HomeMy WebLinkAbout06-03-09BUREAU OF INDIVIDUAL TAXES
Po Box zeasal
W4RRISBURG PA 17128-8601
REY-]563 67t ~P coe-oe>
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE ND. 21 ~~~+~~~
ACN 09129357
DATE 05-15-2009
TYPE OF ACCOUNT
E5T. OF JUDITH WEAKLEY ~ SAVINGS
SSN 226-58-0309 ~ CHECKING
DATE OF DEATH 04-18-2009 ~( TRUSF
COUNTY CUMBERLAND ;_.,Q CERTIF.
REHIT PAYMENT AND FpRNS T0: ~7 _, -_
LUCINDA S STONE REGISTER OF WILLS ~,~_ 07
128 OLD FORD DR CUMBERLAND CO COURT HOUSE
CAMP HILL PA 17011 CARLISLE, PA 17013 ?L=rte
- - yz.
COMMERCE BANK HARRISBURG NA Drovided the Dopartsent with the inforsation below, which has been used'1h c~flculatins he
potential tax duo. kecorda indica}o that at the death of the above-nosed decedent, you were a 3oint owner/benoti'dlary of this account.
If you feel the inforaation is Incorrect, please obtain written correction free the financial institution, attach a copy to this,;fors
and return it to the above address. Fhis account is taxable in accordance with the Inheritance Tax laws of the Cossonwealth of
Ponnsylvanie. Please ca12 (717) 787-8327 with tlueations.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 120001687 Data 08-12-2008
To ensure proper credit to the account, two
Established copies of this notice suet accospam~
Account Balance $ 87,466.57 pevsent to the Register of Wills. Melee cheek
Percent Taxable X payable to "Register of Wills, Agent",
100.00
Amouht Sub3eet to Tax ~ 87, 466.57 NOTES If tax aayaents are wade within three
TaX Rata months of the decedent's det• of death,
X . 1 5 deduct a b percent dlsoount on the tax due.
Potential Tax Due ~` 13, 119.99 Any Inheritance Tax Quo will becose delinquent
nine sonths after the date of death_
PAaRT
~ TAXPAYER RESPONSE
Yi,'L
.,
. - . '
A. ~ The above inforsation and tax due is correct,
Resit paysen} to the Register of Wills with two copies of this notice to obtain
C C HECK a discount or avoid interest, or check box "A" and return this notice to the Register of
0 N E Willa and an official assesssant will be issued by the PA Depertsent of Revenue.
BLOCK B. Ao above asset has bean or x311 be reported and tax paid with the Pennsvlvenia Inheritance Tax return
ONLY to be filed by the estate reprosontative.
C. ~ Ths above inforsa ion is incorrect and/or debts and deductions wore paid.
Cosvlet• PART ~2 and/or PART 3~ below.
PART If indicating a different tax rate, please state -
relationship to decadent: _
TAX RETURN - CONPU7ATION
LINE 1. Date Established
2. Account Balance
3. Percent Taxable
4. Asount Sub~eet to Tax
5. Debts and Deductions
6. Amount Taxable
7. Tax Rate
8. Tax Due
PART
u
DATE PAID PAYEE
DEBTS AND DEDUCTIONS CLAIMED
DESCRIPTION
AMOUNT PAID
TOTAL CEnter on Line 5 of Tax Computation) t
Under pena ties of perjury, I declare that the Pacts I have reported above are true, correct and
com the best of wledge and belie!.
~''' HOME C ) ~j _ 2Z ~{
TAXP R SIGNATURE ~~~ ~~ ~~~ _. ~ ~-
TELEPHONE NUMBER
INFORMATION NOTICE
BUREAU OF INOIVIOUAL TAXES
PO SOX 280501 AN D
HARRISBURG PA 17128-0601 T'a'~PAYER RESP(,~NS`E
eEV-isaa oc a/P cos~ee~
Data o9-os-2oo6
Established
S 108,314.88
X 5~.~0~
$ 54,157.44
X .15
~ 8,123.62
TYPE OF ACCOUNT
£ST. OF JUDITH WEAKLEY
SSN 226-58-0309 ^ sAVINGs
DATE OF DEATH 04-18-2009 ® CHECKING
COUNTY CUMBERLAND (^ TRUST
LUCINDA S STONE REMIT PAYMENT AND FORMS 70: ~ clTJ CERTIF.
`---
128 OLD FORD DR REGISTER OF WILLS ~ `'_'
CAMP HILL CUMBERLAND CO COURT HOUSE'L ~ ~~
PA 17011 CARLISLE, PA 17013 rw
~~ ~ =
.,
..,-_.~
COMMERCE BANK HARRISBURG NA J.~, ~'-
Provided the Oepartaent with the inforeation below, which has boart used 3tf7cal7:ulatin
Potential tax due. Records indicate that at the death of the above-naaed decedent, ~~
If you fool the fnfonation fa incorrect, please obtain written correction frog the financial institution, attach a copy to this+fara
y of this account.
and return it to the above address. This account is taxable in accordance with the Inheritance 7axtlaws ofbthefCoaeonwealth
Pennsylvania. Please Ball (717) 787-8327 with ouestions.
COMPLETE PART 1 BELOW x SEE REVERSE SIDE FOR FILING AND PAYMENT TuoTS..,.~.-_.._ of
Acceunf u,. ~~~.-.
rveJL70/{/
PART
Account Balance
Percent 7axablo
Amount Subject to Tax
Tax Rate
Potential Tax Due
CHECK
ONE
BLOCK ] B
ONLY
FILE N0, 21 U I -C~U'1
ACN D9129355
DATE 05-15.2009
To ensure proper credit to the account, two
copies of this notice •ust accoapeny
vayaent to the Register of Wills. Hake check
payable to "Resister of Wills, Aeent".
NOTE: If tax pavaents are aade within three
aonths of the decedent's date of death.
deduct a 5 percent discount on the tax due.
Any Inheritance Tax due will beeoae dalinauent
vino soothe after the data of death.
The above inforeation and tax duo - ~
Resit pageant to the Register of Willscwith two copies of this notice to obtain '
a discount or avoid interest, or check box "A" and return this notice to the Reeister of
Wills and an official assessaont will be issued by the PA Oepartaent of Revenue.
The above asset has bean or will be reported and tax Paid with the Pennsylvania Inheritance r,,, .._...__
to be filed by the estate representative.
C• U The above infonaa ion is incorrect and/or debts and deductions were paid.
Coaplate PART ~2 and/or PART 3^
~-•J below.
P
ART if indicating a different tax rata, please state
Q relationship t
o decadent:
TAX RETURN - COMPUTATION OF
LINE 1
D
t TAX ON JOINT/TRUST ACCOUNTS
.
a
e Established 1
2. Account Balance 2
3. Percent Taxable 3 X
4. Amount Sub3oct to Tax q ~`
5. Debts and Deductions g
6. Amount Taxable 6 $ -
7. Tax Rata ~ X
8. Tax Due
d °- ~~ - -
$
PART
U DEBTS AND DEDUCTIONS CLAIMED
DATE PAID PAYEE
DESCRIPTION
AMOUNT PAID
Under pe ltios of par~ur
I TOTAL CEnter on Line 5 of Tax Computation)
e
y,
de
eompl to the be t o l clare that the facts I have reported above are
odge and belief. true, correct and
-- HOME C 1 ct _2 ~
~-._._a ---
TAXPAYER SIGNATURE ......_._.._`WORK -~-T'j-!'~'7''~7-'t__~_---~T_-_..--_.Y--f-:-~-rr-.,
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES
PO 807( 280601 AND ~~ _ (~-~ G'1
HARRISBURG PA 1712{-o6Dl TAXPAYER RESPONSE FILE N0. 21
ACN 09129355
a[v-isst ac w=r toe-,s, DATE 05 -15 - 20 D 9
TYPE OF ACCOUNT
EST. OF JUDITH WEAKLEY
SSN 226-58-0309 ~ sAYINCs
DATE OF DEATH 04-18-2009 ^ CHECKING
COUNTY CUMBERLAND ~--~ ~_ ,~ TRUST
REMIT PAYMENT AND FORMS T0: =;>(;"~ ~'~ CERTLF.
KIZ C SMITH
128 OLD FORD DR REGISTER OF WILLS ~-i7 _~`°
-,~~ ~_-
CAMP HILL PA 17011 CUMBERLAND CO COURT HdUSE %=`~-} "-
CARLISLE, PA 17D13 ~ - ~ '
,~~•~~~
:~
~. - ~~~
COMMERCE BANK HARRISBURG NA ~''
potential tax due. Records indicate that at the death of the above-naaed decedent,
provided the Dapartaent with tM information belox, which has been used`71'n ealeulating-t~ho
If you foal the information is incorrect, ploase obtain writ tan correction free the financial institution, attach a c
and return it to the above address. ihis account is taxable 1n accordance with the InheritancelTaxtlawsaoibthefCoaaonwoolthiof~ount.
Pennsylvania. Please call (717) 7{7-8327 with questions. opy to this fora
COMPLETE PART i BELOW a SEE REVERSE SIDE F$1R FILINS AND PAYMENT TNISTOUrr*,.•...
Account u,. 1 -,.......
acuuulOtt6
Account Balance
Percent Taxable
Amcunt Sub~oct to Tax
Tax Rate
Potential lax Duo
Date 08-I2-2008
Established
_$ 87,386.86
X 100.00
S 87,386.86
X .15
~ 13,108.03
• •• ••.. , a ./nJ
To ensure proper credit to the account, two
copies of this notice ^ust acts«pany
payaent to the Register of Nills. Make chock
paya6la to "Register of Wills, Agent".
NOTES If tax payaents are aade within throe
aonths of the decedent's date of death,
deduct a 5 percent discount on the tax duo.
Any Inheritance Tax duo will bocose delinquent
nano aonths after the data of death.
A• ~ Tho above information and tax due is correct. ~~
Raait payaent to the Register of Wills with two copies of this notice to obtain
C C HECK a discount or avoid interest, or cheek box "A" and return this notice to the Ropistar of
0 NE J kills end an official assassaent will be issued by the Pq Dapartaont of Revenue.
BLOCK {, I.~f The above ascot has boon or will be reported and taoc paid with the Pennsylvania inheritance Tax return
ON L Y GGG to be filed by the estate reoresentatlve.
~• ^ The above inforaa ion is incorrect and/or debts and deductions wars Daid.
Coaplota PART 2~ and/or PART D
below.
PART If indicating a different tax veto, ploase state
a relationship to decedent:
TAX RETURN COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Date Established 1
2- Account 8alanee 2
3. Percent Taxable 3 }(
4- Amount Subject to Tax 4 $
5. Debts and Deductions 5
6. Amount Taxable 6 $
7. lax Rate ~ X
8. Tax Due 3 ~-
PART
U DEBTS AND DEDUCTIONS CLAIMED
DATE PAID PAYEE
DESCRIPTION
AMOUNT PAID
TOTAL Cfintor on Line 5 of Tax Computation)
Under penalties of 6
perjury, I declare that the facts I have reported above are true, correct and
co~pleta to the best at my knowledge and belief.
-' ---- ._.~.-.._.,. HOME ( ~7/~ J L9 ~ 2'7 ~~
TA AVER SIGNATURE ~IB~ ~~- ~"7 6 ~ ~ 3
TELEPHONE NUMBER ~ ~
DATA=
SMIGEL, ANDERSON
& SACKS LL HEATHER D. ROYER, ESQUIRE
P
P HONE: (717) 234-2401
ATTORNEYS AT LAW
TOLL FREE: 1-800-822-9757
FACSIMILE (717) 234-3611
EMAIL: hroyer@sasllp.com
www.sasllp.com
File No.
9806-2-SA
June 2, 2009
:~
egister of ~%Vilis Gffice C~ ~-~
_- -.~ ~
;'~
' ',
.
.-
Cumberland County Courthouse , ,
,
~;'' 4:
1 Courthouse Square _
;~
,
~
Carlisle, PA 17013 .
~
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=
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- -, ~n~
RE: Estate of Judith Louise Weakley --~
No.: 21-09-0407
Dear Sir or Madam:
Enclosed please find for filing in the above-referenced Estate an original and one copy of
the completed and signed Inheritance Tax Information Notice and Taxpayer Response. Kindly
timestamp the copies and return them to our office in the attached, self-addressed envelope.
Thank you for your attention to this matter.
Sincerely,
f ~ ~v~ C .
~~f
/alh Amy L. Raines, Paralegal to
Enclosures Heather D. Royer
cc: Kiz Smith and Luci Stone (w/out encl.)
4431 North Front Street 3rd Flr. Harrisbur Penns lvania 17110-1778
A PENNSYLVANIA LIMITED LIABILITY PARTNERSHIP
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