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Home My WebLink About07-06-11 (3)COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ~iEV-1162 EX(11-96) NO. CD 014666 STANTON EMILY R 1455 AMHERST COURT MECHANICSBURG, PA 17050 -------- fold ACN ASSESSMENT CONTROL NUMBER AMOUNT 11144408 ~ $786.26 ESTATE INFORMATION: SSN: 186-24-9487 FILE NUMBER: 21 1 1 -0668 DECEDENT NAME: SEIBERT EMILY E DATE OF PAYMENT: 07/06/201 1 POSTMARK DATE: 07/05/201 1 COUNTY: CUMBERLAND DATE OF DEATH: 03/ 19/201 1 REMARKS: CHECK# 1006 SEAL TOTAL AMOUNT PAID: $786.26 INITIALS: DB RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS BUREAU OF INDIVIDUAL TAXES PO BOX 280601 HARRISBURG PA 17128-0601 \ .\\. penns~~a DEPARTMEN kVEN j ~(' ,:, REV-1543 EX Miff (-g~''~}~j- ttt III~:.A+L.. PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE FILE: N0. 21 '-~ ~-U?C~ ~ `~`~-~~'n~ W~-XPAYERNRESPONSE ACN 11144408 ,;;; ~ ~, DATE: 06-30-2011 t; ~'~3 t .~~L -~ j.~, E~. ~,~, G~.ERK ~~ ORPHAN'S ~flURT SHARON L SEIBERT 5060 CAMBRIDGE BLVD MECHANICSBURG PA 17050 EST. OF EMILY E SEIBERT SSN 186-24-9487 DATE OF DEATH 0~;~~ ~-~=1 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS C{ ~uf~ ~ CHECKING _ ~ f'1/,~1 _- ^l~ ~ ~ ~ T R U S T _°11 0~ ~ CERTIF. P S E C U provided the department with the information below, which was used in calculating the inheritance tax due. Records indicate that at the death of the above-named decedent, you were a joint owner/beneficiary of this account. If you are the SpoUSe Of the deceased and any amount other than zero is reflected below on the Potential Tax Due line, note no tax may t>e due, but you must notify the department of your relationship to the deceased by checking Box C in PART 1 below and writing ":>pouse" in PART 2. If you believe he information is incorrect, ;.lease obtain written correction from the financial institution, attach a copy to this form and return it to the above address. Please call 717-787-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 0186249487-S7 Date 10-15-1979 To ensure proper credit ~to the account, two Established copies of this notice must accompany Account Balance 34, 944.90 Payment to the Register of Wills. Make check payable to "Register of Wills, Agent . Percent Taxable X 50.000 NOTE: If tax payments are made within three Amount Subject to Tax $ 17,472.45 months of the decedent's date of death, Tax Rate )( . 045 deduct a 5 percent discount on the tax due. Any inheritance tax due will become delinquent Potential Tax Due $` 786.26 nine months after the datte of death. PART TAXPAYER RESPONSE a FATLURE,.~A RESPOND WILL RES;~;J>LT IN AN 8cF'FICIAL 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 return this notice to the Register of Wills andl 0 N E 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 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 DF REVENUE TAX RETURN - CALCULATION 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 $ C+ 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 Under penalties of perjury, I declare t the facts I reported above are true correct and complete to the. b t of m knowledge an bell f HOME C ~~ ) `3~ ,Z~j'_~r ~~~ WORK ( ) _ _ ~ A E IGNAT TELEPHONE NUMBER DATE TOTAL CEnter on Line 5 of Tax Computation) S COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: REV-1162 EX(11-96) PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CC) 014667 STANTON EMILY R 1455 AMHERST COURT MECHANICSBURG, PA 17050 -------- fold ACN ASSESSMENT A~/IOUNT CONTROL NUMBER ---------- -------- ESTATE INFORMATION: ss-v: ~ 86-24-9487 FILE NUMBER: 211 1-0668 DECEDENT NAME: SEIBERT EMILY E DATE OF PAYMENT: 07/06/201 1 POSTMARK DATE: 07/05/201 1 COUNTY: CUMBERLAND DATE OF DEATH: 03/ 19/201 1 1 1 144407 x$2.86 TOTAL AMOUNT PAID: REMARKS: $2.86 CHECK# 1007 INITIALS: DB SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS ~~~ PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE FILE N0. 21 -t ~ -{,~~~ BUREAU OF INDIVIDUAL TAXES Po Box Zao6ol penn~ti~- , "~r~~` r, AND ACN 11144407 HARRISBURG PA 17128-0601 DEPARTMENT,.~~fj€V~iv_UE'` '~'`~~t~E C~AXPAYER RESPONSE DATE 06-30-2011 REV-1543 E~~q6 ~~-11)""` '~~i ~! r .~ ~,: ~~~~ ~ J~` '~ ~~ ~~. ~ ~ ~, C~.ERfC 0~ ORPHAN'S ~OUPT C~It~P~ ~'_,~~~~ 1 ~r~ ~„~ SHARON L SEIBERT 5060 CAMBRIDGE BLVD MECHANICSBURG PA 17050 TYPE OF ACCOUNT EST. OF EMILY E SEIBERT ~ ^ SAVINGS SSN 186 - 24 - 9487 ~,~(,~J.,d' X^ CHECKING DATE OF DEATH e~-~-=~'~ 1 i~-~~' -~~>~ 1 ^ TRUST COUNTY CUMBERLAND ^ CERTIF. REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 P S E C U provided the department with the information below, which was used in calculating the inheritance tax due. Records indicate that at the death of the above-named decedent, you were a joint owner/beneficiary of this account. If y OU are the SpoUSe Of the deceased and any amount other than zero is reflected below on the Potential Tax Due line, note no tax may t>e due, but you must notify the de artment of your relationship to the deceased by checking Box C in PART 1 below and writing "spouse" in PART 2. ?f you belie~~e ~he infor^~a*ion is incorrect, please obtain written correction from the fina~iciai institutiur~, attach a copy to this form and return it to the above address. Please call 717-787-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 0186249487 Date 10 - 15- 1979 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 $ 127 01 payable to "Register of S~7ills, Agent". Percent Taxable X 50.000 NOTE: If tax payments are made within three Amount Subject to Tax $ 63.51 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 become delinquent Potential Tax Due $ 2 • 86 nine months after the date of death. PART TAXPAYER RESPONSE 1^ FAILURE~~TQ RESPOND WILL RfSt~T IN AN CI~FICIAL 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 return this notice to the Register of Wills and 0 N E 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 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: 2 PA DEPARTMENT OF REVENUE TAX RETURN - CALCULATION 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 $ !~ 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 Under penalties of perjury, I declare t the facts I reported above are true, correct and c mplete to the b st"~ my nowledge nd beli HOME C ~'~~ ) ~~~~ ~~`'~ '~ ,. ,- - E ~ TELEPHONE NUMBER DATE xe~- TOTAL CEnter on Line 5 of Tax Computation) S