HomeMy WebLinkAbout09-25-06
-
COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT NO. CO 007253
RODDY DONALD L JR
2577 VALLEY ROAD
MARYSVILLE, PA 17053
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
______n fold ---------- --------
06147877 I $4,376.67
ESTATE INFORMATION: SSN: 195-14-0653 I
FILE NUMBER: 2106-0840 I
DECEDENT NAME: RODDY VIRGINIA I
DA TE OF PAYMENT: 09/25/2006 I
POSTMARK DATE: 09/21/2006 I
COUNTY: CUMBERLAND I
DA TE OF DEATH: 00/00/0000 I
I
TOT AL AMOUNT PAID: $4,376.67
REMARKS:
CHECK#1033
INITIALS: JA
SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
I
I
.,:"
:-:::COhC:ED O=FJCE (T
'.:-:~! I
2005 SEP 25 Pr1 2: 0 I
/)J
CL~Pl r:J= VJ
!"""\''-'i~ 'i'''''i....... t. t:'-'.";~"~\l ~
o '""' .~ i' ,c " ", ,', j ....J:?,
'*"1 l~.l ," . (' 'CV ell
l.l,J' Z" \
rl ~
" tf)
"'"
~ :t
0-
Cl ~
tX
J
"',ca
(/) ~
I-ol UJ
rt tI)
" 'I"'f
C( r'J
1:
&
.:5
~~~B
~ " cf}
:3 9 ~
(J.. ~ ,.-
o~&
~ ..J ~J..i'
\;1~~
r3 ~ 61
jJJ j ;+,
ptO\J
r
M ;
VI l
~g'
't)~l"""'1
o
~~~
.:::l,:l..
~<<i ~
ou>d)
. _ S
'. t:n.....:;;
. J:ll' 0') ,
I (:>V1 >.
~N~f :
::E.
II, '1,>,
. .; - .
=:
..
-
:
..
-
-
..
:
=
..
-:
-
..
:
...
:
-
-
==
..
:
:;:
'"
-
-:
:
:
==
""':
..
..
=
-=
..
-
~
o
....
+
(I)
....
o
r--
....
COMMONWEALTH OF PENNSYLVANIA
IIEPARTtENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
*. r,\p:. \;-,,0 ~..M ! (l~~ATION NOTICE
, i 1,- . V IVL., AND
IC:.:;=, ;. ,(;rA~~}~YER RESPONSE
FILE NO. 21 OlD ~y()
ACN 06147877
DATE 09-15-2006
lEY-IS'. EX AFP lit-II>
** DONALD L RODDY JR
2577 VALLEY RD
MARYSVILLE PA 17053
200& SEP 2S PH 2: 0 I TYPE OF ACCOUNT
EST. OF VIRGINIA RODDY 0 SAVINGS
CLEq:< OF S.S. NO. 195-14-0653 D CHECKING
t'r! T:JJATE OF DEATH 07-06-2006 0 TRUST
,~./ '-"OtwNTY CUMBERLAND 00 CERTIF.
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLEI PA 17013
FIRST NATIONAL BANK has provided the Depart..nt with the infol"llation listed below which has b..n used In
calculating the potential tax due. Their records indicate that at the death of the above decedent, YOU were a joint owner/b8n&ficiary of
this account. If you f88l this Inforwatlon Is Incorrect, pI.... obtain written correction fr~ the financial institution, attach a copy
to this fonl and return it to the lIbave address. This account is taxable in accordance with the Inheritance Tax Laws of the C~lKInwealth
of PennsYlvania. Questions BaY be answered by ceIling (717) 717-1527.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 3064227 Date 06-23-2006
Established
1021378.25
100.00
1021378.25
.045
41607.02
TAXPAYER RESPONSE
AccoW\t Ballll1ce
Perclll1t TlIXBble
AmOW\t Subject to
Tax Rate
Potential Tax Due
x
To Insura proper credit to your account, two
(2) copias of this notice .ust accoapany your
paYBBnt to the Register of Wills. Make check
payable to: "Register of WUls, Agent".
x
NOTE: If tax paYJl8l1ts arB .ade within thr..
(3) IKInths of the d8cedent's date of death,
yOU ..ydeduct a 5% discount of the tax due.
Any inheritance tax due will bec~e delinquent
nine (9) IIOI1thS after the data of death.
TlIX
PART
[!]
A.
[ CHECK ]
ONE
BLOCK B.
ONLY
c.
~ The abova InfornUon and tax due is correct.
1. You Bay choose to r_it pay.ent to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest, or yOU ny check box "A" and return this notice to the Register of
Wills and an official assesSllent wUl be Issued by the PA Departaent of Revenue.
~ The above asset has b88n or will be reported and tax paid with the Pennsylvania Inheritance Tax return
to be filed by the decedent's repre..ntative.
~ The above Inforntion is incorrect and/or debts and deductions wera paid by you.
You BUSt coaplete PART [!] and/or PART ~ below.
If you indicate a differlll1t tax ratel plea.. state your
relationship to decedlll1t:
PART
~
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
PART
[!J
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Date Established 1
2. Account Balance 2
3. Perclll1t Taxable 3 X
4. Aaount Subject to Tax 4
S. Debts end Deductions S
6. AIIount Taxable 6
7. Tax Rate 7 X
8. Tax Due 8
PAYEE
DESCRIPTION
AMOUNT PAID
I
TOTAL (Enter on Line S of Tax Ca.putation)
I
$
facts I
have reported above are truel ~rBCt end
HOME (1 \"1 ) ~ SI '"' ?,Jo :)
WORK () ~Q)Q) ~