Loading...
HomeMy WebLinkAbout06-21-11COMMONWEALTH 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 014612 RHODES DARLENE L 2100 BENT CREEK MECHANICSBURG, PA 17050 fold ESTATE INFORMATION: SSN: 205-72-7624 FILE NUMBER: 211 1-0700 DECEDENT NAME: BROWN SARAH L DATE OF PAYMENT: 06/21 /201 1 POSTMARK DATE: 06/20/201 1 couNTY: CUMBERLAND DATE OF DEATH: 03/ 1 5/201 1 REMARKS: CHECK# 2883 SEAL ACN ASSESSMENT AMOUNT CONTROL NUMBER 11135929 ~ 5130.04 11135931 ~ 54.17 TOTAL AMOUNT PAID: REV-1162 EXI11-961 5134.21 GLENDA EARNER STRASBAUGH INITIALS: CJ RECEIVED BY: REGISTER OF WILLS REGISTER OF WILLS PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES , `1t~~ (~. A N D PD Box zso6ol - -TAXPAYER RESPONSE HARRISBURG PA 17128-0601 ',ij ~ (~ ,PjF,Y.-,1543 EX AFP (00-00) FILE N0. 21 _ ~~- ~C7~} ACN 11135930 DATE 05-25-2011 Ci~~K EST. OF SARAH L BROWN p~,,ul (~~ SSN 205-12-7624 e~)~,~~N'`~j ~~()f~T DATE OF DEATH 03-15-2011 ~"r~ C(), FA COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: CHARLES J BRAUN JR REGISTER OF WILLS ROOM 111 1 COURTHOUSE SQUARE 2100 BENT CREEK BLVD CARLISLE PA 17013 MECHANICSBURG PA 17050 TYPE OF ACCOUNT © SAVINGS CHECKING TRUST CERTIF. M & T BANK 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. 1500420748362 Date 07-16-2008 To ensure proper credit to the account, two Established copies of this notice must accompany Account Balance $ 585.43 payment to the Register of Wills. Make check payable to "Register of Wills, Agent'•. Percent Taxable X 16.667 Amount Subject to Tax $ 97.57 NOTE: If tax payments are made within three months of the decedent's date of death, Tax Rate ~( ~ 00 deduct a 5 percent discount on the tax due. Potential Tax Due $ 0~ Any Inheritance Tax due will become delinquent nine months after the date of death. PART TAXPAYER RESPONSE 0 FA~LU~2E TO RESPDND~WI1.~t~ RESULT ~Y'}~1 AN OFFICIAL SAX ASSESSMENT A. I~ The above information and tax due is L 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 0 N L Y g, ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritan ce T to be filed by the estate representa tive. ax return C. ~ The above infarma ion is incorrect and/or debts and deductions were paid. Complete PART 2~ and/or PART IJ below. PART it intlicating 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 s $ OFFI~IA~ U\SE ~pNLY ~ AAF PA DEPARTMENT OF REVENUE PAD 1 2 3 4 0 5 6 7 PART ^3 DATE PAID PAYEE DEBTS AND DEDUCTIONS CLAIMED DESCRIPTION wunnur .,. r.. Under penalties of perjury, I declare that the facts I have reported above are true, correc~t/ and co lete to the best of my know//l~~edge and belief. HOME C ~ ) 74G~~~.SO f''o~- WORK ( ) ~ 7 TAXPAYER SIGNATURE TELEPHONE NUMBER DATE PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES AND FILE N0. 21 - f ~~-~(~~ PO BOX 280601 ~ f ,~°, (,i " ° HARRISBURG PA nlz8-0601 (-~ ~~ ~ !-.-~ w%~'~ {l~YER RESPONSE ACN 11135928 REV-1543 EX AFP~(0~)4'~ ( ~~ + ~V4.'~ t~~~J DATE 05-25-2011 `~`'~'' ~ `~~ 2 ~ ~~ f ~ ~ `"~' EST. OF SARAH L BROWN SSN 205-12-7624 C~..~R~( Q~ DATE OF DEATH 0 3 - 15 - 2 011 C~RpPHANR~,S,rr~~-C+Q{r.~~RT COUNTY CUMBERLAND CUMB~~?~~=V[; i„) PJ~ REMIT PAYMENT AND FORMS T0: CHARLES J BROWN JR REGISTER OF WILLS ROOM 111 1 COURTHOUSE SQUARE 2100 BENT CREEK BLVD CARLISLE PA 17013 MECHANICSBURG PA 17050 TYPE OF ACCOUNT SAVINGS ® CHECKING TRUST CERTIF. M & T BANK 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. 950267403 Date 07-16-2008 To ensure proper credit to the account, two EStablished copies of this notice must accompany Account Balance $ 18,250.48 payment to the Register of Wills. Make check " payable to Register of Wills, Agent". Percent Taxable X 16.667 Amount Subject to Tax $ 3, 041 .81 NOTE: If tax payments are made within three months of the decedent's date of death, Tax Rate ~( , 00 deduct a 5 percent discount on the tax due. Potential Tax Due $ . 0 0 Any Inheritance Tax due will become delinquent nine months after the date of death. P T TAXPAYER RESPONSE ~ 1 FAIL PTO RESPO\ WILL ,~ ,~~'~~IN A ~Cf°FFICIAL~ T~ SSESS#EN \~ \ \~ 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 bax '•A" and return this notice to the Register of ~ C B L 0 C K B. ~ The above asset has been or will be reported and tax paid with the Penns lv i I h 0 N L Y to be filed by the estate representative. y an a n eritance Tax return 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 relationshi t d d t \°0~~~~ \~ p ~\\~~~~\ OFFICIAL t~S~ ONLY ~ AAF p o ece en : ~~....... ~~o PA DEPARTMENT OF REVENUE \ TAX RETURN - COMPUTATIDN OF TAX ON JOINT/TRUST ACCOUNTS P AD E 1. Date Established 1 ~ 1 2. Account Balance 2 $ 2 3. Percent Taxable 3 X 3 4. Amount Subject to Tax 4 $ 4 5. Debts and Deductions 5 \~ 5 6. Amount Taxable 6 $ 6 7. Tax Rate 7 X ~ 7 8. Tax Due 8 $ .........~ .....~~ ... PART DEBTS AND DEDUCTIONS CLAIMED ^3 DATE PAID PAYEE Wills and an official assessment will be issued by the PA Department of Revenue. 0 N E DESCRIPTION AMOUNT PAin Under penalties of perjury, I declare that the facts I have reported above are true, correct and mplete to the best of my knowledge and belief. HOME C 7~~ ) 7L~4 - 71,s'$~ • /dD ~ WORK C ) ~~ ~ TAXPAYER SIGN TURE TELEPHONE NUMBER D TF u,.+~ ~~n~er vn amine ~ or (ax Computation) $ PENNSYLVANIA INHERITANCE T INFOR("M("~j'~Is,{}N NOTICE BUREAU OF INDIVIDUAL TAXES P' n , 'C~ ' ~1[ I t\ ~~iM~~~J``~,', Po Box zao6ol ~~'C,~~~Xp~~,,,~RESPONSE HARRISBURG PA 17128-0601 ~~~ ~, , ~ ~~ ~;.1 . REV-1543 EX AFP (RB-R8) ~~i ` JU"~ 2 l ~~~ ~ E i FILE N0. 21 ~~ ~~ -`,(,~J ACN 11135931 DATE 05-25-2011 EST. OF SARAH L BROWN CLERK OFS 205-12-7624 ~f-{~`S ~ ~F DEATH 03- 15-2011 ~,~~,~;~ v CUMBERLAND REMIT PAYMENT AND FORMS T0: DARLENE L RHODES REGISTER OF WILLS 32 LONGVIEW DR 1 COURTHOUSE SQUARE MECHANICSBURG PA 17050 CARLISLE PA 17013 TYPE OF ACCOUNT © SAVINGS CHECKING TRUST CERTIF. M & T BANK 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 Pennsylvania. Please call C717) 787-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 1500420748362 Date 07-16-2008 To ensure proper credit to the account, two Established copies of this notice must accompany Account Balance 4 3 payment to the Register of Wills. Make check $ 5 8 5 . payable to "Register of Wills, Agent". Percent Taxable X 16.667 Amount Subject to Tax NOTE: If tax payments are made within three ~` 97 57 . months of the decedent's date of death, Tax Rate )( . 045 deduct a 5 percent discount on the tax due. Potential Tax Due Any Inheritance Tax due will become delinquent $ 4.39 nine months after the date of death. PART TAXPAYER RESPONSE FAILURE TO RESPOND WILF~ RESULT IN AN OFFICIAL TAXI SESSMENT ~~~ A. (~ The above information and tax due is correct. ~l 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 Wills and an official assessment will be issued by the PA Department of Revenue. C ONE BLOC K B. ~ The above asset has been ar 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 infarma 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 ~ \~\ooooo~~~~ OFFICIAL US~'~° ONLY ~ AAF; relationship to decedent: PA DEPARTMENT OF REVENUE TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS PAD LINE 1. Date Established 1 1 2. Account Balance 2 $ 2 3. Percent Taxable 3 X 3 4. Amount Subject to Tax 4 $ 4 5. Debts and Deductions 5 - 5 ~" 6. Amount Taxable 6 $ (, ~~~~\ 7. Tax Rate 7 X 7 8. Tax Due 8 $ ~ g PART DEBTS AND DEDUCTIONS CLAIMED 3^ DATE PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL CEnter on Line 5 of Tax Computation) 8 Under penalties of perjury, I declare that the facts I have reported above are true, correct and c lete to the best of my knowledge and belief. HOME C ~f'7) 7~tls''7 ~5~ WORK C ) Zo TA PAYER SIGNAT RE TELEPHONE NUMBER ATE PENNSYLVANIA INHERITANCE TAX INF~MATION NOTICE BUREAU OF INDIVIDUAL TAXES ~; k ~ j~r~~~ ~ AND FILE N0. 21 - ~ ~ - ~Uv PD Box 2ao6B1 ~' ` ~ f ,~' '.r~/~S~iPAYER RESPONSE ACN 11135929 HARRISBURG PA 17128-0601 ~!. ~G~`~``"'' ,_ DATE 05-25-2011 REV-1543 E% AFP (OB-OB) CLE1~K C~ QR~'~xS Ct~URS EST. OF SARAH L BROWN SSN 205-12-7624 DATE OF DEATH 03-15-2011 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: DARLENE L RHODES REGISTER OF WILLS 32 LONGVIEW DR 1 COURTHOUSE SQUARE MECHANICSBURG PA 17050 CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS © CHECKING TRUST CERTIF. M $ T BANK 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. 950267403 Date 07-16-2008 To ensure proper credit to the account, two Established copies of this notice must accompany 18 ~ 250.48 payment to the Register of Wills. Make check Account Balance $ payable to "Register of Wills, Agent". Percent Taxable X 16.667 NOTE: If tax payments are made within three Amount Subject to Tax $ 3x041.81 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 becowe delinquent Potential Tax Due $ 136.88 nine months after the date of death. PART TAXPAYER RESPONSE 1^ FAILUE TO RESPOND WILL R , ~ IN d, ~ FICIAL TAX ASS ~ SMENT 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 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. ONE BLOC 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 ~~~~~"~~ OFFICIAL USE ONLY ~ AAF relationship to decedent: PA DEPARTMENT OF REYENUE TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS \P AD LINE 1. Date Established 1 1 $ ~ 2. Account Balance 2 2 3. Percent Taxable 3 X 3 4. Amount Subject to Tax 4 $ 4 5. Debts and Deductions 5 5 6. Amount Taxable 6 '~ 7. Tax Rate 7 X $ 8. Tax Due 8 8 PART ^3 __--- DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL (Enter on Lane 5 of Tax Computation) s Under penalties of perjury, I declare that the facts I have reported above are tr/u-e, cor/rectta)nd co lete to the bes~ my knowledge and belief. HOME C~/7 ) ~C.c~~ /~~a WORK ( ) G Lv / TAX AYER SIGNAT RE TELEPHONE NUMBER DATE ~~ ' (~ "t1 . f. j ~FCv~~~~t 1 ;~'~{ 4f t~. V~ i., sq yi C 4: .~ :i~} J`~J` M,4 ~; ~ rj ;r -,.`~. ~3 ~^"~ :~ f=~g f ~{ x! PS ~; 'Y` ' 4`'d _, 'V, 'T 1414 , a ~ O ~ .CY. .a ~a.~s Q~ ~ c~c ?~MC • ~,,. ~~ 0R H~~RK T ~t)M~~~ l~VD C(~., ~'~ o ~~ ~~ r•-~, i~} \ .::., €~i y..{