HomeMy WebLinkAbout12-26-06
COMMONWEALTH OF PENNSYLVANIA
IIEPARTIENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG~ PA 17128-0601
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE NO. 21'b(P- It'" /
ACN 06161739
DATE 12-15-2006
CLERK OF
ORP(-IfN'S COURT
elJ'f. U':ir, " "''-' ~
':' ,. ..; i I 'f' f')\
". . ...." _'. ,I 1-/,\
TVPE OF ACCOUNT
EST. OF KENNETH R LEVAN D SAVINGS
S.S. NO. 180-01-4445 [Xl CHECKING
DATE OF DEATH 08-13-2006 D TRUST
COUNTY CUMBERLAND D CERTIF.
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
2006 DEe 26 PM 12: 59
DALE R LEVAN
380 STATE RTE 442
MUNCV PA 17756
HLWCY BANK & TRUST co hBS provided the DepBrtlllll1t with the infoMlBtion listed below which hl!lS been used in
celculBting the potent1BI tBx due. Their records indicBte thBt Bt the deBth of the 8bow deced.,t~ YOU were 8 joint owner/benefici8ry of
this 8CCount. If you feel this info~tion is incorrect~ pleBse obtBin writt., correction fr~ the finsnci81 institution, 8ttBch 8 copy
to thls foMl Bnd return it to the Bbove lIddress. This 8CCount is tBoble in 8ccordance with the InheritBnce T8X L8WS of the C~nw_Ith
of PennaylVllni.. Quaeti_ _y be en_rad by cwUinu (717) 787-8327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAVMENT INSTRUCTIONS
Account No. 1703056806 D.t. 03-13-2001
Est_l1shMt
Account B.l~.
P.rc....t Taxllbl.
AIIount Subj~t to Tax
Tex hte
Pot....ti.l Tax Due
x
11639.37
50.000
819.69
.045
36.89
TAXPAYER RESPONSE
To insure proper credi t to your 8CCOunt~ two
(2) copies of this notice .ust 8CCOBpeny your
PBys.,t to the RlIGIlster of WUls. MlIke check
p8Y8ble to: ftRllGlister of Wills~ Agentft.
x
NOTE: If tBx p8Y8ents Bre 88de within thr..
(3) Bonths of the decedlll1t"s date of d_th~
you _y deduct B S;c discount of the tBx due.
Any inheri tBnce tBx due wUI bec~e delinquent
nine (9) BOOthS Bfter the date of de8th.
PART
[!]
The lIbove info~tion Bnd tu dUll is correct.
I. You -y chaose to r_it PBY_nt to the Register of Wills with t_ copies of this notice to obtBin
8 discount or 8void interest~ or you _y check box ftAft end return this notice to the Register of
WUls 8nd 8n offici81 8sses...,t wUI be issued by the PA Dep8rtllent of Revlll1U8.
B. 0 The 8bove 8Sset hBS been or wUI be reported end tBx p8id with the Pemsylveni8 Inheriunce T8X return
to be filed by the decedent.s represent8tive.
C. 0 The above infor_tioo is incorrect end/Dr debts 8nd deductions ...re p8id by you.
You Bust cOBplete PART [!] end/or PART ~ below.
[CHECK ]
ONE
BLOCK
ONLY
PART
~
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
If you indic.te a different tax ratel pl..se st.te your
rel.tionship to decedent:
PART
[!J
TAX,RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Date Est_l1shed 1
2. Account B.IM'tCe 2
3. PerCM'tt Tax_Ie 3 X
4. AIIount Subj~t to Tex 4
.5. Debts and Deductions .5-
6. AIIount Tex_le 6
7. Tax ht. 7 X
8. Tex~ 8
PAVEE
DESCRIPTION ~
AMOUNT PAID
I
TOTAL (Enter on Line .5 of T.x Co~t.tlon)
I
.
Under penalties of perjury 1 I ~l.re th.t the f~ts
~~:..o:e ?:~;;:;l_ - bell.f.
TAXP~~~iGNA~
I have reported Move ere true I cor~t end
:~:~ ~ 5'1; ~ :t:~;~
TELEPHm NUMBE ~/t)~
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
1":
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
LEVAN DALE R
380 STATE RTE 442
MUNCY, PA 17756
00000000 fold
ESTATE INFORMATION: SSN: 180-01-4445
FILE NUMBER: 2100-0000
DECEDENT NAME: LEV AN DALE R
DATE OF PAYMENT: 12/26/2006
POSTMARK DATE: 12/26/2006
COUNTY: CUMBERLAND
DATE OF DEATH: 12/26/2006
NO. CD 007604
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
06161739 I $36.89
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$36.89
REMARKS:
CHECK# 263
SEAL
INITIALS: CJ
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
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