HomeMy WebLinkAbout11-23-09 (5)PENNSYLVANIA INHERITANCE TAX ~~ ~ ~ J~ ~ ~~ ~".1 J•-~
INFORMATION NOTICE /
BUREAU OF IP+DIVIDUAL TAXES _ .. AND F I LE ND . 21
Po Box zBO6o1 TAXPAYER RESPONSE ACN 09141161
HARRISBURG PA 17128-0601 -
- ~. ..- DATE 06-26-2009
REV-1543 EX AFP (OB-OB)
~l'~3 ~~ ra ~3 ~5~~ (~ ~ j rJ TYPE OF ACCOUNT
EST. OF TINA M TRUMP ^ savlNGs
i ~-r ~,~-
~ $$N 173-60-3523 ® CHECKING
`
C,~ _;~,, ~~r DATE OF DEATH 06-08-2009 ^ TRUST
COUNTY
r - r
r` CUMBERLAND ^ CERTIF.
~
qq
'~~' fir
' REMIT PAYMENT AND FORMS T0:
ROBERT E SHIELDS REGISTER OF WILLS
53 SME CUMBERLAND CO COURT HOUSE
SHIPPENSBURG PA 17257 CARLISLE, PA 17013
MEMBERS ].ST FCU provided the Department with the information below, which has been used in calculating the
potential 1: ax due. Records indicate that at the death of the above-named decedent, you were a point owner/beneficiary of this account.
If you feell 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; 787-8327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 287464-11 Date 06-19-2006 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 $ 411 .76 payable to "Register of Wills, Agent".
Percent Taxable X 50.000
NOTE: If tax payments are made within three
Amount Subject to TaX $ 205 • 88 months of the decedent's date of death,
Tax Rate X 15 deduct a 5 percent discount on the tax due.
Any Inheritance Tax due will become delinquent
Potential Tax Due $ 30 • 88 nine months after the date of death.
PART TAXPAYER RESPONSE
FAILEIRE 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
a discount or avoid interest, or check box "A" and return this notice to the Register of
C H E C K Wills and an official assessment will be issued by the PA Department of Revenue.
C ONE
B L 0 C K B. ^ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax re#urn
0 N L`f to be filed by the estate representative.
C. dThe 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 _USE ONLY AAE
relationship to decedent: PA DEPARTMENT OF REVS U
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS PAD
LINE 1. Date Established 1 1
2. Account Balance 2 $ 2
3. Percent Taxable 3 X 3
4. Amount Subject to Tax 4 $ 4
5. Debts and Deductions 5 - 5
6. Amount Taxable 6 '~ 6
7. Tax Rate 7 X ~
8. Tax Due 8 $ $
PART DEBTS AND DEDUCTIONS CLAIMED
3^
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
Under penalties of perjury, I declare that the facts I have reported a'b7ojv+e7~are tr/ue, co`rr(}e~crJt and
complete to the best of my knowledge and belief. HOME C / / / ~ ~~~~c~~125 /
~.~,''1j^ WORK ( J ~
~~~~~ ~$~F~A TCI C~LJn AIC AIIIMRCD
TOTAL (Enter on Line 5 of Tax Computation) S
ALLIANCE HEMATOLOGY ONCOLOGY PA
PO BOX 75083
Baltimore, MD 21275
(410) 876-5747
To
TINA M TRUMP
53 SHIPPENSBURG MOBILE
ESTRTES
SHIPPENSBURG PA 17257
Date Description of Transaction
04/30/09 Prepayment .... Thank You
Future Appointments
TINA 05/22/09
TINA 05/22/09
Page 1
Statement Date
04/30/09
Account Number
13591.0
Amount
-35.00
Previous Balance 17513.10
Today's Total -35.00
Total Due 17478.10
Total Due From Patient 35.00
9:45 OV & LAB
10:00 FOLLOW UP VISIT
Ins
~~ee c(; i- r ~,
j ~- ~ 6.; ` _- ~, ~a E" ".~' Cry ~ ~ f `~ ~ ~' c ~ ¢i E. f ~ ~ ~` t €. ~ T { r $
_ r .f .~ .tee ~ ~ ~~ ~~~=-~'~ ~ ~ ~ ~ i `~, ~ 5.~ ~ ~ :_. ~ ~ , cam' ~ ~~ ~ , _. } _ , _ . `.i _, ..~ _ ~ ~' r_ __ ; .~... _ -v ;
oa' o - _. ~. -. -
~ .._i _ L0~-,. _ ~... J_ .15 )_.. __ _J~ e _ _ ~ -__~ ~ ~.._ - _1- -' ~ JIB' - ~, _
~~
J i~_n ~ f = `=, tJ J
--^-.T~~ 1 '7C.~
_Or~ir _._
T _ na ~'?ar i - Tr,,,~p - ~ecea~ed
_. j~ireCt :r8iT13t1Gn
fat i G,n;,; i de Guarantee rrograrn
~~crla~?:~'e Travel Pro~ec~~ori ?=cs=~=~~
TC`~' S?EC=---- ~~?A~KG~S
..~
L' t:' ~ !' ~ ..
-. Ser°~ice_ ct Fem.~iera_ Darector =~~----
~'= ~_ ~ --'~ICos~:,~ ~ i z ing
r _~_es & L,.att nor lt~er~c.mial .~ervice
-_r ~ auipmen° ~ o. ~;roT~or; a_ Service
~~_ _.
~riVat@ i~ Family VieWing
}, i ~„es ~ ng the Cre-'at i cn
ding oT ^reL:~a „ed ~~'="a' "'-~
"~ac;~:aU ~ngjForwar ~-
Persaral Delivery of Cre?n~.tad Reiit3ins
Sca~~ering o_ Cremated ?.e~nains
^C,TA;, J~ C~ESSIONAL SEkVICES
AuTOh10T~'vE ~O~IPP'~ENT
y Removal Vehicle
Lea's- Carj Clergy Car
C
Faily ar
SerV1Ce VerilCl2
TOTAL AliTOM~JTIVE EOU ~ F?~iEIQ^1
/1-!ate.?'
S i' . ~ '~
TrC!u~C'~
S +L' . '
___cri~~ ~'~~ L;?=d5
..~_ +N C' :.J'.~ ~' J w `. _ ~ v ~ ~ .. t G T^ v r. ,v G K ti .. ti '~ U
~_ t'_~~.~_ __~.~ .,_~isc~~~~-~ Urn ( ~~._.,u) ~~_~.~0
-- ~ ~ci~!.`_-?:=i.~~ 1.~~'_'_ .,.<..__ Imo..., 1.~;~:J"v j :~Ju. ~'`~j'
. ci. ~'_"~....._.._ _ _ _ _ Cc._._.
~~fit~~~i" illci2~
,~'_J~Qy
_.. ~~~~.!lii_i~~ _ ._..ilJl r'C u~ ~ T r.Q~ Oi~Cl Y ~'^ J '~:.'~~
_-_ ~ C~~__~_~~? ~c~~c~ o= ~?e~i.~: Cer~iiic~te_ _ $35 ~v
-~i.. _Y1 VJI~~ __ y_
r_~u ~.o?rc _ _ v ~ mac" ;Ji1?~i1t S0 .'s'0
~_.~D''1.S -$255. (~?T}~(i9
D -_ .a'._ ~ +~ - r
~~~,
~!! ... J .~, ~'~="1~~~j~ P:T.`~ T';~i`_' !1=,~ T~r;~ ~' ALL _~~~.~.. F~Aj,~_,? ~.i ~ AL'S