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HomeMy WebLinkAbout07-08-10,l, uiv V.1 `'' /~ CpU'vTI', FL?vT;SYLVAi\IA R~CISTEP.O;; `ViLLS OFC~.AB~'~°~~-.~--- Name of Dec~dent:_~,~~-'1~.s fo S!- e ~ ~ Off - D L •,~- Fi!elv'um~~er: ~ D3tL G Deatll: r p • r.. D., ~ti r ~ - -- L NIJU:I:II lV L 4. V•\..'• 1\ulv V.lt, 1 l~t/va• •.lv avl• the aUove-captioned estate: . . ....... ~ Yes ~ No 1. State vrhether administration of the estate is complete:... • • 2. If the ariswer• is No, state when the personal representative reasonably believes that the administration w ill be complete: 3. If the answer to No. 1 is YES, state the following; a. Did the personal representative file a final account with the Court? b. The separate Orphans' Court No. (if any) for the personal representative's account is: ...~... (Yes ©No c. Did the personal representative state an account . ~ flI'es ~No .. info:rially to the parties in interest? .:.... . c ~~:~ ~~r ~., ia.. Cry ~^.. Ci t.7!^ E-k-+ ~6! ~~ pmt t ~,.. d. Copies of receipts, releases, joinders and a ap ~ ~3s bef a a hed tolthis repoltounts may Ue filed with the Clerlc of the Orphans' Court Y ~! ~. I Si;nnture ojPerton riling t t orm Capacity: j~]PersonatnRepresentfati/ve QCounsel /~ ~ \ \ 7C~ J~.1-~ Nniire ojPerton Filin~q dais p~i1r ~ ~ ~ • ' vas ~-._. y- 9G ~ `~ ~ -- -- Felephorre _. ~ _ - - _ _ • BUREAU OF INDIVIDUAL TAXES Po oax zto~ol NNntlseuRS PA Mize-osol atv-]fsy Oc ARP (~a•NI • ~•~•••+~A.en,~sM at~rlCRilA1~t.C INFORMATION NOTICE AND TAXPAYER RESPONSE 1 A1tl FILE N0. 21 08-0624 ACN 08154287 DATE 11-20-2008 CAROLINE KERR 3803 CARRIAGE HOUSE DR CAMP HILL PA 17011-1410 EST. OF THOMAS P KERB SSN 177-28-3559 DATE OF DEATH 06-04-2008 COUNTY CUNBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 TYPE OF ACCOUNT SAVINGS ® CHECKING TRUST CERTIF. MACHOVIA lK NA provided the Dspsrtsont with the inforaation below, which has boon used do ealeulatine the potential tax due. Records indicate that at the death of the above-naaed decadent, you ware a ioint owner/banafiQiary of this account. If you fql the infor~aation is incorrect, please obtain written correction free tM financial institution, attach a copy to this fen end NtYM it to !M above eddnss. This account is taxable in accordance with the Inheritance TeX laws of the Cdaaonwealth of Pelauwlraaie. p~ioaa ot11. t?I7~-:TMIA~II~~:~~ ~ ,::: ~ . - COMPLETE PART 1 sEL0U1 11 SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 1010049472277 Dat• 05-24-2002 To ensure proper credit to tM account, twe Established envies of this notiu wst' aeewpany Account Dalanee _# 1,402.21 pawant to the Reoister of,Milla• Matra Meek Percent Taxable X payable to 'R•ei:ter of Wills, Aoant". Aoount Subiect to Tsx Tax Rate Potential Tsx Duo CHECK ONE BLOCK ONLY 50.000 S 701.11 X .15 ~_ 105.17 NOTE: If tax payaents sn cede within thru sonths of the Meedent's dote of death, deduct a 5 percent discount on the tax dw. Any Inheritance Tax duo will beeeae delinewnt nips aonths after the date of death. A. ~ Tha mere in~oraNEion :and tae: dw is correct. RPa}t paw{ynt:to the Resister of Nills with two copies of this entice to.obtsin .a diswunt_or areid inteNSt, or Medc box "A" led return this notice to the Register of Hills and in official afsassa~M'will b~ laswd by the PA Departeent of Revenw. a. ~ The shore asset has boon or will be reported and tax paid with the Pennsylvania Inheritance Tax return to be filed by the estate representative. C. ~ TM above info ion is ineerr and/or debts and deduetiona were paid. Coavlete PART ~2 and/or PART b below. PART If indicatinC s different t 1 relationship to decedent: TAX RETURN - COMPUTATION OF TAX LINE i. Date Establishod i~~ 2. Account Balalics 2~ ''~ J"'` 3. Percent Taxeble 3 X 4. Aaount Sublect to Tax 4 5. Debts and Deductions 5 6. Aoount Taxable 6~ JOINT/TRUST ACCOUNTS 7. Tax Rate T ~( - ~ a. Tax Dw Jt ~ ~p PART a DATE PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL (Enter on Line g of Tax Co~putation) Under penalties of periury, ; doclan that the facts I-'hays rsl-drted above era true, correct and coapiete to the est of Y kftow3edps snd belief. ~~ c7/7~:37..~~,~~ w~r~t t .9~~r7 ~" //- n