HomeMy WebLinkAbout10-20-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.2B0601
HARRISBURG, PA 1 7 1 2 8-0 601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 01 1876
LINDERMANN WARREN R II
20 SOUTH MAIN STREET
DOVER, PA 17315
,o~d
ESTATE INFORMATION: ssN:
FILE NUMBER: 2108-1090
DECEDENT NAME: LINDERMANN ELIZABETH J
DATE OF PAYMENT: 10/20/2009
POSTMARK DATE: 10/19/2009
couNTY: CUMBERLAND
DATE OF DEATH: 1 1 / 03/ 2008
REMARKS:
CHECK#1027
SEAL
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
09154663 ~ 514.77
09154664 ~ 514.77
f
TOTAL AMOUNT PAID:
INITIALS: CJ
REV-1162 EX111-96)
529.54
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
PENNSYLVANIA INHERITANCE
INFORMATION NOTICE
f, ,~'- -,
BUREAU OF INDIVIDUAL TAXES AN D
PD Box 2BO6o1 ~ TAXPAYER RESPONSE
HARRISBURG PA 17128-0601 „
*_,* * REVISED NOTICE
rsev-:sas'sX ~cA coe o`er
TAX
FILE N0. 21 08-1090
ACN 09154663
* DATE 04-28-2009
~"' -
T'T - _ ,
U'' - C?;
_-
r-, ,
WARREN R LINDERMA~N
20 S MAIN ST
DOVER PA 17315
TYPE OF
EST. OF ELIZABETH J LINDERMAN
SSN
DATE OF DEATH 11-03-2008
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
ACCOUNT
SAVINGS
® CHECKING
TRUST
CERTIF.
SOVEREIGN 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. Please call (717) 787-8327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 2331023913 Date 09-05-2005 To ensure proper credit to the account, two
Established copies of this notice must accompany
1 , 969.68 payment to the Register of Wills. Make check
AcCOUnt Balance $ payable to "Register of Wills, Agent".
Percent Taxable X 16.667
NOTE: If tax payments are node within three
Amount Subject to Tax $ 328.29 months of the decedent's date of death,
Tax Rate ~( . 0 4 5 deduct a 5 percent discount on the tax due.
1 4 . 7 7 Any Inheritance Tax due will became delinquent
Potential Tax Due $ nine months after the date of death.
P~T TAXPAYER RESPONSE
~ AILaUR~ YO R~SPFN,D 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
CHECK a discount ar 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.
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 3LJ below.
PART If indicating a different tax rate, please state OFFICIAL U5~ Ot+~1,1~ AAE
relationship to decedent: PA DEPARTMENT O REVENUE u
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 S
6. Amount Taxable b $ 6
7. Tax Rate 7 X ~
8. Tax Due 8 $ g
PART DEBTS AND DEDUCTIONS CLAIMED
0
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
TOTAL CEnter on Line 5 of Tax Computation) S
Under pen ies of perjury, I declare that the facts I have reported above are true, correct and
c ete 1ne est of my knowle and b ief. HOME C~~7 ) ~ ~ 7cs?
WORK C7/`7 ) ~ ~~- 1) ~ ~3 l~ I(P U~
AXPA R S E T~~ rn,,....~ ........__
PENNSYLVANIA INHERITANCE TAX
SOVEREIGN 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 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. Please call (717) 787-3327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES r y~. ~~ ~ ~, AND FILE N0. 21 08-1090
Po Box zaocol ,TAXPAYER RESPONSE ACN 09154664
HARRISBURG PA 17128-0601 ~ - ;
~VV ~ * * *-~REVISED NOTICE * * * DATE 09-28-2009
REV-1543 EX I1rP (OB-09)
t~~9 ~~~ ~~ ~ ~(j: ~ { TYPE OF ACCOUNT
EST. OF ELIZABETH J LINDERMAN ^ SAVINGS
1~' 4%~'`;'- SSN ® CHECKING
~1 1 _ _-`` ~"' DATE OF DEATH 11-03-2008 ^ TRUST
r" ~"; COUNTY CUMBERLAND ^ CERTIF.
t,''.. ,
REMIT PAYMENT AND FORMS T0:
SUZANNE B LINDERMAN REGISTER OF WILLS
45 VINE DR CUMBERLAND CO COURT HOUSE
CARLISLE PA 17015 CARLISLE, PA 17013
Account No. 2331023913 Date 09-05-2005 To ensure proper credit to the account, two
Established copies of this notice must accompany
1,969.68 payment to the Register of Wills. Make check
Account Balance $ payable to "Register of Wills, Agent".
Percent Taxable X 16.667
NOTE: If tax payments are made within three
Amount Subject t0 TaX $ 328.29 months of the decedent's date of death,
TaX Rate )( . 045 deduct a 5 percent discount on the tax due.
1 4 .7 7 Any Inheritance Tax due will become delinquent
Potential Tax Due $ nine months after the date of death.
PART TAXPAYER RESPONSE
~ A.ILURE TO BSI? 4~ILL RESULT Iht 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
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
BLOCK
B
~ The above asset has been
or will be reported and tax
aid with th
P
l
i
I
h
i
. p
ennsy
e
van
a
n
er
tance 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 OFF~IAL USE ONLY ~ AAF
relationship to decedent: PA DEPARTMENT OF REVENUE
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS PAD
LINE 1. Date Established 1
2. Account Balance
3. Percent Taxable
4. Amount Subject to Tax
5. Debts and Deductions
B. Amount Taxable
7. Tax Rate
8. Tax Due
2
3 X
4 $
5
6 $
7 X
8 $
1
2
3
4
5
6
7
Uri ~-
PART DEBTS AND DEDUCTIONS CLAIMED
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
U er penalties of erjury, I declare that the facts I have reported above are true
mplete to the bes of m know edge and belief. HOME C f ) ~
/i/~/Iit.,r~ ~ _ /Lr D.l iY~,l~iiLc.. WORK C'yl'7) _ ~/
correc
_ l_'~
'ag
R SIGN-AT'URE
TOTAL CEnter on Line 5 of Tax Computation) S
r-
4.~~..
P t.+,_
^/
'9:.
`~ ~'
F5,
':~s ~•
~; ~`~
c ,~.~
%j ~ 1
iy
.~::
~~a
_=.
~-=W
~ d
~. =:
~ 3 ~
__.. ~~,
~ ~ ~
~~ ~
:~.
:~.
~,
.~ ~ ~.
~~
~ ~~
~~ ~
q
L ~ """
4 ~ jl
~, ~-' ~
~s+
~' 3 ~ ~
a ~ ~~
~~,
~=-~ -
~'
; ~~~
~~
.Fj ~4a~
iV{il ~ W ""
A
~ t.
v
^'j
~ ~ `~
r^
~.~C
t~t.l
,.~
:;
~~
~.;
~~:,