HomeMy WebLinkAbout12-12-06
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
*'
INFORMATION NOTICE
::;:r'(YII',r-n ('rT~Ult[)-,_.
.:;t~*~A~ER>=RE-S PONS E
~'~EV:I$ED '~~TrCE ~ ~ ~
FILE
ACN
DATE
NO. 21 (JUJ j()qr(
06155756
11-22-2006
~
REV-154S EX AFP (09-00l
TYPE OF
ACCOUNT
[X] SAVINGS
D CHECKING
o TRUST
o CERTIF .
FORHS TO:
20D6 DEe I ~s/.r'i IJf ~ATHERINE A MCMAHON
s.s. NO. 212-42-8864
CLEFDATE OF DEATH 04-21-2006
Ofif~H.,'\!'Boi'tNtuMT CUMBERLAND
ClY" ... .-.
REHIT PAYHENT AND
REGISTER OF WILLS
CUMBERLAND CO COURT
CARLISLE, PA 17013
HOUSE
EDNA D POCHATKO
1002 CRYSTAL CREEK DR
MECHANICSBURG PA 17050
PNC BANK has provided the Department with the information listed below which has been used in
calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a joint owner/beneficiary of
this account. If you feel this information is incorrect, please obtain written correction from the financial institution, attach a COpy
to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth
of Pennsylvania. Questions may be an~wer'ed b~ ~alli~y (717) 787-8327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 5000905507 Date 04-29-1997
Established
x
8,499.88
50.000
4,249.94
.045
191.25
TAXPAYER RESPONSE
To insure proper credit to your account, two
(2) copies of this notice must accompany your
payment to the Register of Wills. Make check
payable to: "Register of Wills, Agent.,.
Account Balance
Percent Taxable
Amount Subject to
Tax Rate
Potential Tax Due
x
NOTE: If tax payments are made within three
(3) months of the decedent.s date of death,
you may deduct a 5% discount of the tax due.
Any inheritance tax due will become delinquent
nine (9) months after the date of death.
Tax
PART
[!]
A.
[ CHECK ]
ONE
BLOCK B.
ONLY
c.
[] The above information and tax due is correct.
1. You may choose to remit payment to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest, or you may check box "A" and return this notice to the Register of
Wills and an official assessment will be issued by the PA Department 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 information is incorrect and/or debts and deductions were paid by you.
You must complete PART ~ and/or PART ~ below.
x
If you indicate a different tax rate, please state your
relationship to decedent:
PART
[!]
TAX RETURN - COMPUTATION
LINE 1. Date Established
2. Account Balance
3. Percent Taxable
4, Amount Subject to Tax
5. Debts and Deductions
&. Amount Taxable
7. Tax Rate
8. Tax Due
TAX ON JOINT/TRUST ACCOUNTS
OF
1
2
3
4
5
6
7
8
x
PART
~
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
PAYEE
DESCRIPTION
AMOUNT PAID
TOTAL (Enter on Line 5 of Tax Computation)
I
$
Under penalties of perjury, I declare that the facts I have reported above are true, correct and
complete to the best of my knowledge and belief. HOME ( )
WORK ( )
~Avnu"-'" t'TN'ATIIOE: TELEPHONE NUMBER DATE
COMMor,WEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF l~mIVIDUAL TAXES
DEPT 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLV ANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
POCHA TKO EDNA 0
1 002 CRYSTAL CREEK DR
MECHANICSBURG, PA 17050
H_U_U fold
ESTATE INFORMATION: SSN: 212-42-8864
FILE NUMBER: 2106-1098
DECEDENT NAME: MCMAHON KATHERINE A
DA TE OF PAYMENT: 1 2/1 2/2006
POSTMARK DATE: 1 2/1 2/2006
COUNTY: CUMBERLAND
DATE OF DEATH: 04/21/2006
NO. CD 007550
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
06155756 I $191.25
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$191.25
REMARI<S:
CHECK# 110
SEAL
INITIALS: JA
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WillS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
INFORMATION NOTICE
'_'\ ~~_ '. '. .. AND
11:1) i,":r~>P{WER RESPONSE
T~ ,-~ .<,RE\tISED NOTICE 31: 31: 31:
REV-1545 EX AF-P~,~tll?iO~) 1;' ~i .-1 '
FILE
ACN
DATE
NO. 21 oeo Joq~
06155754
11-22-2006
EDNA D POCHATKO
1002 CRYSTAL CREEK DR
MECHANICSBURG PA 17050
TYPE OF
zanG DEe 12 M110E~. OF KATHERINE A MCMAHON
S.S. NO. 212-42-8864
CLERi< DATE OF DEATH 04-21-2006
QPr':;!-Ju!'c:' '-'""I FrCOUNTY CUMBERLAND
un'l! " , ! ,-~-",;,-" I REHIT PAYHENT AND FORHS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
ACCOUNT
o SAVINGS
o CHECKING
o TRUST
[X] CERTIF.
PNC BANK has provided the Department with the information listed below which has been used in
calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a joint owner/beneficiary of
this account. If you feel this information is incorrect, please obtain written correction from the financial institution, attach a cOpy
to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth
of Pennsylvania. Questions may be answered by calling (717) 787-8327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 31600085404 Date 04-29-1997
Established
x
5.006.79
50.000
2.503.40
.045
112.65
TAXPAYER RESPONSE
To insure proper credit to your account, two
(2) copies of this notice must accompany your
payment to the Register of Wills. Make check
payable to: "Register of Wills, Agent".
Account Balance
Percent Taxable
Amount Subject to
Tax Rate
Potential Tax Due
x
Tax
NOTE: If tax payments are made within three
(3) months of the decedent's date of death,
you may deduct a 5Z discount of the tax due.
Any inheritance tax due will become delinquent
nine (9) months after the date of death.
PART
[!]
A.
[ CHECK ]
ONE
BLOCK B.
ONLY
c.
[] The above information and tax due is correct.
1. You may choose to remit payment to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest, or you may check box "A" and return this notice to the Register of
Wills and an official assessment will be issued by the PA Department 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 information is incorrect and/or debts and deductions were paid by you.
You must complete PART ~ and/or PART ~ below.
PART
~
TAX RETURN - COMPUTATION
LINE 1. Date Established
2. Account Balance
3. Percent Taxable
4. Amount Subject to Tax
5. Debts and Deductions
6. Amount Taxable
7. Tax Rate
8. Tax Due
TAX ON JOINT/TRUST ACCOUNTS
If you indicate a different tax rate. please state your
relationship to decedent:
OF
1
2
3
4
5
6
7
8
x
x
PART
~
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
PAYEE
DESCRIPTION
AMOUNT PAID
I
TOTAL (Enter on Line 5 of Tax Computation)
I
$
Under penalties of perjury. I declare that the facts I have reported above are true. correct and
complete to the best of my knowledge and belief. HOME ( )
WORK ( )
TAVOAVCO Cyr-MdTlIIH= TELEPHONE NUMBER 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
POCHA TKO EDNA D
1 002 CRYSTAL CREEK DR
MECHANICSBURG, PA 17050
------~- fold
ESTATE INFORMATION: SSN: 212-42-8864
FILE NUMBER: 2106-1098
DECEDENT NAME: MCMAHON KATHERINE A
DATE OF PAYMENT: 12/12/2006
POSTMARK DATE: 1 2/1 2/2006
COUNTY: CUMBERLAND
DA TE OF DEATH: 04/21/2006
NO. CD 007551
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
06155754 I $112.65
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$112.65
REMARI<S:
CHECI(# 109
SEAL
INITIALS: JA
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
* INFORMATION NOTICE
, ~," (",r:~i,I"\C'"i~, AND
v~.:,': .- ~'iT,A)(PAYER RESPONSE
'-,:,_.', ~'~REVlsED NOTICE * * *
REY-1543 EX AFP i O'-Illn
FILE
ACN
DATE
NO. 21 O\.v ) oq <3
06155755
11-22-2006
EDNA D POCHATKO
1002 CRYSTAL CREEK DR
MECHANICSBURG PA 17050
Fe I 2 Al\l,i 10,' 5 I TYPE OF ACCOUNT
Zu06 O~ J
EST. OF KATHERINE A MCMAHON 0 SAVINGS
S. S. NO. 212-42-8864 IX] CHECKING
r"CS,~~~ 9f.! nPATE OF DEATH 04-21-2006 0 TRUST
,90Ctl':i\~~' 'A'l.J'\~~UNTY CUMBERLAND 0 CERTIF.
C" ' ,', REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
PNC BANK has provided the Department with the information listed below which has been used in
calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a joint owner/beneficiary of
this account. If you feel this information is incorrect, please obtain written correction from the financial institution, attach a copy
to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth
of Pennsylvania. Questions may be answered by calling (717) 787-8327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 5900982967 Date 04-29-1997
Established
x
1,002.27
50.000
501.14
.045
22.55
TAXPAYER RESPONSE
To insure proper credit to your account, two
(2) copies of this notice must accompany your
payment to the Register of Wills. Make check
payable to: "Register of Wills, Agent".
Account Balance
Percent Taxable
Amount Subject to
Tax Rate
Potential Tax Due
x
Tax
NOTE: If tax payments are made within three
(3) months of the decedent's date of death,
you may deduct a 5X discount of the tax due.
Any inheritance tax due will become delinquent
nine (9) months after the date of death.
PART
ill
A.
[ CHECK ]
ONE
BLOCK B.
ONLY
c.
[] The above information and tax due is correct.
1. You may choose to remit payment to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest, or you may check box "A" and return this notice to the Register of
Wills and an official assessment will be issued by the PA Department 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 information is incorrect and/or debts and deductions were paid by you.
You must complete PART ~ and/or PART ~ below.
PART
~
TAX RETURN - COMPUTATION
lINE 1. Date Established
2. Account Balance
3. Percent Taxable
4. Amount Subject to Tax
5. Debts and Deductions
6. Amount Taxable
7. Tax Rate
8. Tax Due
TAX ON JOINT/TRUST ACCOUNTS
If you indicate a different tax rate, please state your
relationship to decedent:
OF
1
2
3
4
5
6
7
8
x
x
PART
[!]
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
PAYEE
DESCRIPTION
AMOUNT PAID
I
TOTAL (Enter on line 5 of Tax Computation)
I
$
Under penalties of perjury, I declare that the facts I have reported above are true, correct and
cOllplete to the best of my knowledge and belief. HOME ( )
WORK ( )
TAVDAVI:C C::Tf:::W4T11"'~ TELEPHONE NUMBER 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
POCHA TI<O EDNA 0
1 002 CRYSTAL CREEK DR
MECHANICSBURG, PA 17050
n__n__ fold
ESTATE INFORMATION: SSN: 212-42-8864
FILE NUMBER: 2106-1098
DECEDENT NAME: MCMAHON KATHERINE A
DA TE OF PAYMENT: 1 2/1 2/2006
POSTMARK DATE: 1 2/1 2/2006
COUNTY: CUMBERLAND
DA TE OF DEATH: 04/21/2006
NO. CD 007552
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
06155755 I $22.55
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$22.55
REMARI<S:
CHECK#108
SEAL
INITIALS: JA
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WillS