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HomeMy WebLinkAbout06-28-11 (2)BUREAU OF INDIVIDUAL TAXES r' PO BOX 280601 t HARRISBURG PA 17128-0601 ~_,_~_~ REY-]543 E% AFP (08.08) PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE ~~~ ~E'~-~ ~ AND FILE N0. 21 . ~ - i . !C TAXPAYER RESPONSE `-~'~ r ACN 11125942 DATE 04-18-2011 .,.. , J~~ ~Cf t'~ 1'~'" J~ CLERK CF ORPHAI~!(S COl~,R7 CUlviRERI_h~!~ ~;~~ . PA TIMOTHY POOLE 3026 LOGAN ST CAMP HILL PA 17011-2947 EST. OF HELEN B HILL SSN 166-20-1619 DATE OF DEATH 02-28-2011 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, If you feel the information is incorrect, please obtain written correction from the financialainstitution, attach a copy to this form and return it to the above address. This account is taxable in accordance with the InheritanceJTaxtlawseofbthefCommonwealthlofaccount. Pennsylvania. Please call C717) 787-8327 with questions. COMPLETE PART 1 BELOW * - SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 0143169424-S1 Date 08-19-1996 Established To ensure proper credit to the account, two Account Balance copies of this notice must accom Percent Taxable Amount Subject to Tax Tax Rate Potential Tax Due PORT CHECK ONE BLOCK ONLY $ 886.44 X 16.667 $ 147.74 X .045 $ 6.65 TAXPAYER RESPONSE payment to the Register of WillspanMake check payable to "Register of Wills, Agent". NOTE: If tax payments are made within three months of the decedent's date of death, deduct a 5 percent discount on the tax due. Any Inheritance Tax due will become delinquent nine months after the date of death. FAILURE'TO;RESPOND.WILL 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 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 Pennsylvania Inheritance Tax return to be filed by the estate representative. C• ^ The above informs ion is incorrect and/or debts and deductions were Complete PART ~2 and/or PART 3^ paid. below. PART If indicating a different tax rate, please state relationship to .decedent: ~~.-T~_ -. 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 B. Tax Due .~ DATE PAID PAYEE DEBTS AND DEDUCTIONS CLAIMED DESCRIPTION AMOUNT PAID TOTAL CEnter on Line 5 of Tax Computation) Unde pe alties of perju/mryy, I declare that the facts I have reported above are true, ~ co e t t bess~' ~n c~~ e and belief. J~ `i correct and r HOME ( ~ s, TAXPAVFR ST ATIIRF WORK ('~~'i ~ 7 , `` I TFI FPUn-)r u~~..,. ~ ~s / 7 ~1 PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES t' ~~ ` A N D PO BOX 280601 ~~{ ~~~~~ ~~ HARRISBURG PA 17128-0601 ";;~ ti TAX PAYE R R E S P O N S E REV-1543 E% AFP (OB-RB) FILE N0. 21 1~ li j ~' ACN 11125944 DATE 04-18-2011 EST. OF HELEN B HILL CLERK OF SSN 166-20-1619 ORPHHN~S COURT DATE OF DEATH 02-28-2011 CUMBF~~,'~tiD Cl~ Pq COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: TIMOTHY POOLE 3026 LOGAN ST REGISTER OF WILLS CAMP HILL PA 17011-2947 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, If you feel the information is incorrect, please obtain written correction from the financialainstitutionr/attachcaa opyftohthiscformt 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. 0143169424-S4 Date 08-19-1996 To ensure proper credit to the account, two Established copies of this notice must accompany Account Balance $ $, 670.96 payment to the Re gister of Wills. Make check Percent Taxable X Payable to "Register of Wills, Agent". 16.667 Amount Subject to Tax ~` 1,445.19 NOTE: If tax payments are made 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 65.03 PART nine months after the date of death. TAXPAYER RESPONSE FAILURE TO.RESPDND WILL 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 C HECK 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 g, above asset has been or will be reported and tax 0 N L Y to be filed by the estate representative. Paid with the Pennsylvania Inheritance 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 ~ .(; ii.. .. ..-i ^ 2 - - --••-•~~•~ relationship to decedent: pax rate, please state I _ ` OFFICIAL .USE ONLY ^ AAF TAX RETURN - COMPUTATION OF TAX ON JO ~ PA DEPARTMENT40F% REVENU i -- --- LI`N'e 1. Date Established INT/TRUST ACCOUNTS PAD E ~, ; " - 2. Account Balance l 2 $ 3. Percent Taxable 3 X 2 ~ "•'` ' 4. Amount Subject to Tax y $ 3 ~ 5. Debts and Deductions 5 - r4 6. Amount Taxable 6 $ 5 ~ " 7. Tax Rate ~ X 6 al:... 8. Tax Due B $ 7 , PART ~ -'~ ` 8" `j' r • DEBTS'ANI~ DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION AMOUNT PAID ' TOTAL CEnter on Line 5 of Tax Computation) Und ~ P nal of perj , I declare that the facts I have reported above are true, correct and c pl e f my;c~p~/led~, ~~~ elief. HOME TAXPAYER SIGNATURE WORK (~~~7 ~ 23(-l~s ~7`, TFI FPUnur .(~~..n~., PENNSYLVANIA INHERITANCE T INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES Po Box z8osol ~ rf ~~~ ~~,: ~~ AND HARRISBURG PA 17IZB-BSOI ,;;, + ~ AXPAYER RESPONSE ~!'~1:~ _ REV•1543 EX qFR (88-08] •~r '~.,~_~f -f~' ` JL1~J 2t~ ~';~`~ v CLERK OF ORPHA,N'.~ COURT TIMOTHY POOLE 3026 LOGAN ST CAMP HILL PA 17011-2947 FILE N0. 21 "~i- •~~`~' ACN 11125946 DATE 04-18-2011 TYPE OF ACCOUNT EST. OF HELEN B HILL SSN 166-20-1619 ® SAVINCs DATE OF DEATH o2-28-2011 ^ CHECKING COUNTY CUMBERLAND ^ TRUST REMIT PAYMENT AND FORMS T0: ^ CERTIF. REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 PSECU provided the Department with the information below, which has been used in calculating the If youlfeelatheuinformation isdincorrectt please obtain writtenbcorrectiondfromethe financial ins ' Pennsylvania. Please call C717) 787-8327 with y this account. and return it to the above address. This account is taxable in accordance with the Inheritance]TaxtlawseofbthefCommonwealth of t3tution, attach a copy to this form COMPLETE PART 1 BELOW * Questions. SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 0143169424-S7 Date 04-18-2007 Established To ensure proper credit to the account, two Account Balance copies of this notice must accompany $ 6, 916 . O1 Payment to the Register of Wills. Make check Percent Taxable X payable to "Register of Wills, Agent". Amount Subject to Tax 16.667 $ 1 ~ 152.69 NOTE: If tax payments are made within three Tax Rate X months of the decedent's date of death, Potential TaX Due . 045 deduct a 5 percent discount on the tax due. $ 5 1 . $ 7 Any Inheritance lax due will become delinquent PART nine months after the date of death. 1^ TAXPAYER Rf SPONSE FAILURE TO RESPOND; WILL; RESULT,IN- AN OFFICIAL TAX. ASSESSMENT A• ^ The above information and tax dueis correct. Remit payment to the Register of Wills with two copies of this notice to obtain C C HECK 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. BLOCK B 0 N L Y Bove asset has been or will be reported and tax paid with the Pennsylvania Inheritance lax 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^ LJ below. PART If indicating a different tax rate, please state relationship to decedent: ~.:; -OFFIGIAL.USE ONLY TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS ~ PA DEPARTMENT'pF "' ^ AAF LINE 1. Date Established EVENUE PAD"': `° ~ R 1 - ~` -_ 2. Account Balance p $ 1 "' ~~'- 3. Percent Taxable 2~ ~ ~£ 3 X -. 4. Amount Subject to Tax q $ 3 "` - 5. Debts and Deductions 5 - ~+ ~` " 6• Amount Taxable 6 $ ~5 •-« . 7. Tax Rate T X 8. T a x D u e ~'"`' ~ "`' 8 ~` ~ 7, , PART 8~~ DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION ~ AMOUNT PAID Under comfit TOTAL CEnter on Line 5 of Tax Computation) iF; - - urY, 1 hest ~r PAYER SIGNgT R declare that the facts I have reported above are true, correct and / ~ and~elief. T ~~j HOME ( I WORK C~f~ '7 ~ Z,36 -1 ~~ ~ TELEPHnNF IJUUnr.~ -_ ~'