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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 (~ T~I ~pl-lnN~ NII"'R~~ HOME WORK sJ;.s/f;y 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 ( // }) ? '7/ - 7.7.J:::>" ( ) 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 TI=I I=pl-ln"lI: "'1Ih1R~D / / .5fiflog 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' n.llTI: T.II Ti=1 i=p....nNi= NIIMRi=" 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 WORK ( ~ ) TELEPHONE NUMBER HOME . \"" .,~\ ..', '..- r" (.} ..\. \_~\ \ " - " \'\;'\ 'i" '" ~ ~ \:J ~ rt, ~ '. ~ $ ~~ ..b \::'\ c., , ~ ~ - -- -:. ~ ~ ... -;...: ::;::::. ~ ~ '" ~ ... ;.;:. ~ ~ 'vJ ... ~ -;. ~ -;.....0 -;.....0 ~ -:- ~ -:.- -:- -;....- ... -:. ':.-- ~ ~~' ~~~ t.. "5.. 6S-- ~ "?; \ ~ ..t... ~ " ..~~ ~ - ~ ~~ ~ " -.... C) <:0 CJ ~' ~ ~ \', ~9J. ("\:) ~.."'" -! J (,-, - ~ c::c. -- .)2 ~/?~ ~:;~) ~L ~_) /':) >-. :Q -~ ,......' ~J ~-- ,."...,c:. \ ~.... ";J , f- "\' '~-~.~ (.,~-.1 t....) ;,) '",\ Jr' \ .,... " . .-i f')', ;:~ .....~~. ..J:. B V _. "f.t , ..;:; ',~, .~~ \ '. j '!' li~, ':~ t,. , I~ .... \.... 'i ------ --- v\ ~ ~ "\ 4- .::t. c:.. ~ t.., ~