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Home My WebLink About03-30-09 (2)~- . BUREAU OF INDIVIDUAL TAXES ''j-- PO BDX 280601 HARRISBURG PA 1]128-0601 _I~ - \L'..-, ~ '. '.. .,, PEV -15 G3 EX RFP (OB-O B) PENNSYLVANIA INHERITANCE INFORMATION NOTICE AND TAXPAYER RESPONSE T FILE N0. 21 -(.,~ I ' ~ r 1 ACN 09118411 DATE 03-26-2009 2C~9 P~E,R 30 Phl 2~ 03 rl_E C!t\ ~~f Cl-l'. ALFREDA RIVERS 2069 SPRING ROAD CARLISLE PA 17013 EST. OF ROSE M SALISBURY SSN 201-20-6591 DATE OF DEATH 03-14-2009 COUNTY CUMBERLAND RENIT PAYMENT AND FORMS T0: REGISTER OF WILLS CUMBERLAND CO COURT HDUSE CARLISLE, PA 17013 TYPE OF ACCOUNT SAVINGS ® CHECKING TRUST CERTIF. MEMBERS 1ST FCU pravi ded the Oepa rtnant with the information below, which has been used in calculating the votential kax due. Reco rtls indicate that at the tleath of the above-named decedent, you were a joint owner/benefi ciarv of this account. If you feel the information is incorreck, please obtain writken correction fron the financial instikution, attach a copy tq khis term and return it to the above address. This account is taxable in accordance wikh the Inheritance Tax laws of the Cmmm onw ealth of Pennsvlvania. Please call O1T) 7B]-832] with quaskions. COMPLETE PART 1 BELOW ^ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 151893-11 Date 06-05-1995 To ensure proper cretlit to the account, two Established conies of this notice oust accomvarN pavnenk to the Register of Wills. Make check Account Balance $ 2x188.61 pav able to "Register of Wills, Aeent". Percent Taxable X 50.088 NOTE: If kax pavments are node wikhin three Amcunt Suhjmet to TaX ~` 1x094.31 months of the decedent's tlate of death, Tax Rate X . 0 45 detluck a 5 percent discount on the tax due. Anv Inheritance Tax tlue will become delinquent Potential Tdx Dua g 49.24 nine months after the date of tleath. PART TAXPAYER RESPONSE ^ ~-a~. j~e ~ e s a `~ ~P e ~° ~ ~ e ~, ~ m ~ . ae ~ a:,. ~ m; A. ^ The above inf ornation antl tax due is correct. Remit payment to the Register of Wills with two co at as of this notice To obtain a discount qr avoid inkeresk, or check box "A'• and return this notice to the Register of CHECK Wills and an official assessment will be issued by the PA Department of Revenue. ONE BLOC K B. ~ The ve asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return ONL Y to a filetl by the estate represent alive. C. The above inf orna aan is Complete PART 2~ and/or incorrect and/or tlebks and detluctions were oat d. PART ir~ below. PART If indicating a dif f¢rent tax rake rolationship to daeetlent: TAX RETURN - COMPUTATION LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Detluctions 6. Amount Taxable 7. Tax Rate R. Tax Due PART DATE PAID PAYEE ase OF TAX ON JOINT/TRUST ACCOUNTS aE ~~~ aka 1 ~ 2 +~ ~~~ n 3 X ~¢ ~ ¢a ~r a ] X ~®~', a 8 +fi B 3 ~~ ~ s ~ e ~ a.~ DEBTS AND DEDUCTIONS CLAIMED DESCRIPTION AMOUNT PAID Under penalties of perjury, I deela re that the facts I have re parted above era ^^Y complete to-She bast 'bY my knowledge and belief. unue rte/ 7 i C"Y. WORK C`7 / I ) correct and -33a S -7oaa 3 3.05 GATE Ronan Funeral Home 255 York Road Carlisle, Pennsylvania 17013 Phone 717-258-9863 Thursday, March 19, 2009 Mr. Roy B. 5alizbury, Jr. 7802 Wertzville Road Carlisle, PA 17013 Lynn A. Ronan, Funeral Director We Care 100% Our Family Serving Your Family 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 our services, so far, to be of [he 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 the services for: ROSE MARIE SALISBURY PROFESSIONAL SERVICES Basic service of funeral director and staff $ 4,590.00 Embalming $ Incl. Dressing, Casketing and Cosmetology $ Incl. Other Preparation of Body $ Incl. TOTAL PROFESSIONAL SERVICES Use of Facilities & Staff for Visitation $ Incl. Use of Facilities & Staff for Ceremony at Funeral Home $ Incl. Use of Staff & Equipment for Graveside Service $ Incl. Transfer of Remains to Funeral Home $ Incl. Hearse /Funeral Coach $ Incl. Flower Vehicle $ Incl. Flower /Lead Car $ Incl. MERCHANDISE SELECTED Casket: Aurora "Lila" 20 a $980.00 Outer Burial Container MCCALMONT SUPREME $I 095 00 TOTAL MERCHAND ISE SELECTED CASH ADVANCES Certified Copies of Death Certificate Clergy Honorarium Newspaper Notice Sentinel Flowers Opening Grave Organist Cantor Altar Serviers LESS: Credits granted TOTAL OF SERVICES Cumberland County VA LESS: Payments Made 3,380.00 BALANCE DUE If there are any questions or concerns that remain unanswered, please call me. Sincerely, $ 24.00 $ 175.00 $ 217.46 $ 212.00 $ 450.00 $ 125.00 $ 50.00 $ 30 00 CASH ADVANCE TOTAL $100.00 $100.00 $4,590.00 $2,075.00 $1,283.46 $7,848.46 $4,468.46 Lynn A. Ronan Funeral Director