HomeMy WebLinkAbout09-15-06
COMMONWEALtH OF PENNSYLVANIA
DEPARTMENT 'OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. Z80601
HARRISBURG, PA 171Z8-0601
. .I~~~MATION NOTICE
f\. (\~ I 1- \ i,.. AND
'Y('L,~L~: 2 ~rl~~~AYER RESPONSE
IEY-1&45 EX AfI,::<riL.l.; ,'~ , ' , . . ,
FILE NO. 21 06-0612
ACN 06145919
DATE 09-07-2006
SARA J PHILLIPS
10 JEFFREY RD
MECHANICSBURG PA 17050
(SEP \ 5 AM \\: 23
ZOOo EST. OF ROBERT L RATHFON
. ~_ S.S. NO. 171-38-8698
o~f~:~f~~OUR~F DEA~UM:~;~~~~006
CU:,;" ",\ REMIT PAYMENT AND
REGISTER OF WILLS
CUMBERLAND CO COURT
CARLISLE, PA 17013
TYPE OF ACCOUNT
D SAVIN8S
Ii] CHECKINS
o TRUST
D CERTIF.
FORMS TO:
HOUSE
M & T BANK has provided the DlIparu-nt "ith the infoMllltion listed b81_ which hes been used in
calculating the potential tax due. Their records indicate that at the death of the above decedent, YOU ".re a joint o"ner/beneficiary of
this account. If YOU feel this inforntion is incorrect, please obtain "ritten correction frDII the fin....cial institution, attach a copy
to this fonl and return it to the lIbove address. This account is taxable in accordance "ith the Inheritance Tax LlINs of the ClIIIIIon"ealth
of Pennsylvania. 'Questions ny be an....nld by calling (717) 787-8327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 70389535 Date 10-28-1975
Est_lished
Account Balance
Percent Tax_le
AIIou1t Subject to
Tax Rate
Pot...Ual Tax Due
x
923.89
50.000
461. 95
.045
20.79
TAXPAYER RESPONSE
To insure proper credit to your account, two
(Z) copies of this notice .ust accDllpany your
pa~ent to the Register of Wills. Make check
payable to: "Register of WillS, Agent".
x
NOTE: If tax pay.ents are nde "ithin thrll8
(3) 80nths of the decadent's date of death,
you ny deduct a 5% discount of the tax due.
Any inheritance tax due "ill becDll8 delinquent
nine (9) aonths aftar tha data of death.
Tax
PART
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ilt-'R:.:__~o,,,-'-'lc"'-';'li=-'!:4-=c~~_.-,",_--_,.-y,"'--"--Y.~~. ..""v,... "'_--r:_~"'_:v,o'i.,~~~.JE-_i!i-, oc_- "_'W~_ ,-en; "~~n:-j;_".-V4..,,",_ -'W._'ll-""--7"~-"'_~_fr_""""_--c __" ;:,_. CU',," "'-n~ _ }b-,",""'_' _- --.iE,r.': ._"'._ f-~,_-",,,.,,.. .-".,,:'l:""'''''_ . di,"il:~
11-1-..... -_,",...~~.......;.._"tt'_-..r-....,..:.rH';.f',,:.r_ '_"';"'_,.._~'-I;..;41.;:..n.:___...._ .____~:1::C'1.::r_-.._..M'f;..M~ .- ..:..::l.;:1..::.<-:..,'.w_....-u.:1;......v....l..-..nn.n-...if_'iJ ~-..;..r........,.;..;..r..,-...j.;~-:.......'ii.....:.w.-...-;n.~:nt'...:.r_~....:ti.'"'~~i-H:f__;.r_.._,_ ~+ .~_4+'................."'l.t'-~_ "f_..."lf'.I"__.
A. IVr The above inforntion and tax due is correct.
Il!tI-l. You .ay choose to r_it pay..nt to the Register of Wills "ith two copies of this notice to obtein
a discount or avoid interest, or you aay check box "AR and return this notice to the Register of
Wills and an official assesSllent "ill be issued by the PA Dapartaant of Revenue.
[CHECK ]
ONE
BLOCK
ONLY
B. D The above aSSllt has been or "ill be reported and tax paid "ith the Pemsylvania Inheritance Tax return
to be filed by the decedent's rapreSllntative.
C. D The above inforntion is incorrect and/or debts and deductions "ere paid by you.
You .ust coaplete PART I!J and/or PART @J belo".
PART
~
TAX RETURN -COMPUTATION OF TAX ON
LINE 1. Date Established 1
2. Account Belance 2
3. Percent Texable 3 X
4. Allount Subject to Tax 4
S. Debts and Deductions S
6. AIIount Tax8ble 6
7. Tex Rate 7 X
8. T~Due 8
JOINT/TRUST ACCOUNTS
If you indicate . different tax rate, please state your
relationship to decedent:
PART
I!]
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
PAYEE
DESCRIPTION
AMOUNT PAID
I
TOTAL (Enter on Line S of Tax C~tation)
I
.
Under penalties of perjury, I declare thet the
c~lete to the best of IIY knowledge and belief.
4'~ () ~I M~/
~S F
facts I have reported above ere truel correct Wld
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
PH I LLI PS SARA J
10 JEFFREY RD
MECHANICSBURG, PA 17050
-------- fold
ESTATE INFORMATION: SSN: 171-38-8698
FILE NUMBER: 2106-0612
DECEDENT NAME: RA THFON ROBERT L
DA TE OF PAYMENT: 09/15/2006
POSTMARK DATE: 09/14/2006
COUNTY: CUMBERLAND
DATE OF DEATH: OS/27/2006
REMARKS:
CHECK# 5907
SEAL
ACN
ASSESSMENT
CONTROL
NUMBER
06145919
TOTAL AMOUNT PAID:
INITIALS: JA
RECEIVED BY:
REGISTER OF WILLS
REV-1162 EX(11-96)
NO. CD 007207
AMOUNT
$20.79
$20.79
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS