HomeMy WebLinkAbout04-20-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT DF REVENUE
BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX t
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
Po BDX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128*0601 JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP col-09)
DATE 03-23-2009
ESTATE OF CALDWELL OLGA C
DATE OF DEATH 04-19-2008
FILE NUMBER 21 08-1128
COUNTY CUMBERLAND
SSN/DC 137-14-7519
BARBARA HOLLOWAY ACN 09003181
16 HAWKINS ST APPEAL DATE: 05-22-2009
DANIELSON CT 06239 (See reverse side underObje ~ ns)
Amount Remitted _-p a.
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CUMBERLAND CO COURT ;f#Qld~- -
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REV-1548 EX AFP CO1-09)
NOTICE OF INHERITANCE TAX APPR AISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEIDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 03-23-2009
ESTATE OIF CALDWELL OLGA C DATE OF DEATH 04-19-2008 COUNTY CUMBERLAND
FILE N0. 21 08-1128 S.S/D.C. N0. 137-14-7519 ACN 09003181
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: NATIONAL LIFE INS CO ACCOUNT N0. 240198700
TYPE OF ACCDUNT: C )SAVINGS C ) CHECKING 4()TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 05-05-1995
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS :
32,038.70
X 1.000
32,038.70
.00
32,038.70
X .45
1,441.74
NOTE: TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YDUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
PAYMEPJT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
01-16-2009 CD010791 .00 1,441.74
TOTAL TAX CREDIT 1,441.74
BALANCE OF TAX DUE .00
INTEREST AND PEN. .DO
TOTAL DUE .00
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" C CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES AND FILE N0. 21 0$-112$
Po Box zaocol TAXPAYER RESPONSE ACN 09004081
HARRISBURG PA 17128-0601
DATE 03-18-2009
REV-1543 IX AFP COB-O87
TYPE OF ACCOUNT
EST. OF OLGA C CALDWELL ^ SAVINGS
SSN 137-14-7519 ^ CHECKING
DATE OF DEATH o4-19-2008 ^ TRUST
COUNTY CUMBERLAND ^ CERTIF.
REMIT PAYMENT AND FORMS T0: rv
n c~
BARBARA C HOLLOWAY REGISTER OF WILLS °
16 HAWKINS ST CUMBERLAND CO COURT HOU~~ ]~ "
DANIELSON CT 06239 CARLISLE, PA 17013 ~~~r~- ~
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-y ~ m tV --
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NATIONAL. LIFE INS ANNUITY provided the Department with the information below, which has been used calcul~jrg thg
potential tax due. Records indicate that at the death of the above named decedent, you were a ioint owner/ben~fi'Ci~ary of t i account: '
If you feel the information is incorrect, please obtain written correction from the financial institution, att~Th a copy t~is forme.
and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Commonwealt~pf -
Pennsylvania. Please caii (717; 787-B327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 2401987 Date 04'19-2007 To ensure proper credit to the account, two
Established copies of this notice must accompany
payment to the Register of Wills. Make check
Account Balance $ 32, 038.70 payable to "Register of Wills, Agent".
Percent Taxable X 100.00
NOTE: If tax payments are made within three
Amount Subject to Tax $ 32, 038.70 months of the decedent's date of death,
Tax Rate X .045 deduct a 5 percent discount on the tax due.
Any Inheritance Tax due will become delinquent
Potential Tax Due $ 1 , 441.74 nine months after the date of death.
PART TAXPAYER RESPONSE
FAI E Tf~ RE5 - D Ml9kLL ~ ULT IN AN DFFII`IAL f( AS SSMfiH~»
A. ^ The above information and tax due is correct.
Remit payment to the Register of Wills with two copies of this notice to obtain
CHECK a discount or avoid interest, or 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.
C ONE
$ L D 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 estate representative.
C. ^ The above informs ion is incorrect and/or debts and deductions were paid.
Complete PART 2~ and/or PART ~ below.
PART If indicating a different tax rate, please state ~ ~FFICIEAL l1SE ONLY ~ AAF
a relationship to decedent: PA DEPARTMENT OF REVENUE
TAX RE TURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS PAD
LINE 1. Date Established 1 I
2. Account Balance 2 $ 2
3. Percent Taxable 3 X 3
4. Amount Subject to Tax 4 $ 4
5. Debts and Deductions 5 - 5
6. Amount Taxable 6 $ 6
7. Tax Rate 7 X 7
8. Tax Due 8 ~ 8
PART DEBTS AND DEDUCTIONS CLAIMED
0
TOTAL CEnter on Line 5 of Tax Computation) S
Under penalties of perjury, I declare that the facts I have reported above are true, correct and
complete to the best of my knowledge and belief. H OME C )
WORK C )
___-__..~~ ~-....-~....~ TCI CDUnuC \IIIMIICD TATC
DATE F'AID PAYEE DESCRIPTION AMOUNT PAID
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES AND F I LE ND . 21 0$ - 1128
Po Box z8o6B1 TAXPAYER RESPONSE ACN 09004081
HARRISBURG PA 17128-0601
DATE 03-18-2009
REV-1543 E% AFP COB-09)
TYPE OF ACCOUNT
EST. OF OLGA C CALDWELL ^ SAVINGS
S$N 137-14-7519 ^ CHECKING
DATE OF DEATH 04-19-2008 ^ TRUST
COUNTY CUMBERLAND rv ^ CERTIF.
REMIT PAYMENT AND FORMS T0: ~ '~
BARBARA C HOLLOWAY REGISTER OF WILLS ~ O ~ -`, ,
16 HAWKINS ST CUMBERLAND CO COURT HOU -v
DANIELSON CT 06239 CARLISLE, PA 17013 °'~;= n %~
~:, ~ m N i ,
~ --
NATIONAI_ LIFE INS ANNUITY provided the Department with the information below, which has been used calcula~g the' _ -~
potential tax due. Records indicate that at the death of the above-named decedent, you were a ioint owner/ben~ciary of tFti~ account.
If you feel the information is incorrect, please obtain written correction from the financial institution, attach a copy to ~s form
and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Commonwealth of
Pennsylvania. Please call (7I7) 787-8327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 2401987 Date 04-19-2007 To ensure proper credit to the account, two
Established copies of this notice must accompany
payment to the Register of Wills. Make check
Account Balance $ 32, 038.70 payable to "Register of Wills, Agent".
Percent Taxable X 100.00
NOTE: If tax payments are made within three
Amount Subject to Tax $ 32, 038 • 7U months of the decedent's date of death,
Tal: Rate ~( .045 deduct a 5 percent discount on the tax due.
Any Inheritance Tax due will become delinquent
Pol:ential Tax Due $ 1,441.74 nine months after the date of death.
PART TAXPAYER RESPONSE
F~LU&E TO £SI'd. WILL RE~5t3LT IN AN OFFICIAL TAX ASSD~SSl4~NT
A. ^ The above information and tax due is correct.
Remit payment to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest, 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.
C ONE
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 NI.Y to be filed by the estate representative.
C. ^ The above informs ion is incorrect and/or debts and deductions were paid.
Complete PART ~2 and/or PART ~ below.
PART If indicating a different tax rate, please state
relationship to decedent:
TAX RETURN - COMPUTATION
LINE I. 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
OF TAX ON JOINT/TRUST ACCOUNTS
1
2
3 X
4 +fi
5 -
6
7 X
8
OFF I,~XAL tkSE OMY ~ AAF
PA DEPARTMENT OF REVENUE
PAD
I
2
3
4
5
6
7
8
PART DEBTS AND DEDUCTIONS CLAIMED
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
Under penalties of perjury, I declare that the facts I have reported above are true, correct and
complete to the best of my knowledge and belief. HOME C )
WORK C )
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