HomeMy WebLinkAbout04-09-07
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 2B0601
HARRISBURG, PA 17128-0601
*'
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO.21 07-0047
07108372
03-01-2007
REY~1543 EX AFP (09~OQ)
EST. OF BETTY J GLECKNER
5.5. NO. 491-22-9~50
DATE OF DEATH 01-10-2007
COUNTY CUMBERLA~D
TYPE OF ACCOUNT
o SAVINGS
o CHECK I NG
o TRUST
!Xl CERTIF.
LARRY GLECKNER
28 CHESTNUT ST
MT HOLLY SPRGS PA 17065
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
PNC BANK has provided the Department with the infor..ation 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 inforllation is incorrect, please obtain written correction froll the financial institution, attach a copy
to this forll and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the COllllonwealth
of Pennsylvania. guwstiuns lIay b.. answat,..d bl.' cblling (717) 787-8327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 31400220729
Date 09-28-2001
Established
To insure proper credit to your account, two
(2) copies of this notice lIust accolIPany your
paYllent to the Register of Wills. Make check
payable to: "Regi"ter of Wills, AODnt".
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
20,017.61
X 16.667
3,336.34
X .045
150.14
NOTE: If tax paYllents ara lIade within three
(3) 1I0nths of the d~edent's dat~~~f death,
you lIay deduct a 5~.4iscount of W tax due. ~
Any inheritancetml"llUlU.ill beclllN deli~u8,,'t-
nine' (9) 1I0nths afte';; ~e date nth. . '
PART
ill
, . -
O The above infor..ation and tax due is correct-"
1. You lIay choose to rellit payllent to the Register of Wills with two copies~)cll=this
a discount or avoid interest, or you may check box "A" and returnthis."no~ to
Wills and an official assessllent will be issued by the PA Department of:,Jlevihue.
J ~ CJ'1
B. d The above asset has",been or will be reported and tax paid with the. Pennsylvania Inherit.....,. Tax
~ to be filed by the decedent's representative.
>
--::lit'"
not~ to obtain'
the~gisterof- ,
[CHECK ]
ONE
BLOCK
ONLY
return
C. 0 The above information is incorrect and/or debts and deductions were',paid by yOU,
You must COIIplete PART 0 and/or PART @J b~low.
If you indicate a different tax rate, please state your
relationship to decedent:
x
PART
~
TAX
LINE
RETURN - COMPUTATION OF
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
PART
~
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
PAYEE
DESCRIPTION
AMOUNT PAID
TOTAL (Enter on Line 5 of Tax Computation)
.
of perjury, I declare that the facts I
my knowledge and belief.
and
HOME
WORK
DATE
(
iff
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 2B0601
HARRISBURG, PA 1712B-0601
*'
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO. 21 07- 0047
07108373
03-01-2007
REV.1S.ti3 EX AFP (09-00>
EST. OF BETTY J GLECKNER
S.S. NO. 491-22-9950
DATE OF DEATH 01-10-2007
COUNTY CUMBERLAND
TYPE OF ACCOUNT
o SAVINGS
o CHECKING
o TRUST
iii CERTlF..
JOHN GLECKNER
50 SUBDIVISION RD
NEWVILLE PA 17241
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
PNC BANK has provided the Department with the info~ation 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. 31400220729
Date 09-28-2001
Established
To insure proper credit to your account, two
(2) copies of this notice must acco.pany your
pay.ent to the Register of Wills. Make check
payable to. "Register of Wills, Agent".
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
20,017.61
X 16.667
3,336.34
X .045
150.14
NOTE. If tax pay.ents are .ade within three
(3) months of the decedent's date of,-cl.aath,
you .ay deduct a 5% di~unt of the ~ due.
Any inheritance tax dut~!i) beco.e u.iinquent
nine (9) .onths after tN;~te of dBlth.
; ~,S ;~..! ::0
PART
[!]
) '-',
O The above infor.ation and tax due is correct. """1 ~
1. You.ay choose to re.it payment to the Register of Wills with two copies of~~~ notice ~obtain
a discount or avoid interest, or you may check box "A" and return this notice~ the Reeer of
Wills and an official assessment will be issued by the PA Depart.ent of Rev~ue. ..
-":. (~r'i
B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance~ return
~ to be filed by the decedent's representative.
C. 0 The above infor.ation is incorrect and/or debts and deductions were paid by you.
You .ust co.plete PART 0 and/or PART ~ below.
[CHECK ]
ONE
BLOCK
ONLY
OF TAX ON JOINT/TRUST ACCOUNTS
1
2
3 X
4
5
6
7 X
8
PART
~
TAX RETURN - COMPUTATION
If you indicate a different tax rate, please state your
relationship to decedent:
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
PART
[!]
DATE PAID PAYEE
DEBTS AND DEDUCTIONS CLAIMED
DESCRIPTION
AMOUNT PAID
TOTAL (Enter on Line 5 of Tax Computation)
.
perjury, I declare that the facts I have reported above are true, correct and
edge and belief.
HOME
WORK
(
(
)
)
~~-07~
Ti:"1 i:"PI..1n1ll1= IIII1MBI=R
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1712B-0601
'*
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO. 21 07- 0047
07108371
03-01-2007
REV-IS'! EX AFP (09-00)
EST. OF BETTY J GLECKNER
S.S. NO. 491-22-9950
DATE OF DEATH 01-10-2007
COUNTY CUMBERLAND
TYPE OF ACCOUNT
o SAVINGS
o CHECKING
o TRUST
IX] CERTIF.
JOHN GLECKNER
50 SUBDIVISION RD
NEWVILLE PA 17241
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 an$wered by ca11illg {717l 787-8327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 31600220197 Date
Established
10-15-2001
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 X
Amount Subject to Tax
Tax Rate X
Potential Tax Due
5,964.37
16.667
994.08
.045
44.73
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 du4!~ill become~linqUent
nine (9) months after ~~te of d~.
.-.~~ ~
l-/l ~i
PART
[!]
[CHECK ]
ONE
BLOCK
ONLY
O The above information and tax due is correct.
1. You may choose to remit payment to the Register of Wills with two copies of tbls(n.ticeJlo obtain
a discount or avoid interest, or you may check box "A" and return this notice;ot:O \'I1e Re.r;;ter of
Wills and an official assessment will be issued by the PA Department of Rev.~.
~ ~~ ~
B. The above asset has been or will be reported and tax paid with the Pennsylvani6:Inheritance ~ax return
to be filed by the decedent's representative. C .
_.J
C. 0 The above information is incorrect and/or debts and deductions were paid by you.
You must complete PART ~ and/or PART ~ below.
If you indicate a different tax rate, please state your
relationship to decedent:
PART
~
TAX
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
PART
[!]
DATE PAID PAYEE
RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
1
2
3 X
4
5
6
7 X
8
DEBTS AND DEDUCTIONS CLAIMED
DESCRIPTION
AMOUNT PAID
I
TOTAL (Enter on Line 5 of Tax Computation)
.
perjury, I declare that the facts I have reported above are true, correct and
y knowledge and belief.
HOME
WORK
(
(
)
)
NUMBER
.f' - ~ - t1 ~-
DATE
TI=I I=p~nNI=
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 2B0601
HARRISBURG, PA 17128-0601
..
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO.21 07-0047
07108372
03-01-2007
REV-1S43 EX I>FP (09-00l
EST. OF BETTY J GLECKNER
S.S. NO. 491-22-9950
DATE OF DEATH 01-10-2007
COUNTY CUMBERLAND,
TYPE OF ACCOUNT
o SAVINGS
o CHECKING
o TRUST
IXI CERTIF.
LARRY GLECKNER
28 CHESTNUT ST
MT HOLLY SPRGS PA 17065
REMIT PAYMENT AND ~~gMS TO:
REGISTER OFrl'IILLS g
,CUMBERLAND d::!>CS:OURT -HOUSE'
CARLISLE, PA:::Jit 7013 ~ '
~t: ?O
I
\.D
',. ,'~ 'n' :::D<>
PNC BANK has provided the Deparhent with the inforllation listed below which nes'been use';:\;'
calculating the potential tax due. Their records indicate that at the death of the above decedent, you were aj~t owner~eficiarYot
this account. If you feel this inforllation is incorrect, please obtain written correction froll the financiali,5l1tution, Attach a COpy
to this forll and return it to the above address. This account is taxable in accordance with the Inheritance~lax Laws of ~Collllonwealth
of Pennsylvania. Questions lIay be answered by calling (717) 787-3327. <J)
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 31400220729
Date 09-28-2001
Established
To insure proper credit to your account, two
(2) copies of this notice lIust aCCOIIPany your
paYllent to the Register of Wills. Make check
payable to: "Register of Wills, Agent".
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
20,017.61
X 16.667
3,336.34
X .045
150.14
TAXPAYER RESPONSE
NOTE: If tax payllents are lIade within three
(3) lIonths of the decedent's date of death,
you lIay deduct a 5% discount of the tax due.
Any inheritance tax due will becolle delinquent
nine (9) lIonths after the date of death.
PART
ill
[CHECK ]
ONE
BLOCK
ONLY
A. 0 The above inforllation and tax due is correct.
1. You lIay choose to rellit payllent to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest, or you lIay check box "A" and return this notice to the Register of
Wills and an official assessllent will be issued by the PA Departllent of Revenue.
8. ~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. 0 The above inforllation is incorrect and/or debts and deductions were paid by you.
You IIUSt cOIIPlete 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
6. Amount Taxable
7. Tax Rate
8. Tax Due
OF TAX ON JOINT/TRUST ACCOUNTS
1
2
3
4
5
6
7
8
x
PART
l!l
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
PAYEE
DESCRIPTION
AMOUNT PAID
TOTAL (Enter on Line 5 of Tax Computation)
.
of perjury, I declare that the facts I
my knowledge and belief. HOME
and
DATE
~