HomeMy WebLinkAbout12-12-06
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
CRUM JANICE I
101 LANCASTER BLVD
MECHANICSBURG, PA 17055
uuu__ fold
ESTATE INFORMATION: SSN: 195-07-4913
FILE NUMBER: 2106-1104
DECEDENT NAME: LEBO PAULINE G
DATE OF PAYMENT: 12/1 2/2006
POSTMARK DATE: 0010010000
COUNTY: CUMBERLAND
DA TE OF DEATH: 10/02/2006
NO. CD 007553
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
06155752 I $341.58
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS:
CHECK# 664
SEAL
INITIALS:
RECEIVED BY:
REGISTER OF WILLS
$341.58
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
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
CRUM JANICE I
101 LANCASTER BLVD
MECHANICSBURG, PA 17055
____un fold
ESTATE INFORMATION: SSN: 195-07-4913
FILE NUMBER: 2106-1104
DECEDENT NAME: LEBO PAULINE G
DATE OF PAYMENT: 12/12/2006
POSTMARK DATE: 12/12/2006
COUNTY: CUMBERLAND
DA TE OF DEATH: 10/02/2006
NO. CD 007554
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
06155750 I $4.70
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS:
CHECK# 663
SEAL
INITIALS: CJ
RECEIVED BY:
REGISTER OF WILLS
$4.70
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
COKKONWEALTH OF PENNSYLVANIA _
DEPARTKENT OF REVENUE
BUREAU OF INDIVIDUAL TAXE'D::rnpr'H'\ ('fCI: .
DEPT. 2B0601 '_. '-'V"'j...1 .j, I
HARRISBURG, PA 17128-0601 ~". ,,: ,
,,',,1_ ~.'
REV-1545 EX AFP 109-001
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE NO. 21
ACN 06155752
DATE 11-07-2006
2006 DEe 12 PH I: 00
CLERK ()F
ORpU~\IJC:: ((')1 !RT
1 rll \;" \j v'., "j I
cult...!.:)'::;. W', Pi':.
I.; , j j,
EST. OF PAULINE G LEBO
S.S. NO. 195-07-4913
DATE OF DEATH 10-02-2006
COUNTY CUMBERLAND
TYPE OF ACCOUNT
!Xl SAVINGS
o CHECKING
o TRUST
o CERTIF.
JANICE I CRUM
101 LANCASTER BLVD
MECHANICSBURG PA 17055
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
PSECU 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 accordence with the Inheritance Tax Laws of the Commonwealth
of Pennsylvania. Questions may be an~wer.d by calling (717) 787-D3Z7.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 8704102436 Date 02-19-2002
Established
Account Balance
Percent Taxable
ABount Subject to
Tax Rate
Potential Tax Due
x
47,940.91
16.667
7,990.31
.045
359.56
TAXPAYER RESPONSE
To insure proper credit to your account, two
(2) copies of this notice must accompany your
payment to the Register of Wills. Kake check
payable to: "Register of Wills, Agent".
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
[!]
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.
[CHECK ]
ONE
BLOCK
ONLY
B. [J 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.
C. [J The above information is incorrect and/or debts and deductions were paid by you.
You MUSt complete PART ~ end/or PART ~ below.
If you indicate a different tax rate, please state your
relationship to decedent:
PART
[!]
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
PART
~
TAX RETURN - COMPUTATION
LINE 1. Date Established
2. Account Balance
3. Percent Taxable
4. ABount Subject to Tax
S. Debts and Deductions
6. ABount Taxable
7. Tax Rate
8. Tax Due
OF TAX ON JOINT/TRUST ACCOUNTS
1
2
3 X
4
S
6
7 X
8
PAYEE
DESCRIPTION
AMOUNT PAID
I
TOTAL (Enter on Line S of Tax COBputationl
perjury, I declare that the facts I
BY knowledge and belief. HOME
I
$
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
. INFORMATION NOTICE
. ,r '1'\ ,',.. AND
' ,- .r,,___!! 'JrF;l1Er~)(PAYER RESPONSE
;~')f'" i . "._, :' r _..r ( i J, II i
REV-154.r-tx'i!'P' 11I9.JUIll. '0", I.
FILE NO. 21
ACN 06155750
DATE 11-07-2006
2U06 DEe 12 PM I: 00 EST. OF PAULINE G LEBO
S.S. NO. 195-07-4913
DATE OF DEATH 10-02-2006
COUNTY CUMBERLAND
TYPE OF
ACCOUNT
D SAVINGS
IX] CHECKING
D TRUST
D CERTIF.
FORMS TO:
JANICE I CRUM
101 LANCASTER BLVD
MECHANICSBURG PA 17055
CLERK OF
ORPHAN'S rYJ"UR1"
CL'I !~,~,'" \.,. ' I
:. \. ' rj ""'J p. t,
" - ,........
REMIT PAYMENT AND
REGISTER OF WILLS
CUMBERLAND CO COURT
CARLISLE, PA 17013
HOUSE
PSECU 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 Pennsvlvania. Questions may be answered by cal!in~ (717) 787-8327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 8704102436 Date 02-04-2005
Established
Account Balance
Percent Taxable
Amount Subject to
Tax Rate
Potential Tax Due
x
659.80
16.667
109.97
.045
4.95
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: "Registar of Wills, Agant".
x
NOTE: If tax payments are made within three
(3) months of the decedent's date of death,
you may deduct a 57. discount of the tax due.
Any inheritance tax due will become delinquent
nine (9) months after the date of death.
Tax
PART
[!]
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.
[CHECK ]
ONE
BLOCK
ONLY
B. [] 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.
C. [] The above information is incorrect and/or debts and deductions were paid by you.
You must complete PART ~ and/or PART ~ below.
PART
[!]
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
If you indicate a different tax rate, please state your
relationship to decedent:
PART
~
TAX RETURN - COMPUTATION OF
LINE 1. Date Established 1
2. Account Balance 2
3. Percent Taxable 3
4. Amount Subject to Tax 4
'5. Debts and Deductions 5
6. Amount Taxable 6
7. Tax Rate 7
8. Tax Due 8
TAX ON JOINT/TRUST ACCOUNTS
x
x
PAYEE
DESCRIPTION
AMOUNT PAID
I
$
TOTAL CEnter on Line 5 of Tax Computation)
of perjury, I declare that the facts I
my knowledge and belief.
have reported above are true, correct and
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