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Home My WebLink About03-29-10COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0601 RECEIVED FROM: BAYLETT STEPHANIE J 3810 CHESTNUT ST CAMP HILL, PA 1701 1 folA PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ESTATE INFORMATION: ssN: i~4-2o-4530 FILE NUMBER: 2110-0317 DECEDENT NAME: HALLER DOROTHY E DATE OF PAYMENT: 03/ 29/ 2010 POSTMARK DATE: 03/26/2010 COUNTY: CUMBERLAND DATE OF DEATH: 01 /04/2010 REV-1162 EX111-96) NO. CD 012531 ACN ASSESSMENT AMOUNT CONTROL NUMBER 10105918 ~ 5307.61 TOTAL AMOUNT PAID: REMARKS: CHECK# 753 SEAL INITIALS: DM RECEIVED BY: 5307.61 GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS . PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES AND F I LE ND . 21 -.~ ~' ~~ PD BOX 280601 , TAXPAYER RESPONSE ACN 10105918 HARRISBURG PA 17128-0601 DATE 02-02-2010 my-1543 IX AFP COB-OB) STEPHANIE J BAYLETT _ 3810 CHESTNUT ST CAMP HILL PA 17011-4316 PSECU vrovidad the Devartment with the information below, which has been potential tax due. Records indicate that at the death of the above-named. decedent, you were a joint owner/I If you feel the information is incorrect, please obtain written correction from the financial institution, ~ and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of Pennsylvania. Please call C717) 787-9327 with questions. - COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT IN's EST. OF DOROTHY E HALLER SSN 174-20-4530 DATE OF DEATH 01-04-2010 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 C'S TYPE OF ACCOUNT ® SAVINGS ;CHECKING TRUST CERTIF. b ? o :~ ~ ~-= m ` -r7 ~7 N ~ r 1 i'~calcu~ing t3ig, r~ wry of his agcount~ copy this'foretr ommonwe h of - '~~ N .> U C T I OHS, ;~~ u TAX RE TURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Date Established 1 2. Account Balance 2 +fi 3. Percent Taxable 3 X 4. Amount Subject to Tax 4 5. Debts and Deductions 5 ',; 6. Amount Taxable 6 7. Tax Rate 7 X 8. Tax Due 8 PART DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION AMOUNT PAID TDTAL CEnter on Line b of Tax Computation) S Under penalties of perjury, I declare that the facts I have reported abc•.r 3ree co~~ ~~ cpmplet to the>best of ~ir kn wledge and belief. HOME :. ~ , /~INJ/'(~~/~ ~~/ .~1. / WORK C ) ~ / ~~ '°-r•v~~~r-n ~T.-~~~-vyior TELEPHO NUM ER /DAT/E COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX111-961 NO. CD 012532 BAYLETT STEPHANIE J 3810 CHESTNUT ST CAMP HILL, PA 1701 1 ACN ASSESSMENT AMOUNT CONTROL NUMBER fold ESTATE INFORMATION: ssN: 174-20-4530 FILE NUMBER: 2110-0317 DECEDENT NAME: HALLER DOROTHY E DATE OF PAYMENT: 03/29/2010 POSTMARK DATE: 03/26/2010 COUNTY: CUMBERLAND DATE OF DEATH: 01 /04/2010 REMARKS: SEAL CHECK# 752 10105919 ~ 546.35 TOTAL AMOUNT PAID: INITIALS: DM RECEIVED BY: 546.35 GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES AND F I L E PO BOX 280601 TAXPAYER RESPONSE ACN HARRISBURG PA 17128-0601. DATE ~ REV-1543 EX AFP COB-O6) N0. 21-(U'?J~~ .10105419 02-02-2010 EST. OF DOROTHY E HALLER SSN 174-20-4530 RATE OF DEATH D1-04-2010 COUNTY CUMBERLAND REMIT PAYMENT AND FO MS T TYPE OF ACCOUNT SAVINGS CHECKING TRUST CERTIF. R 0. N STEPHANIE J BAYLETT REGISTER OF WILLS ~ c` C p o ~~ 3810 CHESTNUT ST 1 COURTHOUSE SgUARE _' ~ ~ ~:,`'~ ~~ 3 r y' 7 CAMP HILL PA 17011-4316 CARLISLE PA 17013 ,=:~`t7 y, C7 ~ C; - ~? t <-- ~ tV r~~ ; ri G,? ~~ lQ _.. , ,_.. C~l~-r7 'V -~` ! .~ .. .... -!"j PSECU provided the Department with the information below, which has been use~~calcula the--'~, ti J potential tax due. Records indicate that at the death of the above-named decedent, You were a joint owner/benei~ijES~y of thacco~n~f: !'T} If you feel the information is incorrect, please obtain written correction from the financial institution, atta~lt a copy tos foRl-•~ ~•~; and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Commonwealt `""`,•-' Pennsylvania. Please call (717) 787-8327 with .questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 0174204530-S4 Date 01-10-1994 To ensure proper credit to the account, two Estab135hed copies of this notice must accompany Account Balance 2 059.88 payment to the Register of Wills. Make check $ ~ payable to "Register of Wills, Agent". Percent Taxable X '' 50.000 NOTE: If tax payments are made within three Amount Subject to TaX $ 1 ~ D29 . 94 months of the decedent's date of death, Tax Rate }( .045 deduct a 5 percent discount on the tax due. Anv Inheritance Tax due will become delinquent Potential TaX Dua $ 46.35 nine months after the date of death. Par TAXPAYER RESPONSE 1 A. ~ The above information and tax duo 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 C 0 N E ~ Wills and an official assessment will be issued by the PA Department of Revenue. BLOCK 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 hepresentative. 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 DN JDINT/TRUST ACCDUNTS 1 _ 2 +~ 3 X 4 $ 5 - 6 $ 7 X 8 $ PART DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION AMOUNT PAID WORK C ~/~I~ ~Z~'~ ~J1 ~ -•~ AVER SIGNATURE TELEPHONE/ UM DER '3 D TOTAL (Enter on Line 5 of Tax Computations S Under penalties of perjury, I declare that the facts 1 have reported ab v)}e~are,/t~rue, c~o7r/r~ec~t~and complete to the best of my knowledge and belief . 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