HomeMy WebLinkAbout05-02-07
I
\,
M
<:>
r--
"e
(
...........
('el
L I L__
~
II!)
I
~
....
f-
a
-
-
,-
_.
~
-.
-
--
.......
-
-
,:-.!
rn
1:')
f';'1
"
".
. f')
. .,-1
I'')
f.
.,"/
......... ... ~"
-
-
-
-
'-
-
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
LARSON BOBBETTE L
826 ACRI ROAD
MECHANICSBURG, PA 17050
-------- folel
ESTATE INFORMATION: SSN: 191-18-3999
FILE NUMBER: 2107-0151
DECEDENT NAME: HAKE ELNORA E
DATE OF PAYMENT: 04/04/2007
POSTMARK DATE: 04/04/2007
COUNTY: CUMBERLAND
DATE OF DEATH: 02/03/2007
NO. CD 007972
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
--_.-
07113352 I $1,122.07
07113353 I $114.1 8
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$1,236.25
REMARKS:
CHECK# 5313
SEAL
INITIALS: CJ
RECEIVED BY:
TAXPAYER
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
*'
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-1548 EX AFP (06-05)
BOBBETTE LARSON
826 ACRI RD
MECHANICSBURG PA 17050
DATE 04-30-2007
ESTATE OF HAKE ELNORA E
DATE OF DEATH 02-03-2007
FILE NUMBER 21 07-0151
COUNTY CUMBERLAND
SSN/DC 191-18-3999
ACN 07113352
APPEAL DATE: 06-29-2007
(See reverse side under Objections)
Amount Re.1tted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
REY=is4i-EX-AFP-C03=Os5--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 04-30-2007
ESTATE OF HAKE
ELNORA
E DATE OF DEATH 02-03-2007
COUNTY
CUMBERLAND
FILE NO. 21 07-0151
TAX RETURN WAS:
S.S/D.C. NO. 191-18-3999
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
07113352
FINANCIAL INSTITUTION: COMMERCE BANK
ACCOUNT NO.
616119534
TYPE OF ACCOUNT:
DATE ESTABLISHED
~ )SAVINGS () CHECKING ()TRUST ()TIME CERTIFICATE
09-08-2005
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
x
49,869.82
0.500
24,934.91
.00
24,934.91
.45
1,122.07
NOTE: TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
X
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
PAYMENT MUST BE MADE BY 11-04-2007*. TOTAL TAX CREDIT .00
BALANCE OF TAX DUE 1,122.07
INTEREST AND PEN. .00
TOTAL DUE 1,122.07
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. *
{ IF TOTAL DUE IS LESS THAN *1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" { CR}, YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. }
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
*'
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO. 21 07 - 0 151
07113352
03-28-2007
REV-1543 EX In (09-00>
EST. OF ELNORA F HAKE
S.S. NO. 191-18-3999
DATE OF DEATH 02-03-2007
COUNTY CUMBERLAND
TYPE OF ACCOUNT
liJ SAVINGS
o CHECKING
o TRUST
o CERTIF.
BOBBETTE LARSON
826 ACRI RD
MECHANICSBURG PA 17050
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
COMMERCE BANK has provided the Departunt with the infoNOation 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 infoNOation 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 ::lling (717) 787-8327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 616119534
Date
Established
09-08-2005
To insure proper credit to your account, two
(2) copies of this notice Must accoapany your
payMant 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
x
49,869.82
50.000
24,934.91
.15
3,740.24
TAXPAYER RESPONSE
NOTE: If tax pay.ents ara Made within three
(3) Months of the decedent's date of death,
you .ay deduct a 5X discount of the tax due.
Any inheritance tax due will beCOMe delinquent
nine (9) Months after the date of death.
x
PART
[!]
[CHECK ]
ONE
BLOCK
ONLY
A. r=J The above information and tax due is correct.
1. You May choose to reMit pay.ent 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 Depart.ent of Revenue.
B. r=J The above asset has been or will be reported and tax paid with tha PennSYlvania Inheritance Tax
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.
return
,-
\~~d?
PART If you indicate a differen~t~te~ase state your
~ relationship to decedent:~
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
lINE 1. Date EstabliShed 1
2. Account Balance 2
3. Percent Taxable 3 X
4. Amount Subject to Tax 4
5. Debts and Deductions 5
6. Amount Taxable 6
7. Tax Rate 7 X
8. Tax Due 8
C-lt1 ~9 - %)
?4~J~\
'6~
Ll ').:1. ~
PART
~
DATE PAID
PAYEE
DESCRIPTION
AMOUNT PAID
TOTAL (Enter on Line 5 of Tax Computation)
*
c
perjury. I declare that the facts I
my knowledge and belief.
NIIMRI=~
HOME
WORK
TI=I I=PI.InNI=
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
*'
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX OIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-1548 EX AFP (06-05)
BOBBETTE LARSON
826 ACRI RD
MECHANICSBURG PA 17050
DATE 04-30-2007
ESTATE OF HAKE ELNORA E
DATE OF DEATH 02-03-2007
FILE NUMBER 21 07-0151
COUNTY CUMBERLAND
SSN/DC 191-18-3999
ACN 07113353
APPEAL DATE: 06-29-2007
(See re1lerse side under Objections)
A.aunt Re.1tted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS +--
REY=is4S-EX-AFP-C03=Os5--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 04-30-2007
ESTATE OF HAKE
ELNORA
E DATE OF DEATH 02-03-2007
COUNTY
CUMBERLAND
FILE NO. 21 07-0151
TAX RETURN WAS:
S.S/D.C. NO. 191-18-3999
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
07113353
FINANCIAL INSTITUTION: COMMERCE BANK
ACCOUNT NO.
513172536
TYPE OF ACCOUNT:
DATE ESTABLISHED
()SAVINGS oc:) CHECKING (HRUST (HIME CERTIFICATE
09-08-2005
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
5,074.68
0.500
2,537.34
.00
2,537.34
.45
114.18
NOTE: TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
X
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
PAYMENT MUST BE MADE BY 11-04-2007*. TOTAL TAX CREDIT .00
BALANCE OF TAX DUE 114.18
INTEREST AND PEN. .00
TOTAL DUE 114.18
· IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL DUE IS LESS THAN .1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
COMMONWEAL TH OF -PE"NHSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280&01
HARRISBURG. PA 17128-0601
'*
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO. 21 07 - 0 151
07113353
03-28-2007
RO-IS43 EX AFP <G'-OO>
EST. OF ELNORA F HAKE
S.S. NO. 191-18-3999
DATE OF DEATH 02-03-2007
COUNTY CUMBERLAND
TYPE OF ACCOUNT
o SAVINGS
Ii] CHECKING
o TRUST
o CERTIF.
BOBBETTE LARSON
826 ACRI RD
MECHANICSBURG PA 17050
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
COMMERCE BANK has provided the Deparbent with the infoNlation listed below which hIlS 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 inforaation is incorrect. please obtain written correction froa the financial institution. attach a copy
to this fONl and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the COIlaonwealth
of PennsYlvania. Questions aavbe answered by calling (717) 787-8327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 513172536
Date
Establlshed
09-08-2005
To insure proper credit to your account. two
(2) copies of this notice aust accOllpanv your
payment to the Register of Wills. Make check
payable tOI "Register of Wills. Agent".
x
5,074.68
50.000
2,537.34
.15
380.60
NOTE. If tax payaents are aade within three
(3) aonths of the decedent's date of death.
you aay deduct a 5X discount of the tax due.
Any inheritance tax due will becOlle delinquent
nine (9) aonths after the date of death.
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potentlal Tax Due
x
PART
[!]
[CHECK ]
ONE
BLOCK
ONLY
A. c=J The above inforaation and tax due is correct.
1. You aey choose to r..it payaent to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest. or you aay check box "A" and return this notice to the Register of
Wills and an official essessaent will be issued by the PA Department of Revenue.
8. [] The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
~be filed by the decedent's representative.
C. ~The above inforaation is incorrect and/or debts and deductions were paid by you.
You must complete PART ~ and/or PART ~ below.
PART
~
TAX
LINE
If you indicate a dlfferen~r~ase state your
relatlonshlp to decedent: ~
RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
T. Date Establ:l.shecf C
2. Account Balance 2
3. Percent Taxable 3 X
4. Amount Subject to Tax 4
5. Debts and Deductlons 5
6. Amount Taxable 6
7. Tax Rate 7 X
8. Tax Due 8
S-ol~J~ <i
;15 ~~;~
~ '53'1. ~c.f
f:fU~
"q \
PART
[!]
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
PAYEE
DESCRIPTION
AMOUNT PAID
TOTAL (Enter on line 5 of Tax Computatlon)
*
perjury, I declare that the facts I
my nowledge and bellef.
have reported above ara true. correct and
HOME (1X"'\) 1~(G~6
WORK ( )
TJ:IJ:Pl4nNJ: NIIMRFR
..:f-~(\ 1
DATE
~1
2430
~3f72~ ^"
\;l~':_2::~-
-
17050 ""\ :v ~'t:.
~ ~~ ~~___ $ \OVJ). -
nkb V\ ~ - 1 ~ -:-~-;OlLARS tn
c~~~w ~v
MEMO 0 " \.s~~~'%} .
.: 21. ~08 ~ 2 ~ 71: 500 ~a 7 20 211
BOBBETTE LARSON
GARY LARSON
826 ACRI RD.
MECHANICSBURG, PA
5313
M'