HomeMy WebLinkAbout08-25-06
COMMONWEALTH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
BUREAU OF INOIVIOUAl TAXES
OEPT. 280601
HARRISBURG, PA 17128-0601
'*'
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO. 21 06-0599
06142542
08-18-2006
REY-1545EX AFP (09-00)
L'J
CO)
A~RT T DISILVERIO
891~ HANNIGAN CT
TAMPA FL 33626
EST. OF IRMA M HOMER
S.S. NO. 187-14-1425
DATE OF DEATH 03-29-2006
COUNTY CUMBERLAND
TYPE OF ACCOUNT
D SAVINGS
[Xl CHECKING
D TRUST
D CERTIF .
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
p~c: BANK ,,-. has provided the Depart..nt with the information listed below which has been used in
calculating tNe-potential t&xdue. TheIr records indicate that at the death of the above decedent~ yoU were a ioint owner/bensficiary of
this account.~I~ you feel this infer.ation is incorrect~ please obtain written correction from the financial institution, attach a copy
to this for. and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Co..onwealth
of PennsYlvania. ~u8sti=ns may be answersd by calling (717) 787-8327.
COMPLETE PART 1 BELOW
Account No. 5140238216
J( J( J( SEE
Date
Established
REVERSE SIDE FOR
05-01-1979
FILING AND PAYMENT INSTRUCTIONS
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
x
7,724.83
50.000
3,862.42
.045
173.81
TAXPAYER RESPONSE
To insure proper credit to your account, two
(l) 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 gade 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 beeo.. delinquent
nine (9) months after the date of death.
PART
[!]
A.
[ CHECK ]
ONE
BLOCK B.
ONLY
c.
g The above inforllation and tax due Is correct.
1. You lIay choose to re.it payment to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest, or you may check box "An and return this notice to the Register of
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.
c=J The above infor_atian is incorrect and/or debts and deductions were paid by you.
You .ust cOllplate 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
@]
TAX RETURN - COMPUTATION
LINE 1. Date Established
2. Account Balance
5. 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
5
4
5
6
7
8
x
x
PAYEE
DESCRIPTION
AMOUNT PAID
I
TOTAL IEnter on Line 5 of Tax Computation)
perjury, I declare that the facts I
my knowledge and belief. HOME
I
$
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX111-96}
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
DISILVERIO ALBERT T
8916 HANNIGAN CT
TAMPA, FL 33626
-------- told
ESTATE INFORMATION: SSN: 187-14-1425
FILE NUMBER: 2106-0599
DECEDENT NAME: HOMER IRMA M
DA TE OF PAYMENT: 08/25/2006
POSTMARK DATE: 08/25/2006
COUNTY: CUMBERLAND
DATE OF DEATH: 03/29/2006
NO. CD 007146
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
06142542 I $173.81
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS: DISILVERIO ALBERT
CHECK# 3212
SEAL
INITIALS: CM
RECEIVED BY:
REGISTER OF WILLS
.
$173.81
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS