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Home My WebLink About07-21-08 (2)COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 - `,i_' i it .. .... ,. ... ,. ~.-REV,ISGS,-Ex;~FV_ce:oor. INFORMATION NOTICE AND TAXPAYER RESPONSE FILE N0. 21 -(~`~-~7(0~ ACN 08132294 DATE 07-16-2008 2008 J4ll 2 l PN t ~ 33 c~~~K a~ pRCPHANM1S ~ ouRT ARLENE MILLER CiUw~t...~r~'•-'"`'"' -'-'•- PA 1426 BRADLEY DRIVE APT 213 CARLISLE PA 17013 TYPE OF ACCOUNT EST. OF CHARLES E MILLER ®SAVINGS S.$. N0. 201-16-7412 ^ CHECKING DATE OF DEATH o7-02-2008. ^ rRUST COUNTY CUMBERLAND ^ CERTIF. REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 MEMBERS 1ST FCU has provided the Department with the inforoation 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 faint 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 Cowmonwealth of Pennsylvania. Questions ^ay be answered by calling C717) 787-8327. COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 291667-00 Date 08-28-2006 To insure prover credit to your account, two Established C2) copies of this notice must accomparry your Account Balance 2, 051.38 payment to the Register of Wills. Make check vayable to: "Register of Wills, Agent". Percent Taxable X 16.667 3 4 1 . 9 0 NOTE: If tax paywents are made within three Amount Subject to Tax (3) months of the decedent's date of death, Tax Rate X , 00 you nay deduct a SY, discount of the tax due. . 0 0 Any inheritance tax due will becowe delinquent Potential Tax Due nine C9) months after the date of death. PART TAXPAYER RESPONSE ..... .~ ..._...~,~ ..............:.:...............:~....,.............AR..#~FF:I~.I .,,.fiAX.., 5:~~ :::~:::; :.. :.. ,...,.. A. (e~(~he above information and tax due is correct. uU 1. You say choose to rewit payment to the Register of Wills with two copies of this notice to obtain CHECK a discount or avoid interest, or you nay check box "A" and return this notice to the Register of 0 N E Wills and an official assesswent will be issued by the PA Department of Revenue. B L 0 C K ~ B. ^ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return 0 N L Y to be filed by the decedent's representative. C. ^ The above information is incorrect and/or debts and deductions were paid by you. You roust complete PART 2^ and/or PART 3^ below. I f a u indicate a d :::_ ::: ~ :.::::::::::::::::::.:.:~:~:~:~:~:~:~::.::.,.,.:...,.....,.,.,., .,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,...,.,.,.....,...,.,..:......::,:::~ ,.:......,., PART v afferent tax rate, Please state your -°--°~°_-------•'•~°~°•°•°•°•°•••• ~~~°•°°~••~-°•••••••~•••••••- •• =vt['• r e l a t i o n s h i p t o decedent : ::,:: ~;;;;;;;;;;;;;,;,;,;,;,,;~~~:::»:::::::, ~:::::::::... .,.,,.:.,.:...::.::u-... ...... .._.. ~u DINT/TRUST ACCOUNTS :«:ik ::;:, :::....:...........................::.....................................:.:.:.:::~:.,,;::,:::::::::::,;::,:::::::::::~~~•,.,:::::::::: TAX RETURN COMPUTATION OF TAX ON J "''''"''''``~"'' ' , .... :!r::::::::::::':i:i'.2i~ iiS:e:e}:e::!::Ei:iiiiiii~ ~ iiT3S~riSie:i:e:::"re~Fiiiiii:i:iiiSu F iiS:e:e i5'::•i "'i'?e:Sr:pe'r'ri':':^: .......e,,....... ,::~:;r .:::::::::::::ai:~ :,::i::::::::::..^,y.,,,.,.........a E 1 . Date Established 1 ........ . ........ ..:::.:.::s:,.: ~ ::;:;a: :~ ;;;:,,.. , . ..:~ •.::::,:,...:-:::... ....................... ......... .....G:_::.,::::::.:.,: ~... 2. Acc ount Ba lance f{i;~is .............. : .:: •::~.., a.:.,,.,.,.:...:..,.,.,., 2 - 'tiM?5! ...........::::: r,.,............, . .......... ...... e .::::::::::::c ..... :::: .:::::::::::.a::~:::c:::a::::~ ij[5~ iii: ' ...... s::::::~::::r..:r..s ::.. ercen axe e 3 X ,::::::_...:.:::,; ~,.- :~:,::::~::~::~:~::;..,.,.,.~.,.~„_:~~;:;:; .:...:::.... ....ha..,.,.,.,,,:.,::,;:; 4. Am ount Sub ect to Ta x 4 j 5. D ebts and Ded :::sste:~:~:s::~~•.:a~; uctio ns 5 ..............rr• :e^e S ..,~ ;.:.. ~ ................: r.:. ..............y ,. .... ................a~:::::::::::::s:: .. ............_ ...... ............... ,.,d:::_.:::::~:;:::::.5:::::::::::::::;g:::::::::.:::::;~:5:r.::::::c;::;?iSic'::i}:ieriiii:ii~:ii:i:`:t:iiS:iSii Amount Taxable 6 ................... .......:.._.......,....._...._.........:,.:::::::::::::::.:,,::;:::::::::::.:.:~:::::::::::::::,::::::::::::~:::.::::::::_::::::;::::::::: ............................................. .:::::::::::::::::z::::r.:::::::::::::,:,:.:;:::x::::u::;::::::::::: :::.:r :::::::::::::::::r.::..:.r.:ax.-::::.v:................................... .. .......... 7. T - ax Rate [i2yijii iii? ~ci5~ iiSSii ii5i~ i X 7 8 . - Tax D ue 8 PART DEBTS AND DEDUCTIONS CLAIMED 3^ DATE PAID PAYEE DESCRIPTION AMOUNT Parn Under penalties of perjury, I declare that the facts I have reported above!!JJare tr~u~e/,j-correct and complete to the best of m~y~knowledge and belief. HOME C 7~~ )/~"y,~ ~~c.~1') ~/ / GaL=~_.7C.[./ WORK C ) TAXPAYER SIGNATURE TELEPHONE NUMBER DATE ~~:A~ ltnLer on pane s of Tax Computation) S COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 ,- "''" ~^ HARRISBURG, PA 17128-0601 ~NtE5~13cb!~ ~t'~kvt`C~o9- ooo+t ,.,..INFORMATION NOTICE FILE N0. 21'-0~-o7(py TAXPAYERNRESPONSE ACN 08132293 -- DATE 07-16-2008 2~~8 ,lUL 2 L Pik 1 ~ 29 CLEa~c CI oapHa~~s.. Ccn~a~ AMANDA HAMMAN 1426 BRADLEY DRIVE APT 213 CARLISLE PA 17013 TYPE OF ACCOUNT EST. OF CHARLES E MILLER ®SAVINGS S.S. N0. 201-16-7412 ^ CHECKING DATE OF DEATH 07-02-2008 ^ rRUST COUNTY CUMBERLAND ^ CERTIF. REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 MEMBERS 1ST FCU has provided the Department with the inforwation 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 point owner/beneficiary of this account. If you feel this inforwation 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. puestions may be answered by calling (717) 787-8327. COMPLETE PART I BELOW * * ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 291667-0 0 Date 08-28-2006 Ta insure proper credit to your account, two Established (2) copies of this notice ^ust accowparry your Account Balance 2, 051.38 paywent to the Register of Wills. Make check payable to: "Register of Wills, Agent". Percent Taxable X 16.667 341.90 NOTE: If tax paywents are ^ade within three Amount Subject to Tax (3) months of the decedent's date of death, TaX Rate X .045 you may deduct a 5Y. discount of the tax due. 1 5.3 9 Any inheritance tax due will become delinquent Potential Tax DUe nine (9) months after the date of death. PART TAXPAYER RESPONSE 1 :::~ :::::::::::::::::~:~:::::::::::::::,.:,,:,.:.,.,.,.,.,.,.,................ ... ...................__..... _.. ............................ ......~... , :::.:.: :,,. .:2. .. .., .... ~y :::::::::::::::::::.:.::.::::::a::::::::5v~,.._........._..5. d __.z.5.~,c:~.. .... ..........,., .a................. ............~........ ~ ~~ E;:F31eFi:ei ~ `7iE~eiei ............................_,.,.................,.......................,....................._:..::.............~ ::_:.............. ,.:: r.._ ... _........ A. ~e above inforwation and tax due is correct. 1. You way choose to rewit paywent to the Register of Wills with two copies of this notice to obtain CHECK a discount or avoid interest, or you may check box "A" and return this notice to the Register of C ONE ~ Wills and an official assessment will be issued by the PA Department of Revenue. BLOCK B. ^ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return ONLY to be filed by the decedent's representative. C. ^ The above information is incorrect and/or debts and deductions were paid by you. You roust complete PART 2^ and/or PART 3^ below. PART If You indicate a different tax rate lease p state your elation hi t d d ::::::~,.,::,:::- ::::::::::.::::i€~:::,;::::::;:;:::::.~:;:::~::~~:~~,_:;::,:::~::::::s::;:::::::::;;_•::::,~:~:~.....:.,.,.._:.._:.: ~y .................::~:::::::::::,3:. ,:... :~:: ~ ~~ ~i _~ . 2 s o ece en p t: t ...:::::::...... ........ .....,,•..._........,.r,;.........,.,,,::..,,...::::i .._...,v:~ :::::::::....~... ~ . ........ :.....:i:e:i:e::a ::eS~iEii ;,;:;:::::pt~:..v .......: .:::: ..,, ,e ear :::u i::~:e e" 3 riii*i'~ e ' ~ ' ~ e z ' ~ `~ TAX - RETU RN COMPU TAT ION 0 F TA X ON JOINT/T U R ST ACCO LINTS , . . i ......: ..: i .. - . .. rr::::c::.:i:::i: e.: ee'~'' i Si '~'!; .. ...... ... ............ .... .. a ..:.:.,,;.,.,.,.:.,..: E 1. Date E s t a b 11 s h e d 1 ...... ..................... ::a:c:p::~ ::::::::::;:;:::;-... .................... ;:r,:::p;:;:,,;r::r:::::::.:v::: ~a:r~~.'.~~.:2,,:;::::::::,:~5;,;:~ ie ii5:e ................. .,. _... .,.....,.....,rav:v:::::r:, :~i~:~:~:::: nt Balance 2 :~ ..:.:.:.:.:::? ,:;::,:::::::,,a;,°:~:,::::-~,:,,,~,:::::~::::~:::~,;?;~i:~:€~::~:sus;::~€::;:::,,~..,.;,::~,:.:,:::,::::::~;,:,;,~:~:~::::::: e r e e n t Taxable 3 X ................... .......,:,;al:l:~~ ::~ =.:4;;a4::s::s::;<:::<::~ :;:: ~_:;::::::::.:,,;:::: ~ :::.~ :,r.:::::::;,...,......._.._:.,,, :. ............... .. ...:. ...... ..,...,.,.,. r...,.,.,., ..,.....,.,... Amount Sub 3 e c t t o Tax 4 ........................._.,.... ~........, ........,a ,,.r.,......... y:.:.:.:.:.:,:: .:.:::::::::::::::~ .,.......... ......., : ,.:.:.:.:.:.:. e:;:::;:::::::::;:::::::::.: ,:.. ,.,.,....._:,...,.,...... _:r.:;f~ ; :~ ::~ ::: ............... 5 . Debts and Deductions 5 ..........:..............,::,::,:::U:::::::,., ~:::::::::::::~..:~::::::: :::::::::::.:::: ::..:::...:::::::::::::::::.:..:.::.:::::::::::.~,;,::•~~, :,;,.:.,;::,:~::::.,:::,:::;:::::.:.::,:.:::::::::::,.,..:.:.:.:.:.:.:.,::;::: 6 . Amount Taxable 6 :::::::..:::::::::- .:::.::;:;:::::::::.:::. ~:;::,:::::::::.:., :::; ::;:::::.,.<:,,;:::::::::.:,,.,,,::::::::.::,.:,;,;::::: ;:.:.,,,,:,:,:,:,:,:,:~ ;,.:~::: 7 . Tax Rate :::::::::::::::::..:::::::::::::::: ~:::, ~::::::::::::::., :::.:::::;:::.:,,,:::::::::::::.:.,,,::::::::::::, ,..._.......... ,................:,:.:.....:......... . ax Due ................ ................ .................................:.........a:.a::::.:m:::n.:~ ::;.::::: 4:d:4:i5ie:e:e:eS3:F5: ....................:.....y:,,..........,....,,y,,............,,,..,.........._,..._:.....:.... , :x::::.:::: _ :i:::::::::a . .. ............. ...... .. ...... ......:...._ ...............~:,,::::::::::~:::,:,::~::~:::::,~~:::~::~::~:;:~,~:~~a::~::;:;::~::~::~,:::::::~:,:-:~:::::::::::::::::::::::: PART DEBTS AND DEDUCTIONS CLAIMED 0 DATE PAID PAYEE DESCRIPTION AMOUNT Pain Under penalties of perjury, I declare that the facts I have reported above are true/, correct and ~coymple/t~e to the best of my knowledge and belief. HOME C 7~7 ) s~f3 7/CI3~I -L_~!G~~j~ ~ WORK C ) DATE ,v, n:. ~cncer on une 5 or IaX Computation) S