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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. 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