HomeMy WebLinkAbout08-12-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
SPONAUGLE DONNA
665 KISE MILL ROAD
YORK HAVEN, PA 17370
fold
REV-1162 EX111-961
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ESTATE INFORMATION: ssty: 2os-28-8173
FILE NUMBER: 2109-0753
DECEDENT NAME: SPONAUGLE ROBERT
DATE OF PAYMENT: 08/ 1 2/2009
POSTMARK DATE: 08/12/2009
couNTY: CUMBERLAND
DATE OF DEATH: 06/ 1 4/2009
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
09141996 ~ 5565.63
09141997 ~ 5904.06
09141995 ~ 5284.68
09141998 ~ 5362.26
09141994 ~ 5394.94
TOTAL AMOUNT PAID:
REMARKS: REC MAILED TO DONNA SPONAUGLE
2 ACN # FOR ROBERT SPONAUGLE
CHECK# 852
52,51 1.57
INITIALS: JN
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
NO. CD 01 1609
REGISTER OF WILLS
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES ~ _ ~- AND
Po Box zao6ol TAXPAYER RESPONSE
HARRISBURG PA 17128-0601
REV-1543 E% AFP (OB-OB)
FILE N0. 21 (~>~ G ~ S 3
ACN 09141996
DATE 07-02-2009
z~~~~~ ~'~~ ; 2 t~~ i i ~ '~4
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r~; -~
~,~.~ir ~~ ~ , fir.
ROBERT II SPONAUGLE
635 KISE MILL ROAD
YORK HAVEN PA 17370
EST. OF ROBERT I SPONAUGLE
SSN 209-28-8173
DATE OF DEATH 06-14-2009
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
TYPE OF ACCOUNT
SAVINGS
CHECKING
TRUST
CERTIF.
MEMBERS 1ST FCU 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. Please call (7171 787-8327 with questions.
COMPLETE PART 1 BELOW ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 217415-44
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
Date 05-21-2002
Established
g 25,139.32
X 50.000
$ 12,569.66
X .045
$ 565.63
To ensure proper credit to the account, two
copies of this notice must accompany
payment to the Register of Wills. Make check
payable to "Register of Wills, Agent".
NOTE: If tax payments are made within three
months of the decedent's date of death,
deduct a 5 percent discount on the tax due.
Any Inheritance Tax due will become delinquent
nine months after the date of death.
P~T TAXPAYER RESPONSE
~ FAILURE TO RESPOND WILL RESULT IN 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" 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.
BLOC 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 3LJ below.
PART If indicating a different tax rate, please state DFFICIAL USE ONL Y ~ AAF
relationship to decedent: PA DEPARTMENT OF REVENUE
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS PAD
LINE 1. Date Established 1 1
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
7. Tax Rate 7 X 7
8. Tax Due 8 $ 8
PART DEBTS AND DEDUCTIONS CLAIMED
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
TAXPAYE
TOTAL (Enter on Line 5 of Tax Computation) 5
Under penalties of perjury, I declare that the facts I have reported above ar true, correct and
omplete,,to/~the best of my kno edge and belief. / '
WORK C rll~) ) :~S~I- ~/~:/k I/~ /1
BUREAU OF INDIVIDUAL TAXES
PO BOX 280601
HARRISBURG PA 17128-0601
REV-1543 EX AF~~f'09'98Y
PENNSYLVANIA INHERITANCE T
INFORMATION NOTICE
AND
'TAXPAYER RESPONSE
FILE N0. 21 C~j C') j 3
ACN 09141997
DATE 07-02-2009
~`~ ri~~ -
+~ i~ ~ - -
,t.r . ta,
ROBERT II SPONAUGLE
635 KISE MILL ROAD
YORK HAVEN PA 17370
EST. OF ROBERT I SPONAUGLE
SSN 209-28-8173
DATE OF DEATH 06-14-2009
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
TYPE OF ACCOUNT
SAVINGS
CHECKING
TRUST
CERTIF.
MEMBERS 1ST FCU 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 point 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. Piease call (717) 787-8327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 217415-45 Date 05-21-2002 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 $ 40, 180.34 payable to "Register of Wills, Agent".
Percent Taxable X 50.000
NOTE: If tax payments are made within three
Amount Subject to Tax $ 20,090.17 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 $ 904.06 nine months after the date of death.
PART TAXPAYER RESPONSE
FAILURE TO RESPOND WILL RESULT IN AN OFF ICIAL TAX ASSESSMENT
A. ~J[I The above information and tax due is correct.
/y
~ Remit payment to the Register of Wills with two copies of this notice to obtain
/
\ a discount or avoid i nterest, or check box "A" and return this notice to the Register of
C H E C K \
C 0 N E ~ Wills and an official assessment will be issued by the PA Department of Revenue.
BLOC 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 OFFICIAL USE ONLY ~ AAF
relationship to decedent:
PA DEPARTMENT OF REVENUE
TAX RE TURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS PAD
LINE 1. Date Established 1 1
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
7. Tax Rate 7 X 7
8. Tax Due 8 $ $
PART
DATE PAID
PAYEE
DESCRIPTION
AMOUNT PAID
Un/~der penalties of perjury, I declare that the facts I have reported
cp~plete to the best of my knowl~ge and belief. unur
WORK C
TELEPH
DEBTS AND DEDUCTIONS CLAIMED
are true, cor a and
)~y)~ ~j }
NUMBER AT
TOTAL (Enter on Line 5 of Tax Computation) S
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES •~-- -~ AND FILE NO
PD Box 2aocgl TAXPAYER; RESPONSE ACN
HARRISBURG PA 17128-0601
-_ DATE
REV-1543 E% AFP (08-08) ~ -' -
21 C~~ C`~S 3
09141995
07-02-2009
?' I ~~~ J h ~.+~17 j~ ~ r . .
'`~;~~l.' OFF ROBERT SPONAUGLE
SSN 209-28-8173
~ `'"~~ATE OF DEATH 06-14-2009
~'' __ ;~~TY CUMBERLAND
~''`~i' - R`~'MITi~PAYMENT AND FORMS TD:
DONNA SPONAUGLE REGISTER OF WILLS
665 KISE MILL ROAD CUMBERLAND CO COURT HOUSE
YORK HAVEN PA 17370 CARLISLE, PA 17013
TYPE OF ACCOUNT
SAVINGS
® CHECKING
TRUST
CERTIF.
MEMBERS 1ST FCU 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 call (717) 7B7-B327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 217415-1 1 Date 05-21-2002 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 $ 12, 652 .29 payable to "Register of Wills, Agent".
Percent Taxable X 50 .000
NOTE: If tax payments are made within three
Amount Subject to Tax $ 6,326 .15 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 $ 284 .68 nine months after the date of death.
PART TAXPAYER RESPONSE
FAILURE Tao RE5PONII WILL RESUL T IN AN OFFI CIAL TAX ASSESSMENT
A. ~/I The above information and tax due is correct.
/q
~ 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 were paid.
Complete PART 2~ and/or PART 3^ below.
PART If indicating a different tax rate, please state OFFICIAL U5E ONL Y ~ AA F
relationship to deceden t:
PA DEPARTMENT DF REVENUE
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS PAD
LINE I. 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
7. Tax Rate 7 X 7
8. Tax Due 8 +fi $
PART DEBTS AND DEDUCTIONS CLAIMED
3^
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
Un r penalties of perjury, I declare that the facts I have reported above are rue, cor
c lete to the best pf my knowl~c~ge and belief . unMr i 7/ 7 ~ ~~~_~ ~
and
WORK ( ~~ ?~ G1~S~-
TELEPHONE NUMBER
TOTAL CEnter on Line 5 of Tax Computation) 8
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES _ AND FILE NU. 21 ~ ( Ci15.3
Po Box zeo6ol ~ TAXPAYER RESPONSE ACN 09141998
HARRISBURG PA 17128-0601 -
DATE 07-02-2009
REV-1543 E71'. AFP (00-Q@'1._~: _ -
TYPE OF ACCOUNT
ZC~? ~? j3 ~ ~ ~~~~ ~ ~' G 4 EST. OF ROBERT SPONAUGLE ^ SAVINGS
SSN 209-28-8173 ^ CHECKING
r~! ~~,r DATE OF DEATH 06-14-2009 ^ TRUST
c~
~~':"~ ~ `~ '~ i,^T COUNTY CUMBERLAND ~ CERTIF.
C`7`i a i i
' " 1 rJ~ REMIT PAYMENT AND FORMS T0:
Cl,~'~ _ . _ , , .
DONNA SPONAUGLE REGISTER OF WILLS
665 KISE MILL ROAD CUMBERLAND CO COURT HOUSE
YORK HAVEN PA 17370 CARLISLE, PA 17013
MEMBERS 1ST FCU 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. Please call (7171 787-8327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 217415-48 Date 05-21-2002 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 yC~ 16, 100.39 payable to "Register of Wills, Agent".
Percent Taxable X 50.000
NDTE: If tax payments are made within three
Amount Subject to Tax $ 8, 050.20 months of the decedent's date of death,
Tax Rate X .045 deduct a 5 vercent discount on the tax due.
Any Inheritance Tax due will become delinquent
Potential Tax Due $ 362.26 nine months after the date of death.
PART TAXPAYER RESPONSE
FAILURE TO RESPOND WILL RESULT IN AN OFF ICIAL 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
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
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 were paid.
Complete PART 2~ and/or PART 3^ below.
PART If indicating a different tax rate, please state DFFICIAL U SE ONL Y ^ AAF
relationship to decedent:
PA DEPARTMENT OF REVENUE
TAX RETURN - 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 '~
7. Tax Rate 7 X 7
8. Tax Due 8 $ $
PART DEBTS AND DEDUCTIONS CLAIMED
3^
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
Under penalties of perjury, I declare that the facts I have reported above are rue, corr ctr.And
plete to th st of my kry6jaledge and belief. HOME C ) U1/'
~ WORK C ) ~ Q~
TAXPAYER SIGNATURE TELEPHONE NUMBER D TE
TOTAL (Enter on Line 5 of Tax Computation) 5
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES - A N D
Po Box 2eocol TAXPAYER RESPONSE
HARRISBURG PA 17128-0601
REV-1543 EX. AFP (OB-08)
FILE N0. 21 ~ d '153
ACN 09141994
DATE 07-02-2009
~' r-r„ flr
1~
CI'" ' ' , ~?/~
l
DONNA SPONAUGLE
665 KISE MILL ROAD
YORK HAVEN PA 17370
EST. OF ROBERT SPONAUGLE
SSN 209-28-8173
DATE OF DEATH 06-14-2009
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
TYPE OF ACCOUNT
® SAVINGS
CHECKING
TRUST
CERTIF.
MEMBERS 1ST FCU vrovided 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. Pleases call (717) 787-8327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 217415-00 Date 05-21-2002 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 17,552 .68 payable to "Register of Wills, Agent".
Percent Taxable X 50 .000
NOTE: If tax payments are made within three
Amount Subject to Tax ~ 8, 776 .34 months of the decedent's date of death,
Tax Rate ~( .045 deduct a 5 percent discount on the tax due.
Any Inheritance Tax due will become delinquent
Potential Tax Due $ 394 .94 nine months after the date of death.
PART TAXPAYER RESPONSE
FAILURE TO RESPOND WILL RESUL T IN AN OFFI CIAL TAX ASSESSMENT
The
A. 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
C H E C K Wills and an official assessment will be issued by the PA Department of Revenue.
C ONE
BLOCK 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 OFFICIAL U5E ONLY ~ AAF
relationship to decedent:
_
PA DEPARTMENT OF REVENUE
TAX RETURN - 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 +fi 4
5. Debts and Deductions 5 5
6. Amount Taxable 6 $ 6
7. Tax Rate 7 X 7
8. Tax Due 8 $ $
PART DEBTS AND DEDUCTIONS CLAIMED
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
TOTAL (Enter on Line 5 of Tax Computation) 8
U der penalties of perjury, I declare that the facts I have reported above ar r e,/ r e~k.and
mplete to~ b`~%~m(L(iC. le a and belief. HOME C ) Ua(
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