HomeMy WebLinkAbout12-01-10COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX111-961
NO. CD 013729
KRAMER AMY L
1907 RUTLAND STREET
CAMP HILL, PA 1701 1
told
ESTATE INFORMATION: ssrv: iss-14-4241
FILE NUMBER: 2110-1 180
DECEDENT NAME: DALY AGNES
DATE OF PAYMENT: 1 2/01 /2010
POSTMARK DATE: 1 2/01 /2010
COUNTY: CUMBERLAND
DATE OF DEATH: 10/21 /2010
REMARKS:
CHECK# 4842
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
10162156 ~ 559.33
TOTAL AMOUNT PAID:
INITIALS: CJ
559.33
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
PENNSYLVANIA INHERITANCE TAX
` INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES AN D
HARRISBURG6PA lnza-o6o1 ,- : ~~F~~ ~AAXPAY E R R E S P O N S E
FILE N0. 21 - ~~- ~~~~
ACN 10162156
DATE 11-01-2010
2010 OEC - I PM i s S b
V~~~ ~U~
AMY L KRAMER C~g~~~O CO., PA
1907 RUTLAND STREET
CAMP HILL PA 17011
EST. OF AGNES DALY
SSN 168-14-4241
DATE OF DEATH 10-21-2010
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
TYPE OF ACCOUNT
^ savlNGs
® CHECKING
^ TRUST
^ CERTIF.
MEMBERS 1ST FCU provided the Departwent with the infonation below, which has been used in calculating the
potential tax due. Records indicate that at the death of the above-pawed decedent, you were a joint owner/beneficiary of this account.
If you feel the inforwation is incorrect, please obtain written correction frow the financial institution, attach a copy to this forty
and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Cowwora,ealth of
Pennsylvania. Please cell C717) 787-8327 wittr'-gs:estions.
COMPLETE PART 1 BELOW ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 70170-11 Date 04-11-1986
7o ensure Proper credit to the account, two
Established copies of this notice wust accowpany
Account Balance $ 2, 636.69 paywent to the Register of Wills. Make check
Percent Taxable X Payable to "Register of Wills, Agent".
50.000
Amount Subject t0 Tax $ 1,31$.35 NOTE: If tax paywents are wade within three
months of the decedent's date of death,
Tax Rate X .045 deduct a 5 percent discount on the tax due.
Potential Tax Due $ 59.33 Arty Inheritance Tax due will becowe delinquent
nine wonths after the date of death.
PART TAXPAYER RESPONSE
0 ~ea~.~rr..~rr.~ ..~.uz__ r. ._ , .. .
A. ~ The above infonation and tax due is correct.
Rewit paywent to the Register of Wills with two copies of this notice to obtain
CHECK a discount or avoid interest, or
Wills
d check box "A" and return this notice to the Register of
0 N E
~ an
an official assesswent will be issued by the PA Departwent of Revenue.
BLOCK
0 N L Y B. ^ The above asset has been or will be reported and tax paid with
t t
he Pennsylvania I
h
i
o be filed by the estate representat ive. n
er
tance Tax return
C. ^ The above inforwa ion is incorrect and/or debts and deductions were paid.
Cowplete 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
PART
DATE PAID PAYEE
OF TAX ON JOINT/TRUST ACCOUNTS
PAD -
1
3` :.~~
~r
2
~, ;., ~,
«....+,
5 - - S
$ ..-.:.,
`
,
6 :
-
B ~ x~ ~:-.
DEBTS AND DEDUCTIONS CLAIMED
DESCRIPTION
,:~n-
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, correct atnd
complete to the bes of ~ y nowledge and belief. ~ ~~ C/O T
HOME ( 7 !~ )
WORK ( ) ( (~~ ~ ~
TAXPAYER S GN URE r... _...._.._ _______
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT QF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX(11-961
NO. CD 013728
KRAMER AMY L
1907 RUTLAND STREET
CAMP HILL, PA 1701 1
fold
ESTATE INFORMATION: SSN: 168-14-4241
FILE NUMBER: 21 1 0- 1 1 80
DECEDENT NAME: DALY AGNES
DATE OF PAYMENT: 1 2/01 /2010
POSTMARK DATE: 1 2/01 /201 0
couNTY: CUMBERLAND
DATE OF DEATH: 10/21 /2010
REMARKS:
CHECK# 4843
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
10162155 ~ 572.06
TOTAL AMOUNT PAID: 572.06
INITIALS: CJ
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
PENNSYLVANIA INHERITANCE T
- INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES AN D
PO BOX 280601 ,}?„ ~' ~'~F1~A~AYER RESPONSE
HARRISBURG PA 17128-0601 ~{'(~ ~{`'!` (] , A
REV-1563 EX AFP CMti4~~ ~• v~ ~+~4~~t
FILE N0. 21 --~~•-I f ~~
ACN 10162155
DATE 11-01-2010
ZOiQ DEC -1 PM i ~ 5~
CLERK OP
QRPFiAN'S COURT
CUMBER(.A,ND CO., PA
AMY L KRAMER
1907 RUTLAND STREET
CAMP HILL PA 17011
EST. OF AGNES DALY
SSN 168-14-4241
DATE OF DEATH 10-21-2010
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 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 ioint 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
Pennsvlvamia. Plesse-tali C717) 7l7--5327 withaueotions: ~~ - -- - -
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 70170-00 Date 05-14-1982 To ensure proper credit to the account, two
Established copies of this notice must accompany
payment to the Register of Wills. Make check
AccOUnt Balance $ 3 ~ 202.73 payable to "Register of Wills, Agent".
Percent Taxable X 50.000
NOTE: If tax payments are made within three
AIaOUnt Subject t0 Tax $ 1 ~ 601 .37 months of the decedent's date of death,
Tax Rate ~( , 04rj deduct a 5 percent discount on the tax due.
Any Inheritance Tax due will become delinquent
Potential Tax Due $ 72.06 nine months after the date of death.
PART TAXPAYER RESPONSE
1^ ~ir~t~c':~..t~eltF~itzeir~k~'~ttr~~~r~it~~~'~ r~,~rc~<~5~:~~~r.~r~:~~4 :~itire~ ".`.
CHECK
C ONE
BLOCK
ONLY
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" and return this notice to the Register of
Wills and an official assessment will be issued by the PA Department of Revenue.
B. ~ The above asset has been or will be reported and tax paid with the Pennrilvania Inheritance Tax return
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
PART
3^
OF TAX ON JOINT/TRUST ACCOUNTS '~:~f~- ~ ~~ ~ ~ ~,.~a,x~s. ~„
f~«
1 a +~ . rte!-..`
2
~ $ - ~.,~,~ w z r~
. ~ y ~.»t
Il • ~ h I# tl N ....
5 ~ ~s ~~ r~ v:.
r ~~ Pi ~4.a.ri:. !.. c .~,.
~3:
$ $ ~y,. ;-Yv •n iss, ~~a~'si r3vaq jK, }.:.v ~.C "f ~,+w.'. Y~; _
DEBTS AND DEDUCTIONS CLAIMED
Under penalties of perjury, I declare that the facts I have reported above are ~t-r7ue, correct /a-n d'` ~~/+'
complete to the best of my k owledge and belief. HOME C "~(~) I ~ ~ (p`]"~ a
~hw.u ~ ~ WORK C ) I r -7D - 1
TAYDAVCD CTGIJA 11 C TCI CDLJ rI AIC Al11YIICD nwT['
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
,..
~t ~ ~ ~ '~•
~:
~' d M
~~ J
S
ry
~1
~ MFR
0 ....
~''
~ ~"
R
s ti.~
-n~
/~~~{}',, ~4
.ir
)~ ~ ~
4~
Li~ +'~
ni
Y^
~
` ~ \ w
+w
w '
`' V1 ~~JJ~~JJ `
( ~
J~
t
fi~ iw! \i\~~1V~1
~ ' V
Cr
V ~
~/
(UV' l1
_V T~
V ~
~
TM
' ~
r
t
., y:, ~ _
~;
{ ~~.
~
~
s '" ~ ~ ~~~
,Sr~~ (
i
~~ f
~ ~''~ ~ ~ hS s 1 Nd i - ~~) OiOl
~'~"
~, ~ t'
l~r~ ~~
A ~- g
1
r .
ey ~
~.
.~ :.. _.: