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Home My WebLink About05-11-11 (2)COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE REV-1162 EX(11-96) BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 014449 GIBELLINO NANCY W 320 SOMERSET DRIVE SHIREMANSTOWN, PA 17011 ACN ASSESSMENT AMOUNT CONTROL NUMBER -------- fold ESTATE INFORMATION: SSN: 174-12-9561 FILE NUMBER: 211 1-0289 DECEDENT NAME: WHITLEY NANCY M DATE OF PAYMENT: 05/ 1 1 /201 1 POSTMARK DATE: 05/ 1 1 /201 1 COUNTY: CUMBERLAND DATE OF DEATH: 02/ 14/201 1 TOTAL AMOUNT PAID: 101 ~ 51,456.68 REMARKS: $11,456.68 CHECK# 6992 INITIALS: DB SEAL RECEIVED BY: GLENDA EARNER STRA,SBAUGH REGISTER OF WILLS REGISTER OF WILLS PENNSYLVANIA INHERITANCE r INFORMATION NOTICE r-.- , BUREAU OF INDIVIDUAL TAXES K(~ ~ - ~ "~(- ~-~r- AND Po Box 280601 ~- ~~-`t TAXPAYER RESPONSE HARRISBURG PA 17128-0601 I- ~ f t~ - ~ ~J REV-1543 EX AFP (08-08) TAXI FILE N0. 21 ACN 11114982 DATE 03-04-2011 i ';I f i - Y f ~ ( 1 . t r ., ~ •.i ~~ {~I~+/ r.r ,, _., \ ~ , '. '7N, NANCY GIBELLINO 320 SOMERSET DR CAMP HILL PA 17011-6538 EST. OF NANCY WHITLEY SSN 174-12-9561 DATE OF DEATH 02-14-2011 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SgUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS CHECKING TRUST CERTIF. PSECU 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 (717) 787-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 0174129561-C52 Date 03-15-2001 To ensure proper credit to the account, two Established copies of this notice must: accompany Account Balance $ 43, 638.15 payment to the Register Hof Wills. Make check payable to "Register of Nlills, Agent". Percent Taxable X 50.000 Amount Subject to Tax $ 21,$19.0$ NOTE: If tax payments ai°e made 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 $ 9$1.$6 Any Inheritance Tax due will become delinquent nine months after the dai;e of death. PART TAXPAYER RESPONSE 0 FATLiiRE TO RES~ffND WILL RESULT IN A~1 OFFICIAL TAX ASS~~~MENT A. ^ The above information and tax due is correct. Remit payment to the Register of Wills with two copies of this notice to obtain C H E C K a discount or avoid interest, or check box "A" and return this notice to the Register of 0 N E Wills and an official assessment will be issued by the PA Department of Revenue. 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 tiled by the estate representative. C. ~ The above informs ion is incorrect and/or debts and deductions were paid. Complete PART ~ and/or PART ~ below. rArci 11 inaicating a aatterent tax rate, please state a relationship to decede nt: 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 ~ )( 8. Tax Due g $ r M R 1 a DATE PAID PAYEE OFFICIAL USE ONLY ~ AAF PA DEPARTMENT OF REVENUE PAD 1 2 3 4 5 6 7 DEBTS AND DEDU['TTnNC ri er~rrn 1~FC('RTPTTfIAI - --••--. --•• ~+.~~ vl laic t,[7mpuiailOnJ $ Under penalties of perjury, I declare that the facts I have reported ab~/ove are true, correct a d c mplete to the best of my knowledge and belief . HOME C ( t ~) ~~+' ~ ~ ~ ~~ .. WORK (: ~ S ~~ • f T TAX AYER S AT R TELEPHONE NUMBER DATE +llKEAU OF INDIVIDUAL TAXES ' Po Box 280601 r":"- "- ~, . - HARRISBURG PA 17128-d6 U1' - ~~ REV-1543 EX ~ ( l~ ~, - ~i n ~ ^~~.~~ .r ,, ~ r 1,.i1°1 i Vl l~ f1_r ~. i r, r-. ~H NANCY W GIBELLINO 320 SOMERSET DR SHIREMANSTOWN PA 17011 TYPE OF ACCOUNT SAVINGS CHECKING TRUST CERTIF. WACHOVIA BK 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/benefi.ciary of this account. If you feel the information is incorrect, please obtain written correction from the financial institution, attacFi 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. 1000630185705 Date 02-07-1994 To ensure proper credit to the account, two Established copies of this notice must accompany Account Balance $ 12, 267.05 payment to the Register of Wills. Make check payable to "Register of Wil].s, Agent". Percent Taxable X 50.000 Amount Subject to Tax $ 6, 133.53 NOTE: If tax payments are made within three months of the decedent's date of death, Tax Rate ~( ~ lrj deduct a 5 percent discount on the tax due. Potential Tax Due $ 920.03 Any Inheritance Tax due will become delinquent nine months after the date of death. PART TAXPAYER RESPONSE 0 FAILU~2E 'TO ~5~~ WILL RESUtT IN AN OFFICIAL TAX ASSESSMENT:' A. ^ The above information and tax due is correct. Remit payment to the Register of Wills with two copies of this notice to obtain C H E C K a discount or avoid interest, or check box "A" and return this notice to the Register of 0 N E Wills and an official assessment will be issued by the PA Department of Revenue B L 0 C K ,{.~ . ONLY B. ~X~ The above asset has been or will be 1111 yy reported and tax paid with the Pennsylvania Inhheritance T t to be filed by the estate representative. ax re urn PART If indicating a different tax rate, please state relationship to decedent: TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS LINE I. 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 g $ C. ~ The above informs ion is incorrect and/or debts and deductions were paid. Complete PART 2~ and/or PART L__I below. PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE AND FILE N0. 21 11-0289 TAXPAYER RESPONSE ACN 11125347 DATE_ 04-14-2011 EST. OF NANCY WHITLEY SSN 174-12-9561 DATE OF DEATH 02-14-2011. COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 PAD 1 2 3 4 5 6 7 OFFICIAL USE ON1.Y~~~ AA.F PA DEPARTMENT OF REVENUE PART DATE PAID PAYEE DEBTS AND DEDUCTIONS CLAIMED TlF4f'RTPTrnu Under penalties of perjury, I declare that the facts I have reported abo~e are ~ ,AcorrF~t~~~ mplete to the best of my knowledge and belief, y HOME ( .~ ~) WORK C ~ ~~E 4 • !~ TAX AYER IGNAT RE TELEPHONE NUMBER DATE .w BUREAU OF INDIVIDUAL TAXES !°~~i~"~ PO BOX 280601 `~`_' - f HARRISBURG PA 17128-0601 ~ - + c C REV-1543 EX AFP (OB-08) PENNSYLVANIA INHERITANCE INFORMATION NOTICE AND ' TAXPAYER RESPONSE TAXI FILE N0. 21 ACN 11114981 DATE 03-04-2011 ,w; ~ ~ .. ,... ~ ~ .. ~ ~, -~ . . t _ ~'l ~ ~ 1.?_' NANCY GIBELLINO 320 SOMERSET DR CAMP HILL PA 17011-6538 EST. OF NANCY WHITLEY SSN 174-12-9561 DATE OF DEATH 02-14-201:1 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS CHECKING TRUST CERTIF. PSECU 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/benef:iciary 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) 787-8i?7 wifh questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 0174129561 -S1 Date 07-21 - 1989 To ensure proper credit t:o the account, two Established copies of this notice must accompany Account Balance $ 1 , 853.95 payment to the Register of Wills. Make check Percent Taxable Payable to "Register of Wi:Ll.s, Agent". X 50.000 Amount Subject to Tax $ 926.98 NOTE: If tax payments are made within three Tax Rate months of the decedent's date of death, X . 0 4 5 deduct a 5 percent discount on the tax due. Potential Tax Due $ 41 .71 Any Inheritance Tax due will become delinquent nine months after the date of death. PART TAXPAYER RESPONSE FAILURE TO RESPOND WIi.L RESULT IN AN OFFICIAL TAX ASSESSMENT A. ^ The above information and tax due is correct. Remit payment to the Register of Wills with two copies of this notice to obtain C H E C K a discount or avoid interest, or check box "A" and return this notice to the Register of 0 N E Wills and an official assessment will be issued by the PA Department of Revenue. B L 0 C K B. The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return ONLY YYYY~~~1111 to be filed by the estate representative. 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 $ r.,R ~ 0 DATE PAID C• ~ The above informs ion is incorr~ect and/or debts and deductions were paid. Complete PART 2~ and/or PART I~ I below. PAYEE DESCRIPTION AMOUNT PAID TOTAL (Enter on Line 5 of Tax Computation) g Under penalties of perjury, I declare that the facts I have reported above are true, correct aid mplete to the best of my knowledge and belief. ~ ~, HOME C~ ~"~ ~ -~' ~ •~ °7~` .S'~~ .~-t-n-r~ W O R K ( ~ S- G•~ TAX AYER I NATU E __ TELEPHONE NUMBER DATE DEBTS AND DEDUCTIONS CLAIMED OFFICIAL USE flNLY [] AAF PA DEPARTMENT OF REVENUE PAD 1 2 3 4 5 6 7 8