HomeMy WebLinkAbout07-20-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX(11-96)
N0. CD 01 1502
ABRAHAMSEN DONNA
85 GRAND CENTRAL AVE
LAVALLETTE, NJ 08735
fold
ESTATE INFORMATION: ssrv: i ~4-20-2138
FILE NUMBER: 2109-0527
DECEDENT NAME: CRITCHLEY DOROTHY E
DATE OF PAYMENT: 07/20/2009
POSTMARK DATE: 07/17/2009
COUNTY: CUMBERLAND
DATE OF DEATH: 06/02/2009
REMARKS:
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
09141413 ~ $255.44
09141414 ~ 5476.42
TOTAL AMOUNT PAID:
5731.86
CHECK#107
INITIALS: AJW
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
PENNSYLVANIA INHERITANCE TAX
TYPE OF ACCOUNT
EST. OF DOROTHY E CRITCHLEY ~ SAVINGS
SSN 174-20-2138 ® CHECKING
DATE OF DEATH 06-02-~09 N ~--~
I UST
COUNTY CUMBERLAND Q -~ CERTIF.
REMIT PAYMENT AND FORMS TO:! ~~t~ ~ C
DONNA ABRAHAMSEN ('
85 GRAND CENTRAL AVE 10 REGISTER OF WILLS ~~•i ~ ~ ~--' i7
LAVALLETTE NJ 08735 CUMBERLAND CO COURT HQt# ~ O = ~-'
CARLISLE, PA 17013 ''~"` C ,-~
~; ~ :i
--n
_}.r. _~
PNC BANK NA ~ ~ '
provided the Department with the information below, which has been used in calcula`tni1ng 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. Please call (717) 787-8327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 000005140013762 Date 11-13-2002
To ensure proper credit to the account, two
Established copies of this notice must accompany
Account Balance $ 11,950.05 Payment to the Register of Wills. Make check
Percent Taxable X payable to "Register of Wills, Agent".
50.000
Amount Subject to TaX ~{` 5, 975.03 NOTE: If tax payments are made within three
TaX Rate X months of the decedent's date of death,
. 1 5 deduct a 5 percent discount on the tax due.
Potential Tax Due $ 896.25 Any Inheritance Tax due will become delinquent
nine months after the date of death.
PART
TAXPAYER RESPONSE
FAILURE TO RESPOND WILL RESULT'I,N AN OFFICIAL TAX ASSES-c-~cur
A• ^ The above information and tax due is correct.
Remit payment to the Register of Wills with two
i
C HECK cop
es of
a discount or avoid interest, or check b
"A" this notice to obtain
0 N E ox
and return
Wills and an official assessment will b
i this notice to the Register of
C
B L 0 C K ~ e
ssued by the PA Depar tment of Revenue.
0 N L Y B. ~ The above asset has been or will be reported and tax
d
pai
with
to be filed by the estate representative. the Pennsylvania Inheritance Tax return
C. The above information is incorrect and/or debts and deductions
YYY Complete PART were paid
~ and/or PART ~ below. .
PART If inrii ref ;....
a relationshipJto decedents `~~~~-~ p/f / _ ate
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_ l~-i~-a vo y
3_ X ~' V
4 ~` . 5~l~~ . (J
5 -
7_ X ~_ 5
° ~/
OFFICIAL U5E ONLY ~ AAF
PA DEPARTMENT OF REVENUE
PAD
i
2
3
4
5
6
7
8
r/aK i
0
DATE PAID PAYEE
DEBTS AND DEDUCTIONS CLAIMED
DESCRIPTION
AMOUNT PAID
TOTAL CEnter on Line 5 of Tax Computation) g
Under penalties of perjury, I declare that the facts I have reported above are true, correc and
/'complete to~-tyhe s of y knowledge and belief. /~
/ HOME ( ..3 ) 3D _ o~,f`
TAXPAYER SIGNATURE WORK ( ~ ,7 ~~ !J ~
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES A N D
Po Bax 286601 FILE N0. 21 09-0527
HARRISBURG PA 171za-o6ol TAXPAYER RESPONSE ACN 09141413
REV-1543 EXAFP(OB-OB) DATE 06-29-2009
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES AN D
PO BOX 280601
HARRISBURG PA 171za-ocBl TAX PAYE R R E S P O N S E
REV-1543 E% AFP (08-OB)
FILE N0. 21 09-0527
ACN 09141414
DATE 06-29-2009
EST. OF DOROTHY E CRITCHLEY
SSN 174-20-2138
DATE OF DEATH 06-02-2009
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
TYPE OF ACCOUNT
® SAVINGS
CHECKING
TRUST
CERTIF.
DONNA ABRAHAMSEN REGISTER OF WILLS
85 GRAND CENTRAL AVE 10 CUMBERLAND CO COURT SE
LAVALLETTE NJ 08735 CARLISLE, PA 17013 `~- p ~c
`..1 ~ C_„
~~p C
!,: ~ ~ ::
PNC BANK NA provided the Department with the information below, which has be2"T ~-} C
potential tax due. Records indicate that at the death of the above-named decedent, you were a joint owneF%f ®e2~~n caI'i~lating,the,'~
If you feel the information is incorrect, please obtain written correction from the financial institution, a't~chcaaco~tohthi'scfo q~
and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws ~ the Common lth o-f--
Pennsylvania. Please call (717) 787-8327 with questions. __
_.. __...T.. _. _
COMPLETE PART 1 BELOW ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIWi4'S
Account No. 000005080592933 Date 11-13-2002
To ensure proper credit to the account, two
Established copies of this notice must accompany
ACCOUnt Balance $ 22, 288. $7 payment to the Register of Wills. Make check
payable to "Register of Wills, Agent".
Percent Taxable X 50.000
Amount Subject to Tax $ 11,144.44 NOTE: If tax payments are made within three
months of the decedent's date of death,
Tax Rate X . 15 deduct a 5 percent discount on the tax due.
Potential Tax DUe $ 1 , 671.67 Any Inheritance Tax due will become delinquent
nine months after the date of death.
PART TAXPAYER RESPONSE
0
FAILURE TO RESPOND WILL RESULT TN AN OFFICIAL TAX ASSESSMENT
A. ~ The above information and tax due is correct.
Remit payment to the Register of Wills with two copies of this notice to obtain
C H E C K a discount or avoid interest, or check box "A" a nd 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
0 N L Y B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inherit
T
to be filed by the estate representative. ance
ax return
C. The above information is incorrect and/or debts and
Complete PART a and/o
PART deductions were paid.
r
~ below.
r,art~ -~ +~~.. i..a~iny a airrerent tax rate, please tote
relationship to decedent:~,~(~/~TE
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Date Established 1 ~~""'~~ -Q~-
2. Account Balance 2__ $ ,~,~ ~ $~gd 8'
3. Percent Taxable 3 X ""(~
4. Amount Subject to Tax 4~f ~ e
5. Debts and Deductions 5 - ,
6. Amount Taxable A $ /+1 %.C~
7. Tax Rate
8. Tax Due
7 X
PART
DATE PAID PAYEE
OFFICIAL USE ONLY ~ AAF
PA DEPARTMENT OF REVENUE
1
2
3
4
5
6
7
8
PAD
DEBTS AND DEDUCTIONS CLAIMED
DFSCRTPTTlIAI
------ - - mNU~a uon~ $
Under penalties of perjury, I declare that the facts I have reported above are tr?ue, correct and
complete to the s of y knowledge and belief. HOME C 3 ) J ~ 3
TAXPAYER SIGNATURE WORK^^(_ _ ) G~
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