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HomeMy WebLinkAbout06-28-10COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 012990 GIRONDI ALFRED JOSEPH JR 1440 AMHERST CT MECHANICSBURG, PA 17050 fold ESTATE INFORMATION: Ssty: 195-0~-8891 FILE NUMBER: 2110-0160 DECEDENT NAME: GIRONDI EVA R DATE OF PAYMENT: 06/28/2010 POSTMARK DATE: 06/25/2010 COUNTY: CUMBERLAND DATE OF DEATH: 01 / 1 5/2010 ACN ASSESSMENT AMOUNT CONTROL NUMBER 10131931 ~ $9.32 10131930 ~ 59.32 TOTAL AMOUNT PAID: REMARKS: CHECK# 1 162 SEAL INITIALS: CJ REV-1162 EX~11-96) 518.64 GLENDA EARNER STRASBAUGH RECEIVED BY: REGISTER OF WILLS REGISTER OF WILLS BUREAU OF INDIVIDUAL TAXES PO BOX 280601 FWRRISBURG PA 17128-0601 - ,r `'~ ~ L. _ ,, hi a ~ 'A6y g5cs Ez°,lFr tae- oai PENNSYLVANIA INHERITANCE T INFORMATION NOTICE - AND TAXPAYER RESPONSE FILE N0. 21 10-0160 ACN 10131930 DATE 06-08-2010 CLERK. ~F QRF'r~fi~'S ~~tJR? a 4 RITA A GIRONDI 2305 CLARIDGE COURT ENOLA PA 17025 EST. OF EVA R GIRONDI SSN 195-07-8891 DATE OF DEATH 01-15-2010 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SpUARE CARLISLE PA 17013 TYPE OF ACCOUNT ® SAVINGS CHECKING TRUST CERTIF. FULTON BANK NA 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 feel 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 C717) 787-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 9903-64182 Date 10-06-1997 To ensure proper credit to the account, two Established copies of this notice must accompany Account Balance 1 , 243.08 Payment to the Register of Wills. Make check payable to "Register of Wills, Agent". Percent Taxable X 16.667 NOTE: If tax payments are made within three Amount Subject to Tax $ 207 • 18 months of the decedent's date of death, Tax Rate X .045 deduct a 5 percent discount on the tax due. Any Inheritance Tax due will become delinquent Potential TaX Due $ 9 • 32 nine months after the date of death. PART TAXPAYER RESPONSE 0 Pd IhL A A. ~ The above information and tax due is correct. Remit payment to the Register of Wills with two copies of this notice to obtain CHECK a discount ar 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. 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 return 0 N L Y to be filed by the estate representative. 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 ON JOINT/TRUST ACCOUNTS 1 2 +~ 3 X 4 5 6 7 X 8 $ .,-..... ~ ~Y7"i Ft~~b ! f ~ t~Jl ~~4W sp,Fg¢ ~d ~ Fy v+~.. y. 2 ~ yin ~ E ... +~-..... PART DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION AMOUNT PAID Under penalties of perjury, I declare that the facts I have reported above are true, correct and ,.,/ complete to the tlest_af my knowledge and bell/ef. HOME C ) ~ (03~~ ' ~` ~ - ~/13~~ WORK C ) 4 a3 is TwVn rn I+TI+\I~...nr ---FFF TLI Loun-IC -IIIU4LO TwTr TOTAL CEnter on Line 5 of Tax Computation) S "~~''""'~ - PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES AN D PD BDx zao6ol ~:'.:. ~~ ''' i~._ TAXPAYER RESPONSE HARRISBURG PA 17128-0601 '~ ~ '~ J~ ~,.. _., ` _ a~is~.¢~G acv~coa oe, FILE N0. 21 10-0160 ACN 10131931 DATE 06-08-2010 ~~~Q ~~~ ~~ ~~ ~Z~ ~ nnDnCLE~K #1~ r tl'1Rt'HN~f~ ~.~~i~ f ALFRED J GIRONDI 1440 AMHERST CT MECHANICSBURG PA 17050 EST. OF EVA R GIRONDI SSN 195-07-8891 DATE OF DEATH 01-15-2010 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUAREY CARLISLE PA 17013 TYPE OF ACCOUNT ® SAVINGS CHECKING TRUST CERTIF. FULTON BANK NA 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 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. 9903'64182 Date 10-06'1997 To ensure prover credit to the account, two Established copies of this notice must accompany payment to the Register of Wills. Make check Account Balance $ 1 , 243.08 payable to "Register of Wills, Agent". Percent Taxable X 16.667 NOTE: If tax payments are made within three Amount Subject to Tax $ 207.18 months of the decedent's date of death, Tax Rate X .045 deduct a 5 percent discount on the tax due. Any Inheritance Tax due will become delinquent Potential Tax Due $ 9 • 32 nine months after the date of death. PART TAXPAYER RESPONSE ~ I~Ia sS T 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" a~ n~re~urn this notice to the Register of CHECK 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 return 0 N L Y to be filed by the estate representative. C. ~ The above informs ion 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 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 DEBTS AND DEDUCTIONS CLAIMED a DATE PAID PAYEE DESCRIPTION AMOUNT PAID DATE TOTAL (Enter on Line 5 of Tax Computation) i Under penalties of perjury, I declare that the facts I have reported above are tru~e/~, corre/ct and co~m7plete to the bes of my knowledge and belief . HOME C 7~7) S~ 7r ~ Z~(~ ~ vLl`i~.~ ~ 6/L //l3 WORK C ) Y.: ~~ xr ~'" y; ~~i ;~ SYP ~E~ ~Y'~S 4i y 3 ,ar ~ ^`"k y`, x~' -,h -~ ~~ 0J ~ !.. ~ M ~ lJ [~ . ~ ~ ~'' ~ ~ ~ S ~ ~ ^ ~J !~^. V 7 ~, U , -- ..~... ~ s ~ ., ~- F_ :~: ~ ~ c, ~ ~ ~ ' ~f ' L _ L _ ~..~ ~~' : { ~y .cI% 'f i ~ ~ ~" ,, `, .:~ ~ ~~~ ~~,'_ t ~- . t W ~ •.. ~ `Ca . ~ ~ . ~ `-. .;..f `~ - © U ,, E ~,,, __ C-~