HomeMy WebLinkAbout07-05-06
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
INFORMATION NOTICE
nCrj-' AND
~,-:--, TAXPAYER RESPONSE
FILE
ACN
DATE
NO. 21 06-0384
06131017
06-30-2006
REV-1543 EX AFP [09'00)
EST. OF EVA R REEDY
S.S. NO. 201-16-5484
DATE OF DEATH 04-18-2006
COUNTY CUMBERLAND
TYPE OF ACCOUNT
o SAVINGS
[Xl CHECKING
o TRUST
o CERTIF.
THOMAS D REEDY
RR 4 BOX 4494K
DUNCANNON PA 17020
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
SOVEREIGN BANK 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. 0921712359 Date 1l-04-1997
Established
Account Balance
Percent Taxable
Amount Subject to
Tax Rate
Potential Tax Due
x
1,607.96
50.000
803.98
.15
120.60
TAXPAYER RESPONSE
To insure proper credit to your accountl two
(2) copies of this notice must accompany your
payment 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 become delinquent
nine (9) months after the date of death.
Tax
PART
[!]
The above information and tax due is correct.
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 of
Wills and an official assessment will be issued by the PA Department of Revenue.
[CHECK ]
ONE
BLOCK
ONLY
B. [] 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.
C. [] The above information is incorrect and/or debts and deductions were paid by you.
You must complete PART ~ and/or PART ~ below.
PART
@]
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
If you indicate a different tax rate, please state your
relationship to decedent:
PART
[!J
TAX RETURN - COMPUTATION
LINE 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
1
2
3
4
5
6
7
8
x
TAX ON JOINT/TRUST ACCOUNTS
x
PAYEE
DESCRIPTION
AMOUNT PAID
I
$
TOTAL (Enter on Line 5 of Tax Computation)
Under penalties of
complete to th~ of
, v'~""1/ I ~~
TAXPAYER SIGNAT E
perjury, I declare that the facts I
my knowledge and belief,
C~II
have reported above are true, correct
HOME 0/7 ) d'3'Y - 935Y
'WUR1\ ( 7/7 ) :;1/5 - V.J C"
TELEPHDNE NUMRFR
and
n^Ti:
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF Ir,DIVIDUAL TAXES
DEPT, 2'80601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REEDY THOMAS 0
RR 4 BOX 4494K
DUNCANNON, PA 17020
_____u_ fold
ESTATE INFORMATION: SSN: 201-16-5484
FILE NUMBER: 2106-0384
DECEDENT NAME: REEDY EVA R
DA TE OF PAYMENT: 07/05/2006
POSTMARK DATE: 07/03/2006
COUNTY: CUMBERLAND
DA TE OF DEATH: 04/18/2006
NO. CD 006917
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $120.60
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$120.60
REMARKS:
CHECK# 1969
SEAL
INITIALS: JA
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
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