HomeMy WebLinkAbout05-28-10COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280801
HARRISBURG, PA 17128-0801
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX(11-96)
NO. C[~ 012820
DUPLICATE
TAYLOR ROBERT D JR
3528 CARRIAGE HOUSR DR
CAMP HILL, PA 17011
fold
ESTATE INFORMATION: SSN: 160-16-4084
FILE NUMBER: 2110-0551
DECEDENT NAME: TAYLOR ROBERT D
DATE OF PAYMENT: 05/28/2010
POSTMARK DATE: 05/27/2001
COUNTY: CUMBERLAND
DATE OF DEATH: 04/ 12/2010
REMARKS:
SEAL
CHECK# 3262
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER '~
TOTAL AMOUNT f
INITIALS: DM ''
RECEIVED BY: GLENDA EARNER STR~4SBAUGH
REGISTER OF WVILLS
REGISTER OF WILLS
lUREAU OF INDIVIDUAL TAXES
Po cox zeosal
WIRRISBURG PA 17128-0601
T
FILE N0. 21 - ~ U - Q2~!
ACN 10125700
DATE 05-06-2010
PENNSYLVANIA INHERITANCE
INFORMATION NOTICE
AND
"~1 t~ ~"~~ ~1iAXPAYER RESPONSE
~ ^_ ~. ~ III P {~
ml1-1543 ~Xi#~'145~~{5 ~ tr+ 1 •-
~at~ SAY 28 t'M !2~ t
~~~~jj tri.~fl~ V~~y tp
V~lt~~~s ~~~
CUNiBERi.~~D C~., PA.
ROBERT D TAYLOR JR
3828 CARRIAGE HOUSE DR
CAMP HILL PA 17011
EST. OF ROBERT D TAYLOR
SSN 160-16-4084
DATE OF DEATH 04-12-2010
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
MEMBERS IST FCU provided the Department with the infonation below, which has boon used i
potential tax due. Records indicate that at the death of the above-nomad decedent, You ware a joint caner/benaflc
If you foal the infonation is incorrect, please obtain written correction from the financial institution, attach
and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the fie
Pennsylvania. Plesse call Q17) 7E7-Q327 with questions.
COMPLETE PART 1 BELOW=* SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRU!C
TYPE OF ACCOUNT
® SAVINGS
CHECKING
TRUST
CERTIF.
calculating the
ry of this account.
copy to this form
~enwaalth of
OHS
Account No. 147028-00 Date 10-1 9-1994 Ta ensure proper credit tol'~,the account, two
Established copies of this notice must'~aeeomparot
payment to the Register of (Wills. Make check
Account Balance 23, 095 .32 vayable to "Register of Wi~ls, Agent".
Percent Taxable X 16 .667
~
imad• within three
NDTE: If tax payments are
Amount Subject to TeX ~` 3, 849 .30 months of th• decedent's d to of death,
Tax Rata X .045 deduct a 5 percent discoun on the tax dua.
Any Inheritance Tax dua wi 1 become dslinquent
Potential Tax Due $ 173 .22 nine months after the data of death.
PART TAXPAYER RE ONSE
1
A. Tho above information and tax dua is correct.
Rarit payment to the Register of Wills with two copios of this notice to obtain'i
CHECK a discount or avoid interest, or cheek box "A" and return this notice to the Ras~ister of
Wills and an official assessment will be issued by the PA Department of Revenue
C ONE 1
BLOCK B. ~ The above asset hss bean or will be reported and tax paid with the Pennsylvania Inh ritance Tax return
ONLY to be filed by the estate reprosentative.
C. ~ Tho above info s ion is incorrect and/or debts and deductions were paid.
Complete PART ~ and/or PART ~ below. it
PART If indicating a different tax rate, please state
relationship to decadent:
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Date Established 1
2. Account Balance 2 ~
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 PATD PAYEE DESCRIPTION AMOUNT PAID
TOTA L CEnter on Lina 5 of Tax Computation) 4
Under penalties of perjury, I declare that the facts I have reported above
complete to the best of my knowledge and belief. HOME C are true. cotta
) t and
9J ~ ~~ ~-- WORK C
TAXPAYE I AT RE TELEPHONE )
NUMBER ~I
DA
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280801
HARRISBURG, PA 17128-0601
RECEIVED FROM:
< ::~~ M ,:
r ,;
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX111-96)
NO. C[~ 012819
DUPLICATE
TAYLOR ROBERT D JR
3528 CARRIAGE HOUSR DR
CAMP HILL, PA 1701 1
yob
ESTATE INFORMATION: SsN: 160-~ 6-4084
FILE NUMBER: 2110-0551
DECEDENT NAME: TAYLOR ROBERT D
DATE OF PAYMENT: 05/28/2010
POSTMARK DATE: 05/27/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 04/ 12/2010
REMARKS:
CHECK# 3261
SEAL
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
TOTAL AMOUNT I
INITIALS: DM ~!,
RECEIVED BY: GLENDA EARNER STR,4SBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
BUREAU OF INDIVIDUAL TAXES
PO BOX 280601
FIARRISBURG PA 17128-0601
n ..n~-.
~''•P"
e¢vasa a Kv coe-oa,
_~
;~
~ENN,~S~fL'I/ANIA INHERITANCE T
INFORMATION NOTICE
44~~ ``c AND
.~ ~~7"A~CP~YER RESPONSE
FILE N0. 21 ",~-G~
ACN 10125702
DATE 05-06-2010
~MR~R~,~ ,~~o C~-,
ROBERT D TAYLOR JR
3828 CARRIAGE HOUSE DR
CAMP HILL PA 17011
EST. OF ROBERT D TAYLOR
SSN 160-16-4084
DATE"DP DEATH 04-T2-2010'
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE '
CARLISLE PA 17013
TYPE OF ACCOUNT
SAVINGS
® CHECKING
TRUST
CERTIF.
MEMBERS 1ST FCU provided the Departaent with the inforoation below, which has boon used i',n calculative the
potential tax due. Records indicate that at the death of the above-naaed decedent, you were a joint owner/banafie~ary of this account.
If you foal the inforoation is incorrect, pleaso obtain written correction frog the financial institution, attach p copy to this fora
and return it to the above address. This account is taxable in accordance with the Inhoritanee Tax laws of the CoMaonwealth of
Pennsylvania. Pleaso call (717) 787-8327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 147028-11 Data 07-1 5-1996 To ensure prover credit to'' the account, two
Account Balance Established
~
1 v 572
.85 copies of this notice must)
payaont to the Roeister of 1,
payable to "Register of Wi accoaparo
Wills. Make check
lls, Aeent".
Percent Taxable X 16 .667
Amount Subject to Tax ~ 262 .15 NOTEa If tax pageants oral
eonths of the decedent's d aade within three
~te of death,
Tax Rate X .045 deduct a 5 Parcant discoun on the tax duo.
Potential TaX Due $ 11 .80 Any Inheritance Tax due wi
nine months after the date~ ~
1 boeoae delinquent
of death.
PaT TAXPAYER RE$POw&E
1
A. ~ The above inforaation and tax duo is correct.
Resit pageant to the Rogister of Wills with two copies of this notieo to obtain'.
CHECK a discount or avoid interest, or chock box "A" and roturn this notieo to the Register of
0 NE Wills and an official assessaent will be issued by the PA Departeent of RevanualI
BLOCK ~ B. ~ Tho abovo asset has boon ar will ba reported and tax paid with th• Pennsylvania Inheritance Tax return
0 N L Y to bo filed by the estate representative.
C. ~ Tho abovo inforaa ion is incorrect and/or debts and deductions were paid.
Coaplete PART 2~ and/or PART 3~ below.
PART If indicating a different tax rate, please state
a relationship to decadent:
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE I. Data Established 1
2. Account Balanea 2 ~
3. Parcant Taxable 3 X
4. Amount Subject to Tax 4 ~
5. Debts and Deductions 5 -
6. Amount Taxable 6 ~
7. Tax Rata 7 X
8. Tax Due 8
PART DEBTS AND DEDUCTIONS CLAIMED
0
DATE PAID .PAYEE DESCRIPTION AMOUNT. PAID
TOTAL CEnter on Line 5 of Tax Computation) k'
Under penalties of perjury, I declaro that the facts I have reported above era true, cor'r~ct and
r~omplete to the bast of my knowledge and belief. HI)MF r7/7 ~ 7/_.?-/7C 7
WORK C " ) .Z.
TELEPHONE NU BER DAT-i~
-_ ___ i
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0801
RECEIVED FROM:
TAYLOR ROBERT D JR
3828 CARRIAGE HOUSE DR
CAMP HILL, PA 17011
,ob
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
DUPLICATE
ACN
ASSESSMENT
CONTROL
NUMBER
__ __
REV-1762 EX(11-96)
NO. C~ 012818
~-MOUNT
10125704 ~ 15736.55
~ '
~ ~'
ESTATE INFORMATION: SSN: 760-16-4084
FILE NUMBER: 2110-0551
DECEDENT NAME: TAYLOR ROBERT D
DATE OF PAYMENT: 05/28/2010
POSTMARK DATE: 05/27/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 04/ 12/2010
REMARKS:
SEAL
TOTAL AMOUNT PAID: !5736 55
INITIALS: DM
RECEIVED BY:
REGISTER OF WILLS
GLENDA EARNER STR~-SBAUGH
-1
REGISTER OF WILLS
_......___. _ i_1.--
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES AND FILE N0. 21 --~U- ~~~
Po Box zeosol r, ~ ^~ TAXPAYER RESPONSE ACN 10125704
HARRISBURG PA 17128-8601 ' ~,~ ~,~
";. -~ ~- ~ ~, t ,, DATE 05-06-2010
ZOlO tfAY 28 PM !2~ 15
o~~ni's c°o~uRr
ClIMBER[.AN~ G~J., PA
ROBERT D TAYLOR JR
3828 CARRIAGE HOUSE DR
CAMP HILL PA 17011
EST. OF ROBERT D TAYLOR
SSN 160-16-4084
DATE OF DEATH 04-12-2010'
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
TYPE OF ACCOUNT
® SAVINGS
CHECKING
TRUST
CERTIF.
MEMBERS 1ST FCU provided the Dapartwant with the inforwation below, which has boon used ih calculative the
potential tax due. Records indicate that at the death of the above-vowed decedent, you ware a 3oint owner/benefi'c#ary of this account.
If you feel the infonation is incorrect, please obtain written correction frow the financial institution, attseh ~ copy to this fon
and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Co*wora+oalth of
Pennsylvania. Please call C717) 7a7-8327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYNENT INSTRUCTIONS
Account No. 147028-05
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Duo
Date 10-19-1994
Established
$ 98,204.64
X 16.667
$ 16,367.77
X .045
~ 736.55
To ensure proper credit toitha account, two
copies of this notice wustaecoapany
paywent to the Rapister of Wills. Make check
payable to "Ragistar of Wilds, Agent".
NOTE: If tax paywmts arajwade within throe
wonths of th• decedent's d to of death,
deduct a 5 parent diseoun on the tax due.
Any Inherit~nco Tax due will bacowe delingwnt
nine months after the data lof death.
A. he above lnforwation and tax due is correct.
Raait Daywent to th• Ragistar of Wills with two copies of this notice to abtaih
a discount or avoid i lI''
nterest, or check box "A" and return this notice to the RegRster of
CHECK '
C O N E ~ Wills and an official assesswent will be issued by the PA Dapartwant of Revenue.
BLOCK B. ~ Tha above asset has bean or will ba reported and tax paid with the Pennsylvania Inhajritanee Tax return
ONLY to be filed by the estate roprosentative.
C. ~ Tha above 3nfor~w ion is
d/ incorr ct and/or debts and deductions wero paid.
P
RT 3~
Cowp or
lete PART L:! an below.
A
PART If indicating a different tax rate, please state
a relationship to decedent:
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Date Established 1
2. Account Balance 2 ~
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 DEHTS AND DEDUCTIONS CLAIMED
0
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
TOTAL CEnter on Line 5 of Tax Computation] •
Under penalties of perjury, I declare that the facts I have reported above are true, c-oyt/~a t and
complete to the b9st of my knowledge and belief. HOME C7/7 ) ~p/ ~-~~'~/,/~'
~1 _ ~"~
WORK ( ) ~ .S~'u/ /~
TELEPHONE NUMBER DATE
-~E,~
.:, e,.,...,~;
2010 MA's 28 PM 12~ i
CLERK ~~
pRPHAN'S CAURT
gERI.A~Ib Ctn.:
1
y '~.J
~• .l ~ 1
t, 3 ~
{••d'
;'s ` 1
i.+ 1
~.s ~
{"f'
{}' ` '(11
•. '~-t~
a
-.
u
.....
~~
r . .,~
~~ ~ °_ ~ ~'
..~
~~ ~ -
#~ : ` ~>
~.,,~~
__ ~:~ _~
~.~ - -
~_____
,.
~~
~.