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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. 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