HomeMy WebLinkAbout11-13-06
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTAT
OFFICIAL RECEIPT
SPOTTS WILMA M
71 BIG OAK ROAD
DILLSBURG, PA 17019
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ESTATE INFORMATION: SSN: 202-46-5093
FILE NUMBER: 2106-0801
DECEDENT NAME: GRUVER LARRY L
DA TE OF PAYMENT: 11/13/2006
POSTMARK DATE: 11 /06/2006
COUNTY: CUMBERLAND
DATE OF DEATH: 08/24/2006
TOTAL AMOUNT P
REMARKS:
CHECK#1612
SEAL
INITIALS: JA
RECEIVED BY:
REGISTER OF WILLS
11- --
REV 1162 EX(11 96)
E TAX
NO. CD 007427
AC\I
SSESS V1ENT AMOUNT
CONT ROL
NUME ER
--------
061 54( 33 I $49.29
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AID: $49.29
GLEN[ A FARNER STRASBAUGH
REGIS rER OF WILLS
A
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COMMONWEALTH OF PENNSYLVANIA
DEPARllENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
* INFORMATION OTICE
:11 D OF. "';c AND
dc,31ST H or ~~~~AYER RESPONSE
11'-1145 EX AFP ("-Ill - \ I '.. c.... ,>
FILE NO. 21 06-0801
ACN 06154033
DATE 10-25-2006
WILMA M SPOTTS
71 BIG OAK RD
DILLSBURG PA 17019
TVPE OF ACCO NT
2006 NOV I 3 PH I: Jsl. OF LA RV L GRUVER 0 SA~'~NGS
s. s. NO. 202-46-5093 [i] CH INS
O CLERK OF DATE OF DE TH 08-24-2006 0 TR T
CU~~~~:~nC~~RTRIPOUNTY CUMBERLAND 0 CE I IF.
... C -.. v '~), r-. REMIT PA VMENT AND FORMS TO: ! 1
REGISTER OF WILLS 'I
CUMBERLAND CO COURT HOUSE
CARLISLEI PA 17013
MEMBERS 1ST FCU has provided the o.partHnt with the Inforl!ation Isted below whIch has been used in
CBlculeting the potential tex dull. TheIr records IndIcate that at the death of the above d cedent, yoU were a joint owner/beneficiery of
this eccount. If you feel thIs infor..tion is incorrect, please obtain written correction roe the financial institution, attach a copy
to this fori! and return it to the above address. This eccount is texable in accordance wI the Inheritance Tax Laws of the Coeeonwealth
of PennSYlvania. Quwstions..y be answered by ,ailing (717) 7&7-8327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 267767-11 Dete 07-12-2005
EstebUshed
AccCKa'lt Selenee
Percent T8Xeble
AIIowIt Subject to T8X
T8X Rete
Potential Tax Due
x
864.63
50.000
432.32
.12
51.88
TAXPAYER RESPONSE
To Insure proper credl t to your ecCOW"lt, two
(2 copies of this notice BUst accoepany your
PB eent to the RegIster of Wills. Milke check
pa eble to: "Register of Wills, Agent".
x
NO E: If tex PBYllents are IIIIde within three
(3 eonths of the decedent.s date of death,
y -y deduct a SX discount of the tex due.
An InherItence tex due will becoee dellnquent
ni (9) eonths after the date of death.
PART
[!)
The above inforeation and tax due is correct.
I. You eay choose to re.it pay.ent to the Register of Will with two copies of this notice to Obtein
a discount or avoid interest, or yOU ..y check box "A" d return this notice to the Register of
Wills and an official assesseent will be issued by the A Departeent of Revenue.
B. 0 The above asset has been or will be reported and tax paid w th the PemSYlvanIa Inheritance Tax return
to be filed by the decedent"s representative.
C. 0 The above infor..tion is incorrect and/or debts and deducti s were paid by you.
You BUst coeplete PART 0 and/or PART ~ below.
[CHECK ]
ONE
BLOCK
ONLY
PART
[!]
DATE PAID
PAVEE
DESCRIPTION
AMOUNT PAID
If you indicete a different t8X ratel pleesa state your
reletionship to decedent:
PART
~
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Deta Estllblished 1
2. Account Belance 2
3. Percent Texeble 3 X
4. AIIowIt Subject to Tex 4
S. Debts end Deductions S
6. AIIowIt T8Xeble 6
7. Tex R.te 7 X
8. T8X Due 8
TOTAL (Enter on Line S of Tex Co
Under penalties of perjury I I declere that the fect. I
cOllPlete to the best of .y knowledge end beUef.
.
correct end
"
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CLERK OF
ORPHAN'S COURT
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