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HomeMy WebLinkAbout04-12-07 COMIlOHWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES IlEPT. 280601 HARRISBURG. PA 171Zlt-0601 . (y.c.. INFORMATION NOTICE AND . .TAXPAYER RESPONSE NO. 21-dYJ'7.....359 06133038 07-07-2006 TYPE OF ACCOUNT EST. OF SANFORD J NEER 0 SAVIN8S S.S. NO. 078-12-0375 lilCHECKINCl DATE OF DEATH 03-29-2006 0 TRUST COUNTY CUMBERLAND 0 CERTIF. REHIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE1 PA 17013 FILE ACN DATE REV-UU EX 'AFP (It-II) 2D07 APR /2 Pi"l 2: L,t 5 Cf FO'/ ('r OPP~lli;.I'~\ l,~' 0t L / ii""i;'.! ,"". r,/ \'t"r vllt\,./n-...... '..... \,~!~)l...'tll CAROLE A SHAFER 6222 WALLINGFORD WAY MECHANICSBURG PA 17050 COI1ItERCE BANK h.s provld8d the n.pe...t.nt with the Info.....tlan Ustlld b.lDlf which h.s bewI uslld In c.lcul.tlng the potentl.l tax due. Thel... ~Dn:lS Indlc.te th.t .t the rIlI.th Df the abDVII declldant. YOU ....... . jDlnt _...lbwwflcl....y Df this .ccount. If YOU feel this Info.....tlon Is IncD..."ect. pl..s. obtain wdttan CD.......ctlan f..._ the flnancl.l Institution. .tbch . copy to this fD.... and ....tu...n It tD the abDv. add....ss. this IICcount Is taobl. In .CCDn:Ianc. with the Inha...ltanc. Tme L..s Df the C_nw..lth Df PwlnSVlvanl.. IluastlMs 1Il!~ be ~.....1"8d by ~lUng (7171 7117-11;527. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 023152523 o.t. 06-14-2000 Est_l1shec1 Account h1_ P.rcent T__1. Mount Subject to T_ T_ IhIt. Potentle1 Tex au. x 31002.43 50.000 11501.22 .15 225.18 TAXPAYER RESPONSE TD Insu.... pr-op." cl'"lldl t to YOU'" IICcount. two (2) capl.s Df this notlc. ...st .cc~y YOU'" PBl/IIant to the RlIlIIst.... Df lUlls. "*. check p.YIIbl. to: ""RlIlIlsta... Df IIUls. Agent"'. x NOTE: If tax p._ts ..... .1Ide within th..... (3) aonths Df the rIlIcadant.s d.t. Df duth. YDU RY deduct. S;C discount Df the tmc due. Any Inha...ltance tmc due will bacD8a delinquent nine (9) .anths .fte... the date Df rIlI.th. PART [!] The abDVII Info....tlon and tmc due Is ca......ect. 1. You RY chaDH to ....It p~t tD the RlIlIlsta... Df IIl1ls with two capl.s Df this notice tD obtain · discount D'" .vold Int.....st. D'" YDU ..y check box "A" end ....turn this notlc. tD the Raglst.... Df II1l1s and an Dfflcl.l .SHSsaant will b. Issulld by the PA Dap....ta.nt Df R.venue. II. D The abDv. .SHt h.s bewI D" will be ...apa...tad and tmc p.ld with the PlUV1sylvanl. Inha...ltance T.x ....turn tD be fl1l1d by the rIlIclldent.s ...ap....SIII1tatlV.. c. D The abDVII Info.....tlon Is IncD"'l'"8Ct IlI1d/DI'"~abts and dllductlons ....... p.ld by YOU. You IIIlst caapl.ta PART [!] aneVD'" PART ~ belDlf. [CHECK ] ONE BLOCK ONLY If you Indlcet. e different t_ ret.1 p1_s. stet. your r.1etlonshlp to decadent: PART [!J TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Get. Est_Ushed ~ 2. Account Be1enc. 2 3. P.rcent Tex8b1. 3 X 4. AIIount Subject to Tex 4 5. Debts end Dllcluctions 5- 6. AIIount T__1. 6 7. Tex Ret. 7 X 8. Tex Due 8 PART [!J DATE PAID PAYEE DESCRIPTION AMOUNT PAID I TOTAL (Ent.r on Line 5 of Tex eo.putetlon) I . Under pene1 ti.. of per jury 1 I clec1er. thllt the fech 1.te to the bes f ey knowledge end bel1.f. I hev. reported .a>>ov. er. true, correct end HOME (~/1) ~I 37 -",J.l/.0 I , WORK () ~'il(; tz TELEPH NE HUM E . "-""""~';~-\-<,;_~~:... ~'i~~-----"" COMMONWEALTH OF PENNSYLVANIA DEPARTlENT OF REVEIIJE BUREAU OF INDIVIIJUAL TAXES DEPT. 2110601 ~ HARRISBURG,.PA 171211-0601 X", .,i.:r....~: C:".,'~... u,~is~ Ix UP II9;nl 2001 ~iPR 12 Pr\ 2: 4.5 "l E'" C'! I . ._.c.!,~ 11- V._I.;' " ORPHlS\I'S COURT r'L'}" r p/\ CAROLE ,A SHAFER'J '" 6222 WALLIN6FORD WAY MECHANICSBURG PA 17050 INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DATE NO. 21-c:K:J57 -359 06133038 07-07-2006 TYPE OF ACCOUNT EST. OF SANFORD J NEER D SAVINIilS 5.5. NO. 078-12-0375 IXlCHECKIN8 DATE OF DEATH 03-29-2006 D TRUST COUNTY CUMBERLAND D CERTIF. REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 COMMERCE BANK h.s prDvldBd the D8pBrtlHmt IIlth th. InfD,...tlan ilstBd b.1D11 IIhlch h.s bHn USBd In CBlculBtlnll th. pabntl.l tBx dull. ThBlr rllCDrds IndlCBt. th.t .t the dB.th Df th. BbDVlI dllCBClBnt, IIDU lI.r. . jDlnt DllnBr/bBnBflol.rll Df thls .ooaunt. If YDU f..l this InfD,...tlan Is Inoarr.ot, pl.... abaln IIrlttBn oDrr.otlDn frDB thB fln.nol.l InstltuUan, .tach . OllPY tD this fDrB IInd r.tum It tD the BbDV. lIddr.ss. This lICoaunt Is aXBblB In .ooDrdllnoB with the InhBrlt_B Ta LBWS Df the C_nwRlth Df PBMsYlvBnI.. lIIIBstlans RY bB .._rlld blI' Cltl1lAg (717) 787-8127. COMPLETE PART 1 BELOW - . -SIE REVERSE SIDE FOR FILl", AND PAYMENT INSTRUCTIONS ACCOW'It No. 023152523 DIIt. 06-14-2000 Ed_Ush.d Account Be1_ P.rcent Tax_Ie AIIount Subject to Tax Tax Ret. Pot..,tl.1 Tax Due TD InsurB prllPBr OrBdl t tD IIDUr IICODunt, twa (2) caplBS Df this nDtloB BUst BOODBpBnY YDUr PBl/IIIII1t tD thB RBIIIstBr Df NUls. MIlkB chIICk p.lIBblB tD: "RBIIIstBr Df NUls, AgBnt". 3.002.43 50.000 1.501.22 .15 225.18 TAXPAYER RESPONSE x x PART [!] NOTE: If tBx PBl/IIIII1ts .rB Rd. within thr.. (3) _nths Df th. dllCBd8nt's dBt. Df dBBth, lIDU -Y d8duc:t . 5% dlsoaunt Df the ox dull. Mil InhBrltBno. ox dull wUl bllCDH d8lll'lqUBnt nln. (9) BDnths .ft.r the dlItB Df dB.th. ~r!:~~L~ ,'oc,",,':c::'::, ".:' .:. . .;~. ..- - ;...~~;~o- o~ ~~'o :".;.. ~fr ~~;~:_:~:X'~:'5.: ~,~.:;:: o~~.:~~l~~~~;~~:~:::.,: ;~.;:;;~.~:o~o~.:~.~r:~~~;:::~:~~.:jCJ~:::_:~;~~kl~5~~~;~;'~I A. 0 ThB IIbDVII InfDrBBtIan Bnd tBx duB Is ODrrllCt. 1. YDU RY ohDD.. tD r..lt PBY_nt tD thB R8IIlst.r Df NUls with tllD ollPI.s Df thls natIOB tD abtBln · dl-.nt Dr BVDld IntBr.st, Dr IIDU nil chllCk bDx "A" Bnd rBtum this natloB tD thB RBIIlstBr Df NUls Bnd Bn Dfflol.l .SSBSSBBnt IIUl bB IssuBd bll thB PA DBp.rtlHmt Df RBVBnUB. B. 0 ThB BbDVlI .s..t IIBs bHn Dr will b8 rBPDrtBd Bnd ox p.ld with th8 PBnnSl/1VBnI. InhBrltBno. T.x r.tum tD bB fUBd bll the d808dBnt's rBPrB..ntBtlv.. C. 0 TIIB BboVB InfD,...tIan l,-\noDrrllCt IInlIID~ts .nd dlHluctlans w.,.. p.ld by YDU. YDU BUst QDBplBtB PART L!..J _dlDr PART ~ bBID11. [CHECK ] ONE BLOCK ONLY If you lndlc.t. . dlff.rent tex ret.. p1.... st.t. your r.1.tlonshlp to decedent: PART [!J TAX RETURN - COMPUTATION OF TAX ON JOINT'TRUST ACCOUNTS LINE 1. o.t. E.teb11Shed 1 2. Account Be1MC. 2 3. P.rc..,t Tax_1. 3 X 4. AIIount Subject to T.x 4 i. Debt. Md Deductions i- 6. ~t T.x_1. 6 7. Tax R.t. 7 X 8. Tax Due 8 PART I!J DATE PAID DEBTS AND DEDUCTIONS CLAIMED PAYEE DESCRIPTION AMOUNT PAID I TOTAL (Ent.r on Une i of Tax CoIIput.Uon) I . Under pww1U.. of perjury. I dec1.,.. thllt the fech 1.t. to the"s of IIY knowledge Md beU.f. I hev. reported 8bov. .,.. t7 correct Md HOME (~~~1):~7 ~ A~3~. /I WORK () <}t; ~ /' TELEPH NU E ~~.~..._-~---- I cd. ~" ~. ~ "" ~ f ;1 I " . ..' ( ;1: ,~ N Ii 'I; Q.. " .~ '~ .1( '8 wen ::)~ ,.. ZCz 0 ~~~ ! a:4(> ~ ::::t;:: ..... LLO.. ,.. .0 >>< c( ....-!C a.; ''% Q ~ ,.. !I~~i~ ~O~Nm Im;2! fi~~:J: " ," , , '; ~<;>> 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 SHAFER CAROLE A 6222 WALLINGFORD WAY MECHANICSBURG, PA 17050 -------- fold ESTATE INFORMATION: SSN: 000-00-0000 FILE NUMBER: 2107-0359 DECEDENT NAME: NEER SANFORD J DA TE OF PAYMENT: 04/12/2007 POSTMARK DATE: 04/06/2007 COUNTY: CUMBERLAND 0 DA TE OF DEATH: 03/29/2006' .. . NO. CD 008015 ACN ASSESSMENT CONTROL NUMBER AMOUNT 06133038 I $225.18 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: CHECK# 994 SEAL INITIALS: WZ RECEIVED BY: REGISTER OF WILLS $225.18 GLENDA FARNER STRASBAUGH REGISTER OF WILLS