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HomeMy WebLinkAbout04-15-09 (2)COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ZOOK BETTE J 24 GUNPOWDER ROAD MECHANICSBURG, PA 17050 fold ESTATE INFORMATION: ssN: Asa-i2-4380 FILE NUMBER: 2109-0351 DECEDENT NAME: DAWSON VIVIAN R DATE OF PAYMENT: 04/15/2009 POSTMARK DATE: 04/ 14/2009 COUNTY: CUMBERLAND DATE OF DEATH: 09/21 /2008 REV-1162 EX111-96) NO. CD 01 1 1 12 ACN ASSESSMENT AMOUNT CONTROL NUMBER 09100569 ~ 5355.91 09100570 ~ 512.58 TOTAL AMOUNT PAID: REMARKS: SEAL CHECK#1009 INITIALS: CJ RECEIVED BY: 5368.49 GLENDA EARNER STRASBAUGH REGISTER OF WILLS TAXPAYER PENNSYLVANIA INHERITANCE T INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES AN D PD Box zao6ol r`;- ~ !~;' f', '='~';~~(PAYER RESPONSE HARRISBURG PA 17128-0601 '" REV-1543 EX AF'R {.yb.p~}-- i ELI - ,,.... ACN 09100572 DATE 01-02-2009 2004 APR I S PM 12~ 27 CLEF ~~{ (Jf= n Of~3Pf-f?a~1'S uOURtn CUf,~~~r.. ,stn ..~ PA _ 'i_ , HARRY H DAWSON 21 BENT CREEK BLVD MECHANICSBURG PA 17050 EST. OF VIVIAN R DAWSON SSN 188-12-4380 DATE OF DEATH 09-21-2008 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 TYPE OF ACCOUNT SAVINGS ® CHECKING TRUST CERTIF. M&T BANK provided the Department with the information below, which has been used in calculating the potential tax due. Records indicate that at the death of the above-named decedent, you were a ioint owner/beneficiary of this account. If you feel the 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. Please rail (717) 787-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 27623858 Date 05-24-2004 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 $ 3, 354.65 payable to "Register of Wills, Agent". Percent Taxable X 8.333 NOTE: If tax payments are made within three Amount Subject to Tax $ 279 • 54 months of the decedent's date of death, ~( 0 0 deduct a 5 percent discount on the tax due. Tax Rate , Any Inheritance Tax due will become delinquent Potential Tax Due $` • 00 nine months after the date of death. PART TAXPAYER RESPONSE ^ .. u TAX RETURN - COMPUTATION 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 OF TAX ON JOINT/TRUST ACCOUNTS 1 2 $ s X 4 5 6 7 X 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 correct and are true, wlgdge and belief. complete to the best of my kno HOME C`~(ti~ (~yy ) (Q'11"~"1~~ ` ~ ~ ~~1t \\\7"Q'~_ r WORK C ~ LI'~~I'O TAXPAYE SIGN/~,~1RE T DO~Se~-~ TELEPHONE NUMBER DATE TOTAL (Enter on Line 5 of Tax Computation) s PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE ~7 BUREAU OF INDIYIDUAL TAXES ~ i,jrr_ ~C ^`' AND FILE N0. 21 "C~"I-Q~,~~ Po eox 280601 ~ ~' ~ ~'~'A7CPAY~R RESPONSE AcN 09100569 HARRISBURG PA 17128-0601 --- i~l'. ~ ~~ DATE 01-02-2009 _r ~ ~, `~I,) ~~~ _J1 REV-1543 EX pFP'2 dR,~0~) ~ - .~~ TYPE OF ACCOUNT 20~g ~~~ ~ ~ P!1 IZ~ 27 $ST. OF VIVIAN R DAWSON ^ SAVINGS $$N 188-12-4380 ® CHECKING CLE~?K G~ DATE OF DEATH 09-21-2008 ^ TRUST '~ ~~UI~1 QRPHP.N ~ IJ COUNTY CUMBERLAND ^ CERTIF. C~~,,R~~-r~';L_r ~`~~1 r%Ci , rM REMIT PAYMENT AND FORMS T0: BETTE J ZOOK REGISTER OF WILLS 24 GUNPOWDER RD CUMBERLAND CO COURT HOUSE MECHANICSBURG PA 17050 CARLISLE, PA 17013 M&T BANK provided the Department with the information below, which has been used in calculating the potential tax due. Records indicate that at the death of the above-named decedent, you were a joint owner/beneficiary of this account. If you feel the 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. ?lease coil t7.i7 787-SS27 ::it.. quasticn s. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS TOTAL CEnter on Line 5 or lax compucau on, Under penalties of perjury, I declare that the facts I have reported a-byov^e~are true, c(~orrect and eo e to th~t of m knowledge and belief. HOME C 1 ~ I ) ~Q'^ I "{~ WORK , y,~~I-G~1 TAXPAYER SIGNATUR TELEPHONE NUMBER DATE PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES ~:{..f~.._ ,.,ti-_ AND FILE N0. 21-(~-Q~,S~ Po Box ZBOSOI ? !. TAXPAYER RESPONSE ACN 09100570 HARRISBURG PA 1 7128-0601 r~ 1~„ ~. '•, ~, ~~~~ ;., ~ DATE 01-02-2009 REV-35k~'E7i"~F7 tbH'OB)" ti r.i ~_. .. ' 2009 APR 1 S PP112~ 27 CLER~t CF oRpy~a~.~~s C~CURT P~^z_~ ,,~, ,`~~ CU _ ~~:.., ~, PA BETTE J ZOOK 24 GUNPOWDER RD MECHANICSBURG PA 17050 EST. OF VIVIAN R DAWSON SSN 188-12-4380 DATE OF DEATH 09-21-2008 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 TYPE OF ACCOUNT SAVINGS ® CHECKING TRUST CERTIF. M&T BANK provided the Department with the information below, which has been used in calculating the potential tax due. Records indicate that at the death of the above-named decedent, you were a joint owner/beneficiary of this account. If you feel the 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. rlease tali iTi7i 787-63er with gaasi:.rs. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 27,623858 Date 05-24-2004 To ensure proper credit to the account, two Established copies of th15 notice must accompany Account Balance 3, 354.65 payment to the Register of Wills. Mako check payable to "Register of Wills. Agent". Percent Taxable X 8.333 Amount Subject to TaX 2 7 9.54 NOTE: If tax payments are made within three months of the decedent's date of death, Tax Rate X .045 deduct a 5 percent discount on the tax due. Potential Tax Due 1 2.5 8 Anv Inheritance Tax due will become delinquent nine months after the date of death. P~T 1 TAXPAYER RESPONSE 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 C 0 N E ~ Wills and an official assessment 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 estate representative. C. ~ The above informs ion is incorrect and/or debts and deductions ware void. Complete PART ~2 and/or PART 3~ below. PART If indicating a different tax rate, please state relationship to decedent: TAX RETURN - COMPUTATION i.INE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxable 7. Tax Rate B. Tax Due OF TAX ON JOINT/TRUST ACCOUNTS 2 +~ 3 X 4 +~ 5 6 7 X 8 PART DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION AMOUNT PAID Under penalties of per~ury, I declare that the facts I have reported above are true, co(Ar~re~c7t and complete to the best o my knowledge and belief . HOME C ~ (~ .) Coq ~ ~~ vY ( C~ woRK c ----~ -i4-Oq TAXPAYER SIGNAT TELEPHONE NUMBER DATE .,j ~j~'~f~ ~` ~Z j? ~. _ - W ;+ri ?+s+ ~.~ b ;~, ;.:i ._ ,_ ~ ~ ~'r ~'' ~ ~; k• ~. `a G ids • ~ IY1 , »~' ~F ~ 1 ~ F w _~ !k`f ~~ ~ r l ;. 3 ~: ~ ~~ ~ n ~ ~ a :~ ~ -~ ~ ~ ~ ~~- LjG~ ~ ~. N ~ ~ h r Vii. ~ '~ ~ : _ ~-a j `L ~ x P _ ~ c~, c~ n v ~'-' C .:, Lx..t t.Lt C2. _ 4 ~ ~? .c. ~~ C d O ~ U a u r r~ ~a u ~, a a ~~ ,= r T ...: i~ l~ f ~~,