HomeMy WebLinkAbout11-02-06
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVEtlJE
BUREAU OF INDIVIDUAL TAXES
DEPT. Z80601
HARRISBURG, PA 171Z8-0601
*'
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE NO. 21 06-0376
ACN 06128191
DATE 06-19-2006
REY-IUS EX IF' CD,..,n
TYPE OF ACCOUNT
EST. OF SHIRLEY J THOMPSON IXJ SAVINGS
S. S. NO. 185-24-4943 D CHECKING
DATE OF DEATH 02-14-2006 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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PSECU . has provided the Depart_nt with the infa...ation listed below which tia~ usetl.:..i,n ~:::I b
calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a -jq..tn..p~.wner~b8""fic~ar,y~
this account. If you f..~ this infar.ation is incorrect, please obtain written correction fro. the fin~cial in.ti~ion,~tach a:~
to this fa... and return It to the move address. This account is texllble in accordance with the InherItance Tax'L.~ of t1W Co.-onwei1l!h
of Pennsylvania. Questions _y be answered by calling (711l 787-S3Z7. _,. ~ :: c~:'"M
COMPLETE PART 1 BELOW. . . SEE REVERSE SIDE FOR FILING AND PAYMENT :~~:NSTRUCT~NS r>) (1
Account No. 0185244943 Date 02-05-1991 To insure proper credit to your acoliUnt, two
Established (Z) copies of this notice IlUSt accOllpany your
pay.ent to the Register of Wills. Make check
payable to: "Register of Wills, Agent".
CONNIE L THOMPSON
2712 LISBURN RD
CAMP HILL
PA 17011
Account Balance
Percent Taxable
AIIowIt Subject to Tax
Tax Rate
Potential Tax Due
x
98,077.70
50.000
49,038.85
.045
2,206.75
TAXPAYER RESPONSE
NOTE: If tax pay.ents are aade within three
(3) .onths of the decedent.s date of death,
you .ay deduct a 5X discount of the tex due.
Any inheritence tex due will beco.e delinquent
nine (9) aonths after the date of death.
x
PART
[!]
A.
[ CHECK ]
ONE
BLOCK B.
ONLY
c.
[] The lIbove infor_tion and tax due is correct.
1. You aay choose to r..it pay.ent to the Register of Wills with two copies of this notice to obtain
a discount Dr avoid interest, or you .ay check box "A" and return this notice to the Register of
Wills and an official assesSBent will be issued by the PA Depart.ent 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.
[] The above infora.tion is incorrect and/or debts and deductions were paid by you.
You aust co.plete PART [!] and/or PART ~ below.
PART
[!]
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
If you indicate a different tax rate, please state your
ralationship to decedent:
PART
~
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Date Established 1
2. Account Balance 2
3. Parcent Taxable 3 X
~. ~unt Subject to Tax ~
S. Debts and Deductions 5
6. A.ount Taxable 6
1. Tax Rate 1 X
8. Tax~e 8
PAYEE
DESCRIPTION
AMOUNT PAID
I
TOTAL (Enter on Line 5 of Tax COBPUtation)
I
.
of perjury, I declare that the facts I have reported above are true, correct end
of .y knowledge and belief. HOME
WORK
DATE
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
THOMPSON CONNIE L
2712 L1SBURG RD
CAMP HILL, PA 17011-8030
nnnn fold
ESTATE INFORMATION: SSN: 185-24-4943
FILE NUMBER: 2106-0376
DECEDENT NAME: THOMPSON SHIRLEY J
DATE OF PAYMENT: 11/02/2006
POSTMARK DATE: 11 /02/2006
COUNTY: CUMBERLAND
DATE OF DEATH: 02/14/2006
NO. CD 007382
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
06128191 I $2,206.75
I
I
I
I
I
I
I
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TOTAL AMOUNT PAID:
REMARKS: CONNIE L THOMPSON
CHECK# 2678
SEAL
INITIALS: WZ
RECEIVED BY:
REGISTER OF WILLS
$2,206.75
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS