HomeMy WebLinkAbout10-26-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX(11-96)
NO. CD 01 1897
BOWERMASTER ANITA
820 NESBIT DRIVE
CARLISLE, PA 17013
lob
ESTATE INFORMATION: SSN: ~ so-26-ss~s
FILE NUMBER: 2109-1004
DECEDENT NAME: MONISMITH GILPHA
DATE OF PAYMENT: 10/26/2009
POSTMARK DATE: 10/23/2009
COUNTY: CUMBERLAND
DATE OF DEATH: 04/ 1 7/2009
REMARKS:
CHECK# 6272
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
09155633 ~ 573.78
09155634 ~ 548.17
09155635 ~ 523.27
09155636 ~ 5.08
TOTAL AMOUNT PAID:
5145.30
INITIALS: CJ
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
BUREAU OF INDIVIDUAL TAXES
PO BOX 280601
HARRISBURG PA 17128-0601
my-1563 IX IIFI
PENNSYLVANIA INHERITANCE T
INFORMATION NOTICE
AND
;-,r~- r~TA,XPAYER RESPONSE
ra:,~- ,t
FILE N0. 21 'd~1' il~
ACN 09155633
DATE 09-04-2009
LU~7 lttr 1 ~C7 1 i-1 }' ~~
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ANITA C BOWERMAST~a"
820 NESBIT DR
CARLISLE PA 17013
EST. OF GILPHA MONISMITH
SSN 190-26-6979
DATE OF DEATH 04-17-2009
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
TYPE OF ACCOUNT
SAVINGS
CHECKING
TRUST
CERTIF.
CORNERSTONE 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-vaned decedent, you were a point owner/beneficiary of this account.
If you feel the information is incorrect, please obtain written correction frow 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. 3129-10 Date 03-01-1996 To ensure proper credit to the account, two
Established copies of this notice must accompany
Account Balance 3, 279.07 payment to the Register of Wills. Make check
payable to "Register of Wills, Agent".
Percent Taxable X 50.000
NOTE: If tax payments are wade within three
Amount Subject to Tax $ 1,639.54 months of the decedent's date of death,
Tax Rate X . 045 deduct a 5 percent discount on the tax due.
7 3.7 8 Any Inheritance Tax due will become delinquent
Potential T2X Due $ nine months after the date of death.
PaT TAXPAYER RESPONSE
1
~,e yr.
A. ~y~ Tha above information and tax due is correct.
U~1 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
ONE Wills and an official assessment will be issued by the PA Department of Revenue.
BLOCK ~ B. ~ The above asset has bean 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. ~ Tha above inforaa ion is incorrect and/or debts and deductions ware paid.
Complete PART 2~ and/or PART 3~ below.
PART If indicating a different tax rate, please state ~
relationship to decedent: ~ e~ ~ ~ ~ £43~,~ yy ~(!w~
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS ~~~ ' ~,,,~,,,,,;,~ ~~ ~- 37:~,;'iay~~t 3,<<fi , "~
LINE 1. Date Established 1 ~' ~~ ~ ,t r ;~ „r~ ~v~n ~~r"''
2. Account Balanea 2 $ ~ ~~ " ~~
3. Percent Taxable 3 X ~'. " `
4. Amount Subject to Tax 4 $ ~','
5. Debts and Deductions 5 w~w~~' ; rt ~~~'
~iwwi Mww
6. Amount Taxable 6 $ ~',,,~ ' >~~' '9~~' ~
7. Tax Rate 7 X
8. Tax Due 8 $
PART DEBTS AND DEDUCTIONS CLAIMED
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
TOTAL (Enter on Line 5 of Tax Computation) ~
Under penalties of perjury, I declare that the facts I have reported above are tr+~u(e/,gcorre,ct a d
complete to/~the best of my know~lLedge and belief . HOME C 7~7 ) 07 / / -~3~~
L • ~ ~(,lt~ WORK C ) ~t7 d/ D9
TAXPAYER SIGNATURE TELEPHONE NUMBER DA E
BUREAU OF INDIVIDUAL TAXES
PO BOX 280601
HARRISBURG PA 17128-0601
REV-1543
PENNSYLVANIA INHERITANCE T
INFORMATION NOTICE
AND
`~ '~"'`''~``T/~XPAYER RESPONSE
?~cno6;~ '''
FILE N0. 21 X0°1-~~~
ACN 09155634
DATE 09-04-2009
2Q~1~ OCT 26 P~ I ~ 50
n ~~ ~;.
~ .., ~a,
ANITA C BOWERMASTER
820 NEWBIT DR
CARLISLE PA 17013
EST. OF GILPHA MONISMITH
SSN 190-26-6979
DATE OF DEATH 04-17-2009
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
TYPE OF ACCOUNT
SAVINGS
® CHECKING
TRUST
CERTIF.
CORNERSTONE 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 Comeorwealth of
Pennsylvania. Please call (717) 787-8327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 3129-07 Date 11-03-1998 To ensure proper credit to the account, two
Established copies of this notice must accompany
Account Balance 2, 141.03 paywent to the Register of Wills. Make check
payable to "Register of Wills, Agent".
Percent Taxable X 50.000
VI\G
BLOCK
8. ~ 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 ,;:
relationship to decedent: ~~.
~~ ~
TAX
RETURN - COMPUTATION OF
TAX ON JOINT/TRUST
ACCOUNTS t~,' ~ r B .
LINE 1. Date Established 1 ~..i" ~' •
2. Account Balance 2 ~ ~ y~5 'j }
3. Percent Taxable 3 X ~'' ~~'~ ~~~~~ ~ ~ ';t s V
4. Amount Subject to Tax 4
rt"
t,
~+..
w , 9
5. Debts and Deductions 5 - ~i ~~~'
6. Amount Taxable 6 $ `~•~` r,`
7. Tax Rate 7 X .~ ~ ~_
8. Tax Due 8 $ '' "' ~ '4
PART DEBTS AND DEDUCTIONS CLAIMED
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
Under penalties of perjury, I declare that the facts I have reported above are tr~u/e, correpct and
com lets to t/h~e best of my knowledge and belief. HOME C7~7 ) ~7 9~~~Q~
`- Rp_ ~/ WORK C ) /o~a/~09
TAXPAYER SIGNATURE TELEPHDNE NUMBER DATE "
IYIAL Fencer on Lane s of Tax Computation) ~
BUREAU OF INDIVIDUAL TAXES ~^="
PO BDX 280601
HARRISBURG PA 17128-0601 -
~ G,~
mtv-csaa ex ~r coe-oe: '
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
_;,,;. ,., AND
=; TAXPAYER RESPONSE
209 OCT 26 P~ I ~ 49
~I _~
-- u
C'~ ~
ANITA C BOWERMASTER
820 NEWBIT DR
CARLISLE PA 17013
FILE N0. 21'-Qq ~~~~7
ACN 09155635
DATE 09-04-2009
EST. OF GILPHA MONISMITH
SSN 190-26-6979
DATE OF DEATH 04-17-2009
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS TD:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
TYPE OF ACCOUNT
® SAVINGS
CHECKING
TRUST
CERTIF.
CORNERSTONE 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 C717) 787-8327 with questions.
COMPLETE PART I BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 3129-01 Date 08-22-1990 To ensure proper credit to the account, two
Established copies of this notice must accompaw
Account Balance g 1,034.06 payment to the Register of Wills. Make check
payable to "Register of Wills, Agent".
Percent Taxable X 50.000
Amount Subject to Tax $ 517.03 NOTE: If tax Dayaents are made within three
months of the decedent's date of death,
Tax Rate ~( , 0(F5 deduct a 5 percent discount on the tax duo.
Potential Tax Due ~` 23.27 Any Inheritance Tax due will become delinquent
nine months after the date of death.
P~T
1 TAXPAYER RESPONSE
A. }~ The above information and tax due is correct.
l~ Remit payment to the Register of Wills with two copies of this notice to obtain
C HECK
0 N E a discount or avoid interest, or check box "A" and
Wills and an official assessment will be issued by return this notice to the Reeister of
the PA Department of Revenue.
[ BLOCK ~ B. ~ Tha 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
relationship to decedent: _~,.
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
L
2
3 X
4
5
6
7 X
8
--
PART DEBTS AND DEDUCTIONS CLAIMED
$^
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
Under penalties of perjury, I declare that the facts I have reported above are true, correct and
complete to the best of my knowledge and belief. HOME C ~r~ ~9 -/~70~
d-u.~-t.I.., ato~ woRK C ~ /o ~i o9
TA rAYtR S16NAIURE ( TELEPHONE NUMBER DATE
iui,a~ fencer on a ne s of Tax computation) ;
PENNSYLVANIA INHERITANCE T
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES -~:-r,-,,. ,_,,,~ AND
Po BOX 280601 -TA'~(~ykY ~''~-' `I~'E.3 #~ O N S E
HARRISBURG PA 17128-0601 „
REV-1543 EX AFP C08-OBO I ~ `~~ ~
FILE N0. 21~Qa1'~~
ACN 09155636
DATE 09-04-2009
~~~9~~T~~? ~~~~jGILPHA MONISMITH
SSN 190-26-6979
r,~..`~-'- !';MATE OF DEATH 04-17-2009
(~ Q~~ + ~ ' ".I7IQ~3~iTY CUMBERLAND
"t~~ REMI~;;tPAYMENT AND FORMS T0:
+~
ANITA C BOWERMASTER REGISTER OF WILLS
820 NESBIT DR CUMBERLAND CO COURT HOUSE
CARLISLE PA 17013 CARLISLE, PA 17013
TYPE OF ACCOUNT
® SAVINGS
CHECKING
TRUST
CERTIF.
CORNERSTONE FCU provided the Departwent with the inforwation below, which has been used in calculating the
potential tax due. Records indicate that at the death of the above-pawed decedent, you were a ]oint owner/beneficiary of this account.
If you feel the inforwation is incorrect, please obtain written correction from the financial institution, attach a copy to this forty
and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Cowwonwealth of
Pennsylvania. Please call C717) 787-8327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 3129-09 Date 07-30-2003 To ensure proper credit to the account, two
Established copies of this notice roust accawpany
paywant to the Register of Wills. Make check
Account Halanca 3.38 payable to "Register of Wills, Agent".
Percent Taxable X 50.000
NOTE: If tax paywents are ^ade within three
Amount Subject t0 Tax $` 1 • 69 wonths of the decedent's date of death,
TeX Rate X .045 deduct a 5 percent discount on the tax due.
Any Inheritance Tax due will becowe delinquent
Potential Tax Due $ .08 nine wonths after the date of death.
PART TAXPAYER RESPONSE
1^
~,
A. pct
~ The above inforwation and tax due is correct.
M~ Rewit paywant to the Register of Wills with two co pies of this notice to obtain
CHECK a discount or avoid interest, or check box "A" and return this notice to the Register of
ONE Wills and an official assesswent will be issued by the PA Departwent of Revenue.
BLOCK B. ~ Tha above asset has been or will be reported and tax paid with the Pennrilvania Inheritance Tax return
0 N L Y to be filed by the estate representative.
C. ~ The above inforwa ion is incorrect and/or debts and deductions were paid.
Cowplete PART 2~ and/or PART 3~ below.
PART If indicating a different tax rate, please state
relationship to decedent:
ae
~
~
~
'
~~
~~
TAX RETURN - COMPUTATION OF TAX
~ r r
r ~
k
~$Y+'r~
~ ~
ON JOINT/TRUST ACCOUNTS
'
° °
LINE 1. Date Established 1
~';~ (i4 ~', `` ~`~y r ~ z~`
{ ~.,a ~ ~ ~ tk'. ~'"~"~''
~
~
2. Account Balance 2 $
.. ~ „ ~ + ,as.,,
; ~
'~~'
~w
3. Percent Taxable 3 X ``
4. Amount Subject to Tax 4 $
~
5. Debts and Deductions 5 ~ ~ ~~
'~~~` ' `~• ~~' ~ ~~
~~ +~Pww
6. Amount Taxable 6 $ ~
.~w~.w~www
~~~k~~a~lM~«ww~~w
~ ~ ~ ~~
7. Tax Rate 7 X ynz y,
~
qy1 I}~ ~(Sf ~6 r$'kf
~wM ri ~~l!11 ~YYrlrs w~ D~ fw~ww~ww.~iwi
~
8. Tax Due 8 ~31 lsut ~~si i~,~~~ 13 ~~ ;~ !¢~~~.. `,j
,tk I
PART DEBTS AND DEDUCTIONS CLAIMED
a
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
TOTAL CEnter on Line 5 of Tax Computation) 6
Under penalties of perjury, I declare that the facts I have reported above are true, corrp~ct and
complete to the/~bes~t%of my knowledge and belief. HOME C r ) ay9-~38~
~- ' 'CJ ~JGGil~.-, I~tj~ WORK C ) '~ ~~
TAXPAYER SIGNATURE TELEPHONE NUMBER D TE
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