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HomeMy WebLinkAbout03-30-09~ ,y PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE BUREAU DF INDIVIDUAL rAxes - AND FILE ND PG eax zagsBl ` TAXPAYER RESPONSE ACN FUIRRIS BURG PA 17128-0601 xfvasca ex uv <oti-dai ' ' ' '" DATE 21 '--"~ -o` ! i 09118410 03-26-2009 2009 BAR 30 PH 2~ OS CL`.I','. ~J ~RPH~~d'~ °, nT ,'Jni C ~~'_ P,? ALf REDA RIVERS 2069 SPRING ROAD CARLISLE PA 17013 EST. OF ROSE M SALISBURY SSN 201-20-6591 DATE OF DEATH 03-14-2009 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 TYPE OF ACCOUNT ® SAVINGS CHECKING TRUST CERTIF. MEMBERS 1ST FCU orovi ded the Oepa rtment with the infornati on below, which has been used in calculaking the potential tax due. Reco rtls indicate that at the death of the above-nametl decetlent, you were a ioint owner/beneficiary of khis accounk. If you Feel the inf ormakion is incorrect, please obtain wrikken correction from the Financial instituki on, attach a copv to this fora antl reku rn ik to khe above address. This accqunt is taxable in accordance wikh the Inheritance Tax laws of the Conn onw ealth of Pennsvlvania. Please call O1]) 7H]-8327 with quasti ons. COMPLETE PART 1 BELOW x SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account Na. 151893-00 Account Balance Percent Taxable Amount Subject tm Tax Tax Rate Potential Tax Due Date 06-05-1995 Established $ 2,076.51 X 50.000 $ 1,038.26 X .045 To ensure proper cretlit to the account, two cgpi es of this notice musk accon parry payment to the Register of Wills. Make check pav able to "Regi sker of Wills, Agenk". NOTE: If tax pave cots are made within three months of the tlecadent's date of tleath, detluct a 5 percent discount on the tax dua. Any Inheritance Tax due will become tlelinquent nine months after the tlate of tleath. A. ^ The above inf ornati on and tax due is correck. Remit pavnent to the Register of Wills wish two copies of this notice to obtain CHECK a discount or avoitl inkerest, or check bqx "A" antl return this notice to the Register of ONE Wills antl an official assessment will be issued by the PA Oepa rtn ent of Revenue. BLOCK B. ~ The above assot has been qr will be reportetl antl tax paitl wikh the Pennsvlvania Inheritance Tax return ONL Y to be filetl by the estate representative. C. The above inf orma eon is incorrect and/or debts antl detluctions ware poi tl. Canplete PART 2~ and/or PART 3f~ below. PART If indicating a tlifferent tax rate, please state ~ ~~.e @ ~"°~ relationship tm decedent: Sad wm ,,, ^e ~~ TAX RETURN - COMPUTATION LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxablo 7. Tax Rate 8. Tax Due PART DEBTS AND DEDUCTIONS CLAIMED r penalties of perjury, [ declare khaY the facts I have reported above era Yru e, correct and l e t e t o the best of knowledge and belief. ~~ ~~~ ~-~ S ~ ~ HOME ( )p 3Q ~ ! ~ ~ ~ 1XrSI/.~~`"\ il ~ ..~F"~) WO R K ('-~ / ~ ) ~ ~i i~ -70 0 U q ,3 '.3 6 •0 / R SIGNAT RE TELEPHONE NUMBER DATE OF TAX ON JOINT/TRUST ACCOUNTS a X 4 $ 5 ] X ~ LI S e s DATE PAID PAVFF DFCf`RTPTTnN Aun::ur Darn Ronan Funeral Home 255 York Road Carlisle, Pennsylvania 17013 Phone 717-258-9863 Lynn A. Ronan, Funeral Director We Care 100% Our Family Serving Your Family Thursday, March 19, 2009 Mr. Roy B. Salizbury, Jr. 7802 Wentzville Road Carlisle, PA 17013 Fax 717-241-4041 Dear Roy, Thank you for selecting our funeral home to provide services for your family during your time of bereavement. I hope that you found ow services, so faz, to be of the highest standards that we always try to achieve. The following is a summary of the service chazges as previously explained and provided in written form on [he services for: ROSE MARIE SALISB Y PROFESSIONAL SERVICES Basic service of funeral director and staff $ 4 590 00 Embalmingg Dressing Casketing and Cosmetolo , . $ Incl. , gy Other Prepazation of Body $ Incl. $ Incl. TOTAL PROFESSIONAL SERVICES Use of Facilities & Staff for Visitation Use of Facilities & Staff for Ceremony at Funeral Home $ Incl. $ Incl Use of Staff & Equipment for Graveside Service . $ Incl Transfer of Remains to Funeral Home . $ Incl Heazse /Funeral Coach . $ Incl Flower Vehicle Flower /Lead Caz . $ Incl. MERCHANDISE SELECTED $ Incl. Casket: Awora "Lila" 20 a Outer Bwial Container MCCALMONT SUPREME $980.00 $1 095.00 C TOTAL MERCHAN DISE SELI+~CTED ASH ADVANCES Certified Copies of Death CertiScate Clergy Honorarmm Newspaper Notice Sentinel Flowers Opening Grave Organist Cantor Altar Serviers LESS: Credits granted TOTAL OF SERVICES Cumberland County VA LESS: Payments Made $4,590.00 $2,075.00 $ 24.00 $ 175.00 $ 217.46 $ 212.00 $ 450.00 $ 125.00 $ 50.00 $ 30.00 CASH ADVANCE TOTAL $1,283.46 $100.00 $100.00 $7,848.46 3,380.00 BALANCE DUE X4,468.46 If there are any questions or concerns that remain unanswered, please call me. Sincerely, Lynn A. Ronan Funeral Director