HomeMy WebLinkAbout09-22-06
COMMONWEAL TH OF PENNSYLVANIA
DEPARTItENT OF REVENUE
BUREAU OF INOIVIDUAL TAXES
DEPT. Z80601
HARRISBURG, PA 171Z8-0601
'*
FILE
ACN
DATE
NO. 21 -;;:xpc- gt/.6
06147876
09-15-2006
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
REY-IS4S EX AFP 119-11)
TYPE OF ACCOUNT
EST. OF VIRGINIA RODDY D SAVINGS
S. S. NO. 195-14-0653 lXJ CHECKING
DATE OF DEATH 07-06-2006 D TRUST
COUNTY CUMBERLAND D CERTIF.
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
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FIRST NATIONAL SANK has provided the DepartHnt with the Inforllatlon listed below Whlchhas':='~ used~ i:;:{ :;7,
calculating the potential tax due. Their records Indicate that at the deeth of the above decedent, YOU were a40iR~~r~efic~~
this account. If YOU feel this infonllltion is incarrect, please obtain written correction frOll the financlallnffl~lon, attach I(.~
to this fore and raturn it ta the abave address. This accaunt is taxablll in accordancll with the Inheritancer~8WlI of ~ C~~
af Pennsylvanie. Questions _ be lUISWered by calling (717) 787-83Z7. :_....JC "__'"_,,;',___. "~
COMPLETE PART 1 BELOW. . . SEE REVERSE SIDE FOR FILING AND PAYMENT~NiTRUCT~NS L~~
Account No. 425427 Data 03-15-2006 To insure proper credit to your aq;,pnt, twa "T 1
Est_lishec:l (Z) copies af this notice .ust acca.pany yaur
payeant ta the Register af Wills. Make check
payable ta: RReglster of Wills, Agent".
DONALD L RODDY JR
2577 VALLEY RD
MARYSVILLE
PA 17053-9717
Account SallU1ce
Percent Texable
ADDUnt Subject to Tax
Tax Rate
Potential Tax Due
x
31,568.15
100.00
31,568.15
.045
1,420.57
TAXPAYER RESPONSE
NOTE: If tax pay.ents are .ade within three
(3) .onths of the decedent's date af death,
you .ay deduct a 5;( discount of the ux due.
Any inheritance tax due will becOlle delinquent
nine (9) .anths after the date of death.
x
PART
[!]
A.
[ CHECK ]
ONE
BLOCK II.
ONLY
c.
D The ebove inforeatlon and tax due is correct.
1. You .ay choose to re.lt pay.ent to the Register af WUls with tllD copies of this notice to obtain
a discount Dr avoid interest, ar yau eay check box "A" and return this notice to the Register of
Wills and en official assesseent will be issued by the PA Depart8ent af Revenue.
D The above asset has been Dr will be reported end tax paid with the PllnnsYlvania Inheritance Tax return
ta be filed by the decedent's representative.
~ The above Inforeatlon Is incarrect and/ar debts and deductions were paid by YOU.
You .ust coeplete PART ~ and/ar PART ~ below.
If you indicate a different tax rate, please stete your
relationship to decedent:
PART
~
TAX RETURN - COMPUTATION OF TAX ON JO NT/T U T ACCOUNTS
LINE 1. Date Established 1
2. Account Salanee
3. Percent Taxable
4. ADDUnt Subject to Tax
S, Debts end Deductions
6. AIIount Tax_Ie
7. Tax Rete
8. Tax Due
PART
I!]
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
PAYEE
DESCRIPTION
AMOUNT PAID
.
Under penalties of perjury, I declare that the fects I have reported above are truel,correct end
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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
NO. CD 007238
RODDY DONALD L JR
2577 VALLEY ROAD
MARYSVILLE, PA 17053
____n__ fold
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
06147876
$1,126.92
ESTATE INFORMATION: SSN: 195-14-0653
FILE NUMBER: 2106-0840
DECEDENT NAME: RODDY VIRGINIA
DATE OF PAYMENT: 09/22/2006
POSTMARK DATE: 09/21/2006
COUNTY: CUMBERLAND
DA TE OF DEATH: 00/00/0000
TOTAL AMOUNT PAID:
$1,126.92
REMARKS: DONALD L RODDY
CHECK#1034
SEAL
INITIALS: WZ
RECEIVED BY:
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS