HomeMy WebLinkAbout11-04-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPARTMENT 280601
HARRISBURG, PA 17128-0601
10/16/2009
MR BRADLEY C JACOBS
REGISTER OF WILLS
YORK COUNTY JUDICIAL CENTER
45 NORTH GEORGE STREET
YORK, PA. 17401
Telephone
717-787-3930
Re: Estate of MIRA GRAVES
file Number: 2109-0792
County: CUMBERLAND
Date of Death:10/28/2008
Dear Register of Wills:
The subject decedent legally resided in Cumberland County as of the date of death.
Accordingly, you are authorized to cancel file number 6708-1804. A11 matters concerting this
estate should be maintained under Cumberland County File Number 2109-0792.
All original Inheritance Tax documents for the subject decedent should be fo~warded to
the Cumberland County Register of Wills; however, you may wish to retain a copy, including
photocopies of all receipts for the collection of Inheritance Taxes in the subject estatle which
have been issued by your office.
Please contact me at the telephone number above if you have any questions.
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Sincerely, -%"'~~~~ ,f
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Claudia Maffei, Supervis
Document Processing Uinit
Inheritance Tax. Division
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PD 8DX 288681 ~.OF~DE>)U,CT ONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 . `. ` `~_ i JOIN LY HELD OR TRUST ASSETS REV-1548 EX AFP col-09)
r ~•~:i~ ", - t
t --~~~ DATE 03-02-2009
ESTATE OF GRAVES MIRA
L~Q~ ~i';~ - 2 f-~ 3: ~ 5 DATE OF DEATH 10-28-2008
FILE NUMBER 67 08-1804
COUNTY YORK
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^1' SSN/DC 193-20-1790
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ANN G FOX
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' ACN 09101750
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13 MONTEGO CT APPEAL DATE: 05-O1-2Q09
D I L L S B U R G P A 17 019 (See reverse side under Objections)
A~ount Remitted t
MAKE CHECK PAYABLE AND REMxT PAYMENT T0:
REGISTER OF WILLS
45 NORTH GEORGE STREET
YORK, PA 17401-1240
CUT ALONG THIS LINE ~'1 RETAIN LOWER PORTION FOR YDUR RECORDS ~
------------------------------------------------------ -- -
- - --------------------------------
REV-1548 EX AFP CO1-09)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AHD ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE ~-02-2009
ESTATE OF GRAVES MIRA DATE OF DEATH 10-28-2008 COUNTY YORK
FILE N0. 67 08-1804 S.S1D.C. N0. 193-20-1790 ACN 09101750
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: WACHOVIA BK NA ACCOUNT N0. 1010140797644
TYPE OF ACCOUNT: C )SAVINGS 4() CHECKING ( )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 04-03-2006
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
376.12
X 0.500
188.06
188.06
.00
X .15
.00
NOTE: TO INSURE PROIPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX: PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS'. MAKE CHECK
OR MONEY ORDEIR PAYABLE T0:
"REGISTER OF 'WILLS, AGENT."
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
TOTAL TAX CREDIT .00
$ALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
C IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" C CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 OF,,,DED,ULTIQJrS, AND ASSESSMENT OF TAX ON REY-1548 EX AFP CO1-09)
HARRISBURG PA 17128-0601 ,. '.J~~NTLY_!HELD OR TRUST ASSETS
';-t ~ ~ = J._. , __._: DATE 03-02-2009
ESTATE OF GRAVES MIRA
Zr~~ ~:,~ -~ z,~ ~: ~2DATE OF DEATH 10-28-2008
FILE NUMBER 67 08-1804
COUNTY YORK
~~~r i,~ ~'_~'~~ SSN/DC 193-20-1790
ANN G FOX ~' ACN 08159054
~.,;
13 MONTEGO CT ~~ `' ` '' APPEAL DATE: 05-01-2009
DILLSBURG PA 17019-9382 (See reverse side underObjectidns)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
45 NORTH GEORGE STREET
YORK, PA 17401-1240
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
-------------------------------------------------------------------------------------------
REV-1548 EX AFP CO1-09)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 0~3-02-2009
ESTATE OF GRAVES MIRA DATE OF DEATH 10-28-2008 COUNTY YORK
FILE N0. 67 08-1804 S.S/D.C. N0. 193-20-1790 ACN 08159054
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PSECU ACCOUNT N0. 019320790-S1
TYPE OF ACCOUNT: 4()SAVINGS C ) CHECKING ( )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 03-15-1978
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
799.93 NOTE:
X 0.500
399.97
_ 399.97
.00
X .45
.00
TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION'OF THIS NOTICE
WITH YOUR TAX. PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-) AMOUNT PAID
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
C IF TOTAL DUE IS LESS THAN O1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" C CR)r YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
,~
BUREAU OF INDIVIDUAL TAXES
PO BOX 280601
W1RRI.SBURG PA 17128-0601
REY-1543 IX 11FP CO!-00)
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
r r
.., /
FILE N0. 67 08-1804
ACN 09101750
DATE 01-16-2009
EST. OF MIRA GRAVES
SSN 193-20-1790
DATE OF DEATH 10-28-2008
COUNTY YORK
REMIT PAYMENT AND FORMS T0:
ANN G FOX REGISTER OF WILLS
13 MONTEGO CT 45 NORTH GEORGE STREET
DILLSBURG PA 17019 YORK, PA 17401-1240
TYPE OF ACCOUNT
SAVINGS
® CHECKING
TRUST
CERTIF.
WACHOVIA BK NA 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
Pennrilvania. Please call t7t7) 787-.8327 with questions.
COMPLETE PART 1 BELOW~* SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 1010140797644 Date 04-03-2006 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 376.12 payable to "Register of Wills, Agent".
Percent Taxable X 50.000
NOTE: If tax payments are'made within three
Amount Subject to Tax ~` 188.06 wonths of the decedent's d8te of death,
Tax Rate ~( , lrj deduct a 5 percent discount on the tax due.
Any Inheritance Tax due will become delinquent
Potential Tax Due $ 28.21 nine months after the date.. of death.
PART TAXPAYER RESPONSE
j
~y. s
~L~La'?
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.
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 incorrre~ct and/or debts and deductions were paid.
Complete PART 2~ and/or PART 3lJ below.
PART If indicating a different tax rate, please state
relationship to decedent: _._ rs nr4ur~t' 1
TAX RETURN - COMPUTATION
LIKE i. irate 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
2
3 X
4 $ ~ i
5 ~ (Do~ ~0 ' 3
6
7 X
8
PART DEBTS AND DEDUCTIONS CLAIMED
3^
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
-z8'~ Cockle unerYt, /!1e S2f v `~? re/!~4 0 3' S~~
- /~ -D ~ r an V ~ln1. a s l ~'OD .OV ~
TOTAL (Enter on Line 5 of rax Computation) m (per (QL ~ JJ
Under penalties of per3ury, I declare that the facts I have reported above are true, eorReet and
complete to the b~jes~t of my knowledge and belief. HOME C~7« ) y3L-/f~~
~~~~J ~ • /~Z~i~ WORK C ) ~ O '
JV-
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DATE
. i
Giordano Bros. Monuments
Largest Indoor Showroom in Connecticut
In Business Since 1921
275 - 277 DERBY AVENUE WEST HAVEN, CONN 06516
(Opposite St. Lawrence Cemetery}
PHONE: 777-5569 IN CT 1-800-782-5759 PAX: 777-5560
Ann Fox
13 Montego Court
Dillsburg, PA 17019
Tuesday, January 06, 2009
Dear Ann ,
Please find enclosed the proposed layout for theMira Graves slant marker.
The total amount due is $2,510.00
This amount must be paid before completion.
Kindly call with your approval so we may complete the job.
Thank you for your assistance.
very truly yours,
r~ ~~ y,
1 ~
l
PT
~~~r'~~
.~ ~ Cocklin Funeral Nome ,Inc.
' ~ 30 N. Chestnut Street
Dillsburg, PA 17019
(717}432-5312
November 11, 2008
Mrs. Ann G. Fox
13 montego Court
Dillsburg, PA 17019-
The Funeral Service for Mrs. Mira Graves
We sincerely appreciate the confidence you have placed in us and will continue to assist you in every way we can. Please
feel free to contact us if you have any questions in regard to this statement.
THE FOLLOWING IS AN ITEMIZED STATEMENT OF THE SERVICES, FACILITIES, AUTOMOTIVE EQUIPMENT,
AND MERCHANDISE THAT YOU SELECTED WHEN MAKING THE FUNERAL ARRANGEMENTS.
(A)OURS~IFVI~Ef~ V __ _,_._ ___..__~~_.___.. _______..._.__
Cremation Option # 11 $2490.00
FUNERAL HOME SERVICE CHARGES - $2490.00
SELECTED MERCHANDISE:
Antique White Urn $295.00
THE COST OF OUR SERVICES, EQUIPMENT, AND MERCHANDISE
THAT YOU HAVE SELECTED S2785.00
Cash Advances
Flowers. $82.68
Certified Copies of the Death Certificate , $60.00
Clergy Honorarium $100.00
Custom Picture Folders . $50.00
Obituaries -Harrisburg $361.17
-Gettysburg $75.00
-Dillsburg Banner $35.00
-Carlisle $203.50
TOTAL CASH ADVANCES AND SPECIAL CHARGES • - 546735
Total
Total Cost , $3752.35
_ __ _ -- _ _ SUB-TOTAL $3752.35
INITIAL. PAYMENT /DISCOUNT /CREDITS 0.00
TOTAL AMOUNT DUE 53752.35
The unpaid balance over 0 days is subjected to a 0.50 % service charge per month - 6.0000 % per annum.
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES AND FILE N0. 67Q$'- ($-p SG
PO BOX 280601 TAXPAYER RESPONSE ACN 08159054
WIRRISBURG PA 17128-0601
DATE 12-02-2008
REV-3543 IX AFP (08-88)
TYPE OF ACCOUNT
EST. OF MIRA GRAVES ® SAVIN
SSN 193-20-1790 ^ CHEGK
DATE OF DEATH 10-28-2008 ^ TRUST
COUNTY YORK ^ CERTI
REMIT PAYMENT AND FORMS T0:
ANN G FOX REGISTER OF WILLS
13 MONTEGO CT 45 NORTH GEORGE STREET
DILLSBURG PA 17019-9382 YORK, PA 17401-1240
PSECU provided the Department with the information below, which has been used irl 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 foal 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) 767-8327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCtIONS
GS
ING
F.
Account No. 0193201790-S1 Date 03-15-1978 To ensure proper credit to the account, two
Established copies of this notice must accompany
Account Balance 93 payment to the Register of Wills. Make check
799
"
.
payable to
Register of Wills, Agent".
Percent Taxable X 50.000
Amount Subject to 9 7 NOTE: If tax payments are made within three
Tax $
3 9 9
.
months of the decedent's date of death,
Tax Rate ~( , OCij deduct a 5 percent discount on the tax due.
Potential TaX Due $ 1 8 . 0 0 Any Inheritance Tax due will become delinquent
nine months after the date of death.
P
T TAXPAYER RESPONSE
~
1
A. ^ Tha 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
0 N E
~ Wills and an official assessment will be issued by the PA Department of Revenue.
BLOCK
B. ^ Tha above asset has been ar will be reported and tax paid with the Pennsylvania Inheritance Tax
tu
ON L Y re
rn
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 diffe
relationship to dated
TAX RETURN - COMPUTATION
~iriE i. 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
rent tax rate, please state
ant: ~ y ,.
OF TAX ON JOINT/TRUST ACCOUNTS
L
2
3 X
4_ $ y ! '
5 - _ ~ ~7 J~~. ~ 3~
6
7 X
8_ $ /'~
PART DEBTS AND DEDUCTIONS CLAIMED
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
-v$ Ih nr k m Fa r a/ S~rvl'C,p -~ 7~'2, ,3
~4 `D
i~:w~ center on lane s or iax Computation) 6
Under penalties of perjury. I declare that the facts I have reported above are true, co~rrpect and
complete to the best of my knowledge and belief. HOME ( T/ ~ ) ..~~ ~ ~/ G
/" 1
_ L l~l~ ~~ ~~ WORK C ) /.2-/.~'C7
TAXPAYER SIGNATURE TELEPHONE NUMBER DATE
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