HomeMy WebLinkAbout11-23-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU 01= INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ACN
ASSESSMENT
CONTROL
NUMBER
NO. CD 012024
ALBERT CLAIR E JR
50 FAIRVIEW ROAD
NEW CUMBERLAND, PA 17070
-- fold
ESTATE (INFORMATION: SSN: 321-34-1483
FILE NUMBER: 2109-1090
DECEDENT NAME: PFIESTER PAUL
DATE OF PAYMENT: 1 1 /23/2009
POSTMARK DATE: 1 1 /21 /2009
couNTY: CUMBERLAND
DATE OF DEATH: 09/04/2009
REV-1162 EX111-96)
AMOUNT
09160278 ~ S 1,01 1 .99
TOTAL AMOUNT PAID:
REMARKS:
CHECK# 377
SEAL
INITIALS: CJ
S 1,01 1 .99
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU 01= INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX111-96)
N0. CD 012025
ALBEIRT CLAIRE E JR
50 FAIRVIEW ROAD
NEW CUMBERLAND, PA 17070
-------- fold
ESTATE INFORMATION: SSN: 321-34-1483
FILE NUMBER: 2109-1090
DECEDENT NAME: PFIESTER PAUL
DATE OF PAYMENT: 1 1 /23/2009
POSTMARK DATE: 1 1 /21 /2009
COUNTY: CUMBERLAND
DATE OF DEATH: 09/04/2009
REMARKS:
CHECK# 378
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
09160279 ~ 5268.94
TOTAL AMOUNT PAID: 5268.94
INITIALS: CJ
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
BukEAU DF INDIVIDUAL TAXES AND F I L E NO. 21- ! cl - ~ (,f ~ ~.
Po sox zao6ol TAXPAYER RESPONSE ACN 09160279
HARRISBURG PA 17128-0601
DATE 09-21-2009
REV-1543 E% AFP (08-OB)
c C7 _ ~ TYPE OF ACCOUNT
_ ~_ ~~ ^D EST. OF PAUL PFIESTER ~ SAVINGS
~-- -'< /L,1 SSN 321-34-1483 ® CHECKING
`` " '--: ~ DATE OF DEATH 09-04-2009 ~ TRUST
~ ~~ ~~`~ COUNTY CUMBERLAND ~ CERTIF.
C; _ -.. „ .
' CV L`jK;- REMIT PAYMENT AND FORMS T0:
_ ~,.
-I~LAI ~ ~~A~,BERT REGISTER OF WILLS
_ X50 FRVIE (~~AD CUMBERLAND CO COURT HOUSE
IVEW MBERL~D~ PA 17070 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 feed 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. `rlease call t71!) 787-x327 with questions.
COMPLETE PART 1 BELOW ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 340215-1 1 Date 09-28-2008 To ensure proper credit to the account, two
Established copies of this notice must accompany
Account Balance 6,291.0$ payment to the Register of Wills. Make check
Payable to "Register of Wills, Agent".
Percent Taxable X 100,00
Amount Subject to Tax $ 6,291.0$ NOTE: If tax payments are made within three
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 $ 283 • 10 nine months after the date of death.
PART 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
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 information 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 US E_ ONLY ~ AAF
relationship to deceden t: '
PA DIrPARTMENT OF REVENUE
TAX RETURN - COMPUTATION OF TAX ON
J I T/TRUST ACCOUNTS PAD
ii
~
LINE I. Date Established 1 !~ ~ ~ i
2. Account Balance 2 $ ~y
~ .~0 2
3. Percent Taxable 3 X f ~%~ d~
C 3
4. Amount Subject to Tax 4 +fi ~y
~„2</~.00 4
5. Debts and Deductions 5 - li ~ 5
$ L
~~
~
6. Amount Taxable 6 s'
j~ ~ 6
7. Tax Rate 7 X ~ (~~S S~Jd 1`~•f ~ ! 7
8. Tax Due 8 $ .~ ~ 6, y ~ $
I
PART DEBTS AND DEDUCTIONS CLAIMED
3^
DATE P ,4ID PAYEE DESCRIPTION AMOUNT PAID
TOTAL CEnter on Line 5 of Tax Computation) S
Under penalties of perjury, I declare that the facts I have reported abov~e7are true, correct and
/jc lete to the besjt~of/~my knowle a and belief. HOME C ~~ ( ) 77~'- ~~~ ~ J%~ -~-Gl~~
i r->;^~~ Cam.
~L,t~.~I', ~. ~'~.L~ERT, JIB. so-azza~zs,s"'~ V'~ ~l 3 7 8
:,U P~1ihVit,by ~Zf7. 2,821357,1
»1E /~-Zv-c~9
r,~Y ro_C~ t_S i ~~ t.~iC ~l ~l $ ~ ~ 0?6 ~: 9~
~rri~oao~r~ r
~~v ~Q ~. ~ ~ "'~ SI ~%_~ ~ I ~ ~ ! a,....~_,.,_.,...~ DO[.LARS LJ ~o~.,~~~, a.~,.~
Tom" ~S2
n?" x`a ^ ~
r ~ •~
~" ~~ c~i_cIYz1~f~~S ?`
~~t y~ .-~ FEULF~iL CRtip170N10N
p~~~~ ~ nacc' h g, Pn U055
~` ~ wv.- 6 rsRi_oc~„
,u f Gam..! D ~~~ a ~ -_ - ~--~~~~~'. M°
0:2313~i2241i: 2182135711~~' 0378
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE ~j
BUREAU CIF INDIVIDUAL TAXES AND FILE ND. 21'-~t~'IL'~ I~~
Po eox 2so6s1 TAXPAYER RESPONSE ACN 09160278
HARRISBURG PA 17128-0601
DATE 09-21-2009
REV-1543 E% wFP C00-00)
.~ ,x, TYPE OF ACCOUNT
/~ EST. OF PAUL PFIESTER ® SAVINGS
a- ', ~ ~t J ;~ ~~ SSN 321-34-1483 ^ CHECKING
~-~f ~~ v ~ TRUST
L,.~ - _ DATE OF DEATH 09-04-2009 ^
N ~.i~~__~ COUNTY CUMBERLAND ^ CERTIF.
- ~Oi ~"~~`; REMIT PAYMENT AND FORMS T0:
'. ~ L,.
*~_CLAIR'~ E BERT REGISTER OF WILLS
50 FAIEW ~~ CUMBERLAND CO COURT HOUSE
NEW C BERLANDf= PA 17070 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 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 returnn it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Commonwealth of
Pennsylvania. Please call i717) 7b"i-d's[7 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 34 0215-0 0 Date 09-28-2008 To ensure proper credit to the account, two
Established copies of this notice must accompany
Account Balance 24,521.06 payment to the Register of Wills. Make check
payable to "Register of Wills, Agent".
Percent Taxable X 100.00
NDTE: If tax payments are made within three
Amount Subject to Tax $ 24,521.06 months of the decedent's date of death,
Tax Rate ~( .045 deduct a 5 percent discount on the tax due.
i Any Inheritance Tax due will become delinquent
Potential TaX Due $ 1, 103.45 %L7(~-S ~~ nine months after the date of death.
PART TAXPAYER RESPONSE
FAILt1RE 1"q RESPOND WILL RESULT IM'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
Wills and an official assessment will be issued by the PA Department of Revenue.
ONE
BLOC K 8. ^ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
0 N L Y ~j to be filed by the estate representative.
C. I/} The above information is incorrect and/or debts and deductions were paid.
`h' Complete PART ^2 and/or PART ~ below.
PART If indicating a different tax rate, please state DFFIGIAL USE... ONLY ^ AAF
relationship to decedent: PA DEPARTMENT OF REVENUE
TAX RETURN - COMPUTATION OF TAX C-N OINT/pTRUST ACCOUNTS PAD
LINE 1. Date Established 1 ~L~ ~~II~~~4' 1
2. Account Balance 2 $ ~ ~JrJ~ Ctv 2
c
3. Percent Taxable 3 X ~C(~ IO 3
4. Amount Subject to Tax 4 +fi ~`I S~~.L~h 4
5. Debts and Deductions 5 ~ y U ~ 5
6. Amount Taxable 6 $ ~3 ~' ~ ~ ~ 6
- ~
7. Tax Rate 7 X ~ G~$-~' ~~t' - ~- 7
8. Tax Due 8 +fi 1 U 1'~. s 7 I $
PART DEBTS AND DEDUCTIONS CLAIMED
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
- cl 4- hL!/1u'~ vne,-' ~ :hL .~ ~ !, >c . Sr ~'G
TOTAL (Enter on L1ne 5 of Tax Computation) 3 ~Y ~.YV
Under penalties of perjury, I declare that the facts I have reported above are true,acorrect and
a~mglete to the best r my nowle~ge and belief. HOME C 7l 7) 7~`r ~,,~ ~~ ,,ff
,~ /~ l~J
•~r..vrn r•r ~.,wr„ rr, rnnnur u~~unrn wrr
„~~,,,E ,,. ~ ,
„ ,~,
~
r, ~
y,~ ,
%~
y
,
• ~ to v.,
O. ;?,~I~'J <,
(I Cr1 C~`-"I
N ~ ~~'
~i ~
r' n
~~ ~ ~~'~ i^ C;1~z
f~
~
z tr+
~ ~~ C ~
.,
~
` y
'
~ ~
~
a
S
'
~ '~
~ ~
I
':.
u, ~
Rr ~ ~ '. ~:l
.~
t
~ 6 O L I~
~ ~ ~ `~
`~
~I, V
~.
~ i~
..~ ~ ~,~,
"'+ r' ~` l~r- 1
~ ~~ ~;~
I
•~ 'iI
`~ ~ I
`~
Q
r
r
1
~-,
`~-~,
=,
[~ N ~
W
~ f~
~ y
_` "+ <(~
1
v
t
•~~
4`
W`
-~i
e
~wst QLASS `%t
~,,t.
\ ~~
~~t'~ ..
r~'*
a
x
f ~ --
~ S f~ 4 ~n~~.1~ G h~ i A
x _ ii~t a+!
~-~- ~ '~ 1
-...
~ ~ a
~ ~
`~ ~ ~..
~ o
~ ~ ~.,
2
~ ~ w
t
[~' ~ J
~
v
``,^\`j
v `•'
w S
~~~ ~ ~~\`
V
O
t~-
O
r-
Q
Qf g
n ~
d
a.
.= ~
t) ~
..,
,~.
~. rt..
.~~•,
4,,
s ~,.}