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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 }' ~~ -+ f ~ ~- ~ ;._,. - . .., ~] 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 USA FIRST-CLASS FOREVER 4 ?j USA FIRST-CLASS FOREVER a l xoov n~ ~.~_ v, ~., : -s - `-~ -~ r,_ / 1 ;'j {... ~ . r-' ~ .'7 S E. t_! ~ . T~. rn .-_ c~a c.;s N i ° ~ ~ ~~ ®o V ~~~ c. Cam, ~_ ~r l~}~.' CJ ':i' ~ _ L_.. ~' ="' 3 ~T~, M_ b r_ o)~ _~ a ~~ "^~. L L -~ ~ ~~ v c~