HomeMy WebLinkAbout08-30-06
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. Z80601
HARRISBURG, PA 171Z8-0601
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"'~'.-.~(\("\r~'ii,r~r.... ("[r!!';'- Ar
INFOR~A~~~l,:,~~icE
TAXPAYER RESPONSE
FILE
ACN
DATE
NO. 21 O~ - ''11
06143024
08-25-2006
REV-1545 EX AFP 119-011
c
I V\ i~ It'\.'! ~a.J..-Vl ~TYPE OF ACCOUNT
ES'J1 ,'!1):f,"MILDRED H LUNDY 0 SAVINGS
S.S. HO:YV.;r195-16-8656 Ii] CHECKING
DATE OF DEATH.. 07-02-2006 0 TRUST
COUNTY CUMBERLAND 0 CERTIF.
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
JUDITH I SNYDER
1301 EXCHANGE RD
MUNCY PA 17756
I1UNCY BANK & TRUST CO has provided the Departllent with the infanlation listed below which has bHn used in
calculating the potential tax due. Their records indicate that at the death of the above decedent, you wara a joint owner/benaficiary of
this account. If you fHl this inforeation is incorrect, please obtain written correction froe the financial institution, attach a COpy
to this fanl and return it to the above address. This account is taxabla in accordance with the Inheritanca Tax Laws of the CoallOnwealth
of Pennsylvania. Questions eay be answered by calling (717) 787-83Z7.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 1702971306 Oat. 03-05-2002
Established
Account Balance
Percent Taxable
A.ount Subject to
Tax Rate
Potential Tax Due
x
5,273.08
50.000
2,636.54
.045
118.64,:;:/)21)
TAXPAYER RESPONSE
To insure proper credit to your account, two
(Z) copies of this notice BUst accoapany your
payeent to the ter of Wills. Make check
0: "Register of 1
x
NOTE: If tax payeents are eade within three
(3) eonths of the decedent's date of death,
you ny deduct a SlC discount of the tax due.
Any inhefltaneB tax due wUl becoee delinquent
nine (9) eonths after the date of death.
Tax
PART
!!I
A. ~ The above inforntion and tax due is correct.
~l. You eay choose to r..it paY8llnt to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest, or you eay check box "A" and return this notice to the Register of
Wills and an official assasseent will be issued by the PA Departllent of Revenue.
[CHECK ]
ONE
BLOCK
ONLY
B. c=l 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 inforeation is incorrect and/or debts and deductions ware paid by you.
You eust coepleta 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 OF TAX ON JOINT'TRUST ACCOUNTS
LINE 1. Date Established I
2. Account Balance 2
3. Percent Taxable 3 X
4. A.ount Subject to Tax 4
5. Debts and Deductions 5
6. A.ount Taxable 6
7. Tax Rate 7 X
8. Tax Due 8
PAYEE
DESCRIPTION
AMOUNT PAID
I
TOTAL (Enter on Line 5 of Tax eo.putatlon)
penalties of perjury, I declare that the facts I
knowledge end belief.
I
.
correct and
- a%.2 "2-
&8'-;L'} -f) (p
DATE
COMMONWEALTH OF PENNSYLVANIA
DEPA.RTMEIH OF REVENUE
BUREAU OF II~DIVIDUAL TAXES
DEPT 280EOl
HARRISBURG. PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FI=iOM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
SNYDER JUDITH I
1301 EXCHANGE RD
MUNCY, PA 17756
- f.:;.ld
ESTATE INFORMATION: SSN: 195-16-8656
FILE NUMBER: 2106-0771
DECEDENT NAME: LUNDY MILDRED H
DA TE OF PAYMENT: 08/30/2006
POSTMAF:K DATE: 08/29/2006
COUNTY: CUMBERLAND
DATE OF DEATH: 07/02/2006
NO. CD 007163
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
06143024 I $112.71
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$112.71
REMARKS:
CHECI<# 1311
INITIALS: JA
SEAL
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
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