HomeMy WebLinkAbout05-29-08
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 2B0601
HARRISBURG, PA 1712B-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NASER GLENN E
405 BOAS STREET
HARRISBURG, PA 17102
______n fold
ESTATE INFORMATION: SSN: 235-22-5167
FILE NUMBER: 2108-0588
DECEDENT NAME: NASER GRACE M
DATE OF PAYMENT: OS/29/2008
POSTMARK DATE: OS/27/2008
COUNTY: CUMBERLAND
DATE OF DEATH: 03/29/2008
NO. CD 009807
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
08119234 I $70.91
08119233 I $3.44
08119235 I $70.91
08119232 I $3.44
I
I
I
I
I
TOTAL AMOUNT PAID:
$148.70
REMARKS:
CHECK# 2424
SEAL
INITIALS: AJW
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
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
08119234
05-05-2008
REV-1543 EX AFP (09-00>
EST. OF GRACE M NASER
S.S. NO. 235-22-5167
DATE OF DEATH 03-29-2008
COUNTY CUMBERLAND
TYPE OF ACCOUNT
[i] SAVINGS
D CHECKING
o TRuST
o CERTIF.
GLENN E NASER
405 BOAS STREET
HARRISBURG PA 17102
_ '--.:l
REMIT PAvnENT AND FO~S TO:
REGISTER OFwmS OJ
CUMBERLAND Co.i =tbURT ~USE
CARLISLE, PA ~f~13 -<
- . ';~ f')
\.i,:)
.....~,
';)Cj
"'h
-0
:::::.
-~=;
MEMBERS 1 ST FCU has provided the Department with the information listed below Which:..~'::i,een use.f:;n
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,~tach ~ coplif'
to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of ~~ Commonweaith
of Pennsylvania. Qu~:.tions may be iculswei'ed bj/ calling (717) 787-8327.
COMPLETE PART 1 BELOW ~ ~ ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 40358-05
Date 03-10-1986
Established
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
Amount Subject to Tax
Tax Rate
Potential Tax Due
18,910.23
X 8.333
1,575.79
X .045
70.91
TAXPAYER RESPONSE
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 due will become delinquent
nine (9) months after the date of death.
PART
[!]
[CHECK ]
ONE
BLOCK
ONLY
A. [J The above information and tax due is correct.
1. You may choose to remit payment 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 Department 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. [J The above information is incorrect and/or debts and deductions were paid by you.
You must complete PART ~ and/or PART ~ below.
LINE 1. Uate Establlsned
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
PART
@]
DATE PAID PAYEE
X
PART
~
TAX
If you indicate a different tax rate, please state your
relationship to decedent:
RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
X
DEBTS AND DEDUCTIONS CLAIMED
DESCRIPTION
AMOUNT PAID
TOTAL (Enter on Line 5 of Tax Computation)
$
Under penalties of perjury, I declare that the facts
T~:~~:"'" on, '.".f.
have reported above are true, correct and
(7//) 77/~7)A'Y
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HOME
WORK
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nAT!:
COMMONWEALTH 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
08119233
05-05-2008
REV-15li3 EX AFP C09-00)
EST. OF GRACE M NASER
S.S. NO. 235-22-5167
DATE OF DEATH 03-29-2008
COUNTY CUMBERLAND
TYPE OF ACCOUNT
IiJ SAVINGS
D CHECKING
D TRUST
D CERTIF.
REMIT PAYMENT AND FDRMS TD:
REGISTER OF ~LLS ~
gX:~~~~~~D P~~~~~ ~r:fSE
='r': p ~
"';;'CQ N
:;'< \.0
:<(",~ -0
MEMBERS 1ST FCU has p..ovided the Depa..tment with the info..mation listed below which, h"l"~eeri use<G'tn "
calculating the potential tax due. Thei.. ..eco..ds indicate that at the death of the above decedent, you we..e " jiffj,t owne../beneficia"Y'oi:
this account. If you feel this info...ation is inco....ect, please obtain w..itten co....ection f..om the financial ''V1s-t1 tution, )(rtach ~ ~oiit~
to this fo..m and ..etu..n it to the above add..ess. This account is taxable in acco..dance with the Inhe..itanc~'rax Laws of ~~ Com.Q~ealth
of Pennsylvania. Questions may be answe..ed by calling (717) 787.8327. ~ .
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
GLENN E NASER
405 BOAS STREET
HARRISBURG PA 17102
Account No. 40358-00
07-27-1984
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
PART
[!]
Date
Established
To insure proper credit to your account, two
(2) copies of this notice must acco.pany you..
payment to the Registe.. of Wills. Make check
payable to: "Registe.. of Wills, Agent".
x
916.57
8.333
76.38
.045
3.44
TAXPAYER RESPONSE
NOTE: If tax payments a..e .ade within th..ee
(3) months of the decedent's date of death,
you may deduct a 5% discount of the tax due.
Any inhe..itance tax due will become delinquent
nine (9) months afte.. the date of death.
x
[CHECK ]
ONE
BLOCK
ONLY
A. c=J The above info..mation and tax due is co....ect.
1. You may choose to ..emit payment to the Registe.. of Wills with two copies of this notice to obtain
a discount 0.. avoid inte..est, or you may check box "A" and ..eturn this notice to the Registe.. of
Wills and an official assessment will be issued by the PA Depa..tment of Revenue.
B. c=J The above asset has been 0" will be ..epo..ted and tax paid with the Pennsylvania Inhe..itance Tax ..etu..n
to be filed by the decedent's ..ep..esentative.
c. c=J The above info..mation is incorrect and/o.. debts and deductions we..e paid by you.
You must complete PART ~ and/o.. PART ~ below.
2
3 X
4
5
6
7 X
8
PART
~
TAX
If yoU indicate a different tax rate, please state your
relationship to decedent:
RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
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
$
TDTAL (Enter on Line 5 of Tax Computation)
Under penalties of perjury, I declare that the facts
complete to the best of my knowledge and belief.
TAX~~/!~'"'
have reported above are true, correct and
HOME
WORK
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TI=I I=p~nNI= NII"'Ri=~
COMMONWEALTH 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
08119235
05-05-2008
f"-'
REV.1S43 EX AFP C09-00>
o TYP~F
--.,', .........
EST. OF GRACE M NASER ~::l ,r,
S.S. NO. 235-22-5167,'~r-~
, ~-rI
DATE OF DEATH 03-29-200'&:J(;~
COUNTY CUMBERLAND'
:p,.
-<
N
\.0
ACCOONT
;- -)
OC/'sA.lt,r NGS
CJF~E~KI NG
o TRUST
CJ CE~{IF.
BETH E NASER
3526 SEVENTH STREET
LEWISTON 10 83501
, 2~3 ~~,
REMIT PAYHENT=AND
REGISTER OF WI~S
CUMBERLAND C~~COURT
CARLISLE, PA 17013
'-,
:::;r.
FORMS TO,
c..,)
HGllI S E
N
MEMBERS 1 ST FCU 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~w~red by calling (717) 787-8327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 40358-05
Date
Established
03-10-1986
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
Amount Subject to Tax
Tax Rate
Potential Tax Due
x
18,910.23
8.333
1,575.79
.045
70.91
TAXPAYER RESPONSE
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 due will become delinquent
nine (9) months after the date of death.
x
PART
[!]
[CHECK ]
ONE
BLOCK
ONLY
A. a The above information and tax due is correct.
~ 1. You may choose to remit payment 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 Department 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 information is incorrect and/or debts and deductions were paid by you.
You must complete PART 0 and/or PART 0 below.
DEBTS AND DEDUCTIONS CLAIMED
PART
~
TAX
If you indicate a different tax rate, please state your
relationship to decedent:
RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE l. Date C:stablished
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
PART
~
DATE PAID PAYEE
x
x
DESCR I PTI ON
AMOUNT PAID
TOTAL (Enter on Line 5 of Tax Computation)
$
Under penalties of perjury, I declare that the
complete tJ!>>-~~~~'
TAXPAYER SIGNATURE
facts I have reported above are true, correct and
?7~-- sz,7'7
( :Z-6' r )
WORK ( )
TELEPHONE NUMBER
HOME
/ /
Silfies
nAT!::
COMMONWEALTH 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
08119232
05-05-2008
REV-15li3 EX AFP <09-DO)
EST. OF GRACE M NASER
S.S. NO. 235-22-5167
DATE OF DEATH 03-29-2008
COUNTY CUMBERLAND
TYPE OF ACCOUNT
Ii] SAVINGS
o CHECKING
o TRUST
o CERTIF.
BETH E NASER
3526 SEVENTH STREET
LEWISTON ID 83501
REMIT PAYMENT AND FDRMS
REGISTER OF WILLS
CUMBERLAND CO COURT
CARLISLE, PA C;7013
':~;O
::0
~r'-'
-~:O
TO:
HOUSE
1'..:>
c:;:.;.:)
t',~
1:.:;:0
-<
-:7,11
":--r
MEMBERS 1 ST FCU has provided the Department with the information listed below which has -be~~:~ed i:f'
calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a jO!rl~:~r/be~iciarY of~'-'
this account. If you feel this information is incorrect, please obtain written correction from the financial insti~~Ib~, at~h a coPY
to this form and return it to the above address. T~is account is taxable in accordance with the Inheritance Taxl~ of the}Co....onweaith)
of Pennsylvania. Questi:ms may be answered by call1ng (117) 787-8327..,;-.,.,. ~ ... i ;"'}
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT IRSTRUCTI~
r'\.J
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".
1'.)
Account No.
40358-00
Date
07-27-1984
Established
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
x
916.57
8.333
76.38
.045
3.44
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 due will become delinquent
nine (9) months after the date of death.
Account Balance
x
PART
ill
TAXPAYER RESPONSE
The above information and tax due is correct.
1. You may choose to remit payment to the Register of Wills witn(t;j copies of this notice to obtain
a discount or avoid interest, or you may check box "An and re"~ this notice to the Register of
Wills and an official assessment will be issued by the PA Department of Revenue.
[CHECK ]
ONE
BLOCK
ONLY
B. c=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.
C. c=J The above information is incorrect and/or debts and deductions were paid by you.
You must complete PART ~ and/or PART ~ below.
x
PART
[3J
TAX
If you indicate a different tax rate, please state your
relationship to decedent:
RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE l. Date Established
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
PART
[!]
DATE PAID PAYEE
x
DEBTS AND DEDUCTIONS CLAIMED
DESCR I PH ON
AMOUNT PAID
TOTAL (Enter on Line 5 of Tax Computation)
$
Under penalties of perjury, I declare that the facts I
complete to the best of my knowledge and belief.
~~~
TAXPAYER SIGNATURE
have reported above are true, correct and
(1!OY- ) r?g'-s~Lf7
( )
HOME
WORK
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n A'T"I'""
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
08119231
05-05-2008
REV-1S43 EX AFP (09-00>
TYPE OF ACCOUNT
JAMES E NASER
325 WESLEY DRIVE
APT 3323
MECHANICSBURG PA 17055
EST. OF GRACE M NASER
S.S. NO. 235-22-5167
DATE OF DEATH 03-29-2008
COUNTY CUMBERLAND
r..:l
(:.:::.>
REMIT PAfMENT AND F~S TO:
REGISTER OF~W~LS
CUMBERLAND CO ~l:i._ QJ.!RT iiUSE'
CARLISLE, PAl ,,9, '[!13 -<
l"'.J
\.D
[i] SAVINGS
o CHECKING
o TRUST
o CERTIF.
":i-j
-;'/-..
:~) (~)
j ~~.;., --~.,
'../
--1-..
'.'-1
MEMBERS 1 ST FCU . has prov~de~ the Department with the inforllation listed below which ~s~'ti..en usei:i:, .
calculating the potential tax due. TheIr records IndIcate that at the death of the above decedent, you were ~1~olnt owner/~efICiaryof
this account. If you feel this information is incorrect, please obtain written correction froll the financial institution, t1)ach 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
ot PennsYlvania. Questions may be answered by calling (717) 787-8327.
COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 40358-00
Date
Established
07-27-1984
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
Amount Subject to Tax
Tax Rate
Potential Tax Due
x
916.57
8.333
76.38
.00
.00
TAXPAYER RESPONSE
NOTE: If tax payments are lIade within three
(3) months of the decedent's date of death,
you may deduct a 5% discount of the tax due.
Any inheritance tax due will become delinquent
nine (9) months after the date of death.
x
PART
[!]
A. ~The above information and tax due is correct.
~. You lIay choose to remit payment 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 Department of Revenue.
[CHECK ]
ONE
BLOCK
ONLY
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 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
RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
1- Date Established 1
2. Account Balance 2
3. Percent Taxable 3 X
4. Amount Subject to Tax 4
S. Debts and Deductions 5
6. Amount Taxable 6
7. Tax Rate 7....x.-
8. Tax Due 8
PART
~
DEBTS AND DEDUCTIONS CLAIMED
DATE PAID
PAYEE
DESCR I PH ON
AMOUNT PAID
TOTAL (Enter on Line 5 of Tax Computation)
$
declare that the facts
and belief.
have reported above are true, correct and
HOME
WORK
( 7/7 ) 766- 6~ 9 f-
( )
sAJ-/tlJ'
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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
08119236
05-05-2008
REV-15'i3 EX AFP (09-00)
EST. OF GRACE M NASER
S.S. NO. 235-22-5167
DATE OF DEATH 03-29-2008
COUNTY CUMBERLAND
TYPE OF ACCOUNT
[i] SAVINGS
o CHECKING
o TRUST
o CERTIF.
JAMES E NASER
325 WESLEY DRIVE
APT 3323
MECHANICSBURG PA 17055
REMIT PAYMENT AND FORMS TO:
REGISTER Of- WILLS ~;;:;
CUMBERLAND(29)COURT;~OUSE
CARLISLE, PA5J17013:r.. ~
. ::' C) ::;
::; !~;~ ~
1 ('-"',
MEMBERS 1ST FCU has provided the Department with the information listed below whic.h 'h~~ ~~in us.wif:in '._'
calculating the potential tax due. Their records indicate that at the death of the above decedent, you were, a' Wnt owne'(..l>pnefi';iary.:~f
this account. If you feel this information is incorrect, please obtain written correction froll the financiab'in'rlitution, ...ttach a. COPy
to this form and return it to the above address. This account is taxable in accordance with the Inheritanci:~ax Laws of~ Commonweaith
of Fenn~:vl~di..ia. Questions may he ilr.sweied by c;Jlling (,?17) 787-8327. W
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 40358-05
Date 03-10-1986
Established
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
Amount Subject to Tax
Tax Rate
Potential Tax Due
PART
[!]
18,910.23
X 8.333
1,575.79
X .00
.00
TAXPAYER RESPONSE
NOTE: If tax payments are made within three
(3) months of the decedent's date of death,
you .ay deduct a 5% discount of the tax due.
Any inheritance tax due will become delinquent
nine (9) months after the date of death.
A. ~ The above information and tax due is correct.
~l. You may choose to remit payment 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 Department of Revenue.
[CHECK ]
ONE
BLOCK
ONLY
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 information is incorrect and/or debts and deductions were paid by you.
You must complete PART ~ and/or PART ~ below.
RETURN - COMPUTATION OF TAX uN JOINT/TRUST ACCOUNTS
"'"""" ...._,,1
,
.-
PART
~
TAX
If you indicate a different tax ~-.Q. O'Qase state your
relationship to decedent:_____
LrNC 1. Date E3tablished
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
2_
3 X
4
5
6
7.....L
8
DEBTS AND DEDUCTIONS CLAIMED
DESCRIPTION
AMOUNT PAID
TOTAL (Enter on Line 5 of Tax Computation)
$
Under penalties
complete to the best
(
5- ,L '/
, I.~ k>c ,1-'
DATE ,.
TAVDA
have reported above are true, correct and
(717 ) thb ~.6d7C
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TELEPHONE NUMBER
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~
t..,
~