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HomeMy WebLinkAbout01-0830 ;' 7- 6-11 ICOHHONWEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. Z8060l HARRISBURG, PA l71Z8-060l '* INFORMATION NOTICE AND TAXPAYER RESPONSE NO. 21 -01 - 8.30 01138062 08-24-2001 REV-1543 EX AFP (09-0D> FILE ACN DATE EST. OF HELEN SHIRLEY 5.S. NO. 184-12-3091 DATE OF DEATH 03-13-2001 COUNTY CUMBERLAND TYPE OF ACCOUNT o SAVINGS IX] CHECKING o TRUST o CERTIF. DONNA SHIRLEY 156 E CHAPEl AVE CARLISLE PA 17U3 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 WAYPOINT BANK has provided the Depart.ent 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 infor.ation is incorrect, please obtain written correction fr~ the financial institution, attach a copy to this for. and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Co..onwealth of Pennsylvania. Questions.ay be answered by calling (717) 787-83Z7. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 1703000019 Date 07-02-1987 Established Account Balance Percent Taxable Alllount Subject to Tax Rate Potential Tax Due x 3,072.58 50.000 1,536.29 &.f,5r~ - Ztiq ~ -J~ - . TAXPAYER RESPONSE Tax x PART m A. [ CHECK ] ONE BLOCK B. ONLY c. To insure proper credit to your account, two (Z) copies of this notice .ust acco.pany your pay.ent to the Register of Wills. Hake check payable to: "Register of Wills, Agent". NOTE: If tax pay.ents are .ade within three (3) .onths of the decedent.s date of death, you may deduct a 5X discount of the tax due. Any inheritance tax due will beco.e delinquent nine (9) .onths after the date of death. r=J The above infor.ation and tax due is correct. 1. You .ay 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 .ay check box "A" and return this notice to the Register of Wills and an official assess.ent will be issued by the PA Depart.ent of Revenue. r=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. ~ The above information is incorrect and/or debts and deductions were paid by You. You .ust co.plete PART ~ and/or PART ~ below. If yoU indicate a different tax rate, please state your relationship to decedent: 1> 1'1 v~ \I.. .. EE: R 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 TAX ON JOINT/TRUST (,-'/.- fJ~ ~ r'l 3J O"7~r ~-8' X fr" ,0 f!) lJ I ~'3 ~. J.df ; -6..!J 3/Q. 87 X t N;.13 (ll , t9C> DEBTS AND OF 1 2 3 4 5 6 7 8 ACCOUNTS PAYEE Under penalties of perjury, I declare that the facts I complete to the best of my knowledge and belief. l)~'Y\\.. $ TAXPAYER SIGNATURE have reported above are true, correct and HOME (..., /7 ) ;;JCjC 3 - ~t1" 6 f' WORK (N 4 ) TElEPHONE NUMBER err!' riot AT ' COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. Z8060 1 HARRISBURG, PA 171Z8-0601 *' INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DATE NO. 21-0J - gOo 01138061 08-24-2001 REV-1545 EX AFP <09-00) EST. OF HELEN SHIRLEY 5.5. NO. 184-12-3091 DATE OF DEATH 03-13-2001 COUNTY CUMBERLAND TYPE OF ACCOUNT [XJ SAVINGS D CHECKING D TRUST D CERTIF. DONNA SHIRLEY 156 E CHAPEL AVE CARLISLE PA 17013 REHIT PAVHENT AND FORHS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 WAVPOINT BANK has provided the Depart.ent with the inforntion 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 infor.ation is incorrect, please obtain written correction fro. the financial institution, attach a COpy to this for. and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the eo..onwealth of Pennsylvania. Questions .ay be answered by calling (717) 787-83Z7. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 1720026449 Date 11-07-1991 Established Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x 580.11 50.000 290.06 I.J~,~ JJ, ()fI' TAXPAYER RESPONSE To insure proper credit to your account, two (Z> copies of this notice must acco.pany your pay.ent to the Register of Wills. Make check payable to: "Register of Wills, Agent". x NOTE: If tax payments are .ade within three (3) .onths of the decedent's date of death, yOU .ay deduct a 5% discount of the tax due. Any inheritance tax due will bec~e delinquent nine (9) .onths after the date of death. Tax PART ill [CHECK ] ONE BLOCK ONLY A. [] The above infor.ation and tax due is correct. 1. You .ay choose to re.it pa~ent to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, or you .ay check box "A" and return this notice to the Register of Wills and an official assess.ent will be issued by the PA Depart.ent of Revenue. 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 infor.ation is incorrect and/~r debts and deductions were paid by you. , You .ust co.plete PART ~ and/or PART ~ below. PART ~ TAX RETURN - COMPUTATION LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax S. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due OF TAX ON JOINT/TRUST ACCOUNTS 1 ;1-"7- crt 2 S'$?'f). j I 3 X ,')O.CJ()(J 4 JCJ(J,06 S - ~1~.tJd+/3'l'fi(" 6_~8p~or 7 X Jf.S'-'7o 8 ().&tJ DEBTS AND DEDUCTIONS CLAIMED If you indicate a different tax rate, please state your relationship to decedent: 'P "'u at{., E..J? PART @] PAID TOTAL (Enter on Line S of Tax Computation) $ 4fiD~,~~, .. Under penalties of perjury, I declare that the facts I complete to the best of my knowledge and belief. T=~I~AT~~ have reported above are true, correct and HOME (..., 17 ) ~ ~~- 7" tb 9' WORK (N I A ) TELEPHONE NUMBER ./} ?~0--:- // COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE '* BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 171Z8-0601 Recorr"~"f- Reai~:l:~~' ........ '"--< ~... NOTICE OF INHERITANCE TAX APPRAISEKENT~ ALLOMANCE OR DISALLOMANCE OF DEDUCTION~, AND ASSESSKENT OF TAX ON JOINTLY HELD OR TRUST ASSETS of REV-1548 EX AFP (12-00) VVHJs DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 12-24-2001 SHIRLEY 03-13-2001 21 01-0830 CUMBERLAND 184-12-3091 01138061 HELEN '01 DIe 27 Ala :09 DONNA SHIRLEY 156 E CHAPEL fAlmk- " {, 'r' CARLISLE CllrnIJVfjil;~i!JI~G~,' PA Allount Rellitted 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 ~ Rifi=is4-i-i)f-AFii-ci1f=ooi------------------------------------------------------------------------------------ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 12-24-2001 ESTATE OF SHIRLEY HELEN DATE OF DEATH 03-13-2001 COUNTY CUMBERLAND FILE NO. 21 01-0830 TAX RETURN WAS: S.S/D.C. NO. 184-12-3091 (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION ACN 01138061 FINANCIAL INSTITUTION: WAYPOINT BANK ACCOUNT NO. 1720026449 TYPE OF ACCOUNT: ()() SAVINGS ( ) CHECKING ( ) TRUST ( ) TIME CERTIFICATE DATE ESTABLISHED 11-07-1991 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due x 580.11 0.500 290.06 953.56 .00 .45 .00 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 DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE . IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. . ( IF TOTAL DUE IS LESS THAN $1, NO PAY"ENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRJ, YOU "AY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS. J .00 .00 .00 .00 I COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE '* BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 171Z8-0601 'm me 21 1\10 :09 DONNA SHIRLEY 156 E CHAPEL AVE ., ,\\; , CARLISLE P~'t:i~~f\an~) NOTICE OF INHERITANCE TAX APPRAISEKENTL ALLOHANCE OR DISALLOHANCE OF DEDUCTION~, AND ASSESSKENT OF TAX ON ..".,r! JOINb~Y HELD OR TRUST ASSETS RecOlOt1v \\!\\\s DATE 12-24-2001 ReQ1stel ESTATE OF SHIRLEY DATE OF DEATH 03-13-2001 FILE NUMBER 21 01-0830 COUNTY CUMBERLAND SSN/DC 184-12-3091 ACN 01138062 REV-1548 EX AFP 112-DDI HELEN PA Allount Rellitted 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 ~ i-Efv=is4ri-i)f-AFii-fi1f=ooi------------------------------------------------------------------------------------ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 12-24-2001 ESTATE OF SHIRLEY HELEN DATE OF DEATH 03-13-2001 COUNTY CUMBERLAND FILE NO. 21 01-0830 TAX RETURN WAS: S.S/D.C. NO. 184-12-3091 (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION ACN 01138062 FINANCIAL INSTITUTION: WAYPOINT BANK ACCOUNT NO. 1703000019 TYPE OF ACCOUNT: DATE ESTABLISHED ( ) SAVINGS ()() CHECKING ( ) TRUST ( ) TIME CERTIFICATE 07-02-1987 X 3,072.58 0.500 1,536.29 6,536.87 .00 .45 .00 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." Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due x TAX CREDITS: PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE . 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" ( CRJ, YOU MAY BE DUE A REFUND. 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