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Home My WebLink About11-01-10COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280607 HARRISBURG, PA 17128.0601 RECEIVED FROM: REV-1162 EX(11-96) PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 013580 MARTIN ELAINE M 350 18TH STREET CAMP HILL, PA 1701 1 fold ESTATE INFORMATION: FILE NUMBER: DECEDENT NAME: DATE OF PAYMENT: POSTMARK DATE: COUNTY: DATE OF DEATH: SSN: 196-22-4140 2110-1085 MARTIN LILLIAN G 11/01/2010 10/29/2010 CUMBERLAND 09/25/2010 REMARKS: ACN ASSESSMENT AMOUNT CONTROL NUMBER TOTAL AMOUNT PAID: CHECK#197 INITIALS: CJ SEAL RECEIVED BY: 5359.79 GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS BUREAU OF INDIVIDUAL TAXES PO BOX 280601 HARRISBURG PA 17128-0601 PENNSYLVANIA INHERITANCE T INFORMATION NOTICE r AND '!~.~~ ~~ TAXPAYER RESPONSE i } it} i (~ FILE N0. 21 -~() -/(~g,s ACN 10158961 DATE 10-15-2010 201 NOY " ~ PM 3= ~ ~ EST. OF LILLIAN G MARTIN SSN 196-22-4140 Vu.ft~ QF DATE OF DEATH 0 9 - 25 - 2 010 C~~ppPCC~'' Y~~pSp~~r~~~~jppA COUNTY CUMBERLAND CUm{7L~Lt~'~LJ ~~ ~ rr' REMIT PAYMENT AND FORMS T0: ELAINE M MARTIN 350 N 19TH ST REGISTER OF WILLS CAMP HILL PA 17011-3935 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT ^ SAVINGS ® CHECKING ^ TRUST ^ CERTIF. PSECU provided the Depart~ent with the inforeation below, which has been used in calculating the potential tax due. Records indicate that at the death of the above-naeed decedent, you were a If you feel the inforeation is incorrect, please obtain written correction frog the financial institution,/attachcaa opyftohthiscfora and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Coeeor:wealth of Pennsylvania. Please call C717) 7H7_g327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 9848849973-S4 Date 11-24-2008 To ensure proper credit to the account, two Established copies of this notice ^ust accoepany Account Balance payeent to the Re +~ 4,870.19 sister of Wills. Make check Percent Taxable X payable to "Register of Wills, Agent". 16.667 Amount Subject to Tax $ NOTE: If tax payeents are Bade within three T2X Rate 811 .71 months of the decedent's date of death, X . 0 4 5 deduct a 5 percent discount an the tax due. Potential Tax Due S Any Inheritance Tax due will becoee delinquent 3 6.5 3 nine eonths after the date of death. PART ^ TAXPAYER RESPONSE ,,,......,,,,,,((( .. ~#tT A. i/~ The above inforeation and tax due is correct. , /~`J`- Resit payaent to the Register of Wills with two copies of this notice to obtain C CHECK a discount or avoid interest, or check box "A" and return this notice to the Register of 0 N E ~ Wills and an official assesseent will be issued by the PA Departeent 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 representative. C. ^ The above inforea ion is incorrect and/or debts and deductions were paid. Coeplete PART 2~ and/or PART 3^ below. PART If indicating a different tax rate, please state relationship to decedent: :="r~r; 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 PART DATE PAID PAYEE OF TAX ON JOINT/TRUST ACCOUNTS ~~~ ~ ~~~ ~' ti ~ ~ 4 X ,±,~ ~ ~'' ~~ ~ t.f~r 3 `a ~ , w ", ~ t ~ t 6 ~ i ~ ~ ~i~' . Ty~~, ~ ~ ;~~,7 8 ~; DEBTS AND DEDUCTIONS CLAIMED r DESCRIPTION AMOUNT PAID TOTAL CEnter on Line 5 of Tax Computation) Under realties of ~ perjury, I declare that the facts I have reported above are true, correct and co et to t best of my k owledge and belief. ~Q~, HOME CSI ~7 ) ~ 6~' i1l~Sr1 TA AYER SIGNATURE WORK Cam/ ) -?~3 -b 6/O TCI counu~ ... ...___ BUREAU OF INDIVIDUAL TAXES PO BOX 280601 HARRISBURG PA 17128-0601 REV-1543 EX PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE AND FILE N0. 21 -lo _ ~Q~S "' ~i~ AYER RESPONSE -- t ACN 10158959 ` ''' ' ~ DATE ~"~' + +`..•-'~ 10-15-2010 ~~~~ ~uV ` ~ ~M ~' ! ~ EST. OF LILLIAN G MARTIN SSN 196-22-4140 CLERK QF DATE OF DEATH 09-25-2010 ~F~~JS ~QuR~ COUNTY CUMBERLAND (y qij~~{~~~ ~`(~ ~1A REMIT PAYMENT AND FORMS T0: ELAINE M MARTIN ~+~"" 350 N 19TH ST REGISTER OF WILLS CAMP HILL PA 17011-3935 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT ® SAVINGS CHECKING TRUST CERTIF. PSECU potential tax due. Records indicate that pat the de th of the above teamed decedent, you wee a joint ow er/beneficiary of this a count. 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. 9848849973-S1 Date 11-24-2008 To ensure proper credit to the account, two Established copies of this notice must accompany Account Balance $ 43, 099.90 payment to the Register of Wills. Make check Percent Taxable X payable to "Register of Wills, Agent". Amount Subject to Tax 16.667 +~ 7, 183.46 NOTE: If tax payments are ^ade within three TaX Rate X months of the decedent's date of death, . 0 4 5 deduct a 5 percent discount on the tax due. Potential Tax Due $ Any Inheritance Tax due will become delinquent 323.26 PART nine months after the date of death. TAXPAYER RESPONSE w~L~ Tv .RESPtit~I# li~t:L.` ~ESULT:;.~,N AKA t#Ffi,~filli~: fiAY. ~.s~~x~.~- A. The above infonation and tax due i CHECK s correct. Remit payment to the Register of Wills with two copies of a discount o this notice t b 0 N E r avoid interest, or check box "A" and return Wills and an official asse o o tain this notice to the Re ist C ~ BLOCK ssment will be issued by the PA g er of Department of Revenue 0 N L Y B. ~ The above asset has been or will be reported and tax paid with to be filed by th t . the Penns l e es ate representative. y vania Inheritance Tax return C• ~ The Comp above informs ion is incorrect and/or debts and deductions lete PART 2~ and/o PA 3 were paid r RT LJ 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 ~ X 8. Tax Due 8 $ PART 0 DATE PAID PAYEE ~ ,~~v ..~ ~ ~~_ -.-~..+ ~'<. DEBTS AND DEDUCTIONS CLAIMED DESCRIPTION AMOUNT PAID TOTAL .(Enter on Line 5 of Tax Computation) Under = penalties of perjury, I declare that the facts I have reported above are true, correct and c mP e the b~ of my Howl dge and belief. ~7 HOME (?~ l ~ 76 l • a OSJn TAX AYER SIGNATURE WORK ( /7) 7 ? .. j~ ~O'a~' /~ - TELEPHONE NL1MSFa _ _ __