#.. C.
t...J ~';
o ~~\
\") ;"."
\j-, ""f~J
'~ >~
,~ y.\.
\~ ~~t
'''"'
.---
---
~
~