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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 ~ ~. .~ :.. _.: