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Home My WebLink About07-27-11COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT CALAMAN DOUGLAS 709 WEST PINE STREET MT HOLLY SPRINGS, PA 17065 -------- fold ESTATE INFORMATION: sSN: 202-20-4328 FILE NUMBER: 211 1-0829 DECEDENT NAME: CALAMAN LENA L DATE OF PAYMENT: 07/ 27/ 201 1 POSTMARK DATE: 07/27/201 1 COUNTY: CUMBERLAND DATE OF DEATH: 06/04/201 1 REMARKS: CHECK# 263 SEAL AMOUNT ACN ASSESSMENT CONTROL NUMBER 11142543 ~ $52.99 1 1 141673 ~ $12.62 TOTAL AMOUNT PAID: $65.61 INITIALS: HMW RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS REV-1162 EX(11-96) NO. CD 014770 ~~~ PENNSYLVANIA INHERITANCE TAX `~ INFORMATION NOTICE FILE N0. 21~ ~~'LJ~p~ BUREAU OF INDIVIDUAL TAXES PO Box 280601 [~ E1n ~_ ~, AND ACN 11142543 HARRISBURG PA 17128-0601 DEPARTi~!~ .,~,' ~`'E` "TAXPAYER RESPONSE DATE - - REV-1543 E P~~(.~5i11)~: ~u:~7 ~~~'~ ~. ,j 06 23 2011 ~_'(l ~ 1.1UL 27 A~'~ 9~ 4 4RP LER~C 4~ HA~I S GQURT ~IJ~RFR[~A,~D C~. , PA DOUGLAS CALAMAN 709 WEST PINE STREET MT HOLLY SPRINGS PA 17065 EST. OF LENA L CALAMAN SSN 202-20-4328 DATE OF DEATH 06-04-2011 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT ® SAVINGS CHECKING TRUST CERTIF. MEMBERS 1 S T F 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 be due, but you must notify the department of your relationship to the deceased by checking Box C in PART 1 below and writing "spouse" in PART 2. If you believe 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. Please call 717-787-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 173864 - 00 Account Balance Percent Taxable Amount Subject to Tax Tax Rate Potential Tax Due Date 02-13-1998 Established $ 2,355.04 X 50.000 $ 1,177.52 X .045 $ 52.99 To ensure proper credit to the account, two copies of this notice must accompany payment to the Register of Wills. Make 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. PART TAXPAYER RESPONSE 1^ ~ ~~ ~~ ~~ 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 3~ below. PART If indicating a different tax rate, please state ~ ~ ~ relationship to decedent: ~ ~ ~~~. \~ ~ ate : ~ i ~ \ ~~`~ ~ TAX RETURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS ~ ;~~`~~~~~~~ ~~~~~~~ ~` ~`a ~~ ~"~~~~~ ~,,~` ~~~ ~ LINE 1. Date Established 1 ~~' ~ ~~ ~ ~ ~~ ~ ` ~' 2. Account Balance 2 ~~~~ 3. Percent Taxable 3 X ~\~\\~ ~ - ~ 0~~ ~ \~\ 4. Amount Subject to Tax 4 $ ~`~\~~~~~\ ~~\ \~ 5. Debts and Deductions 5 - 6. Amount Taxable 6 ~ 7. Tax Rate 7 X ~\\ 8 . Tax Due 8 $ \\~. \~.~~~..... ~....~~~~~._ ~`~~~~..~~~~\~\~~.~. ~ ~, c ~~ PART DEBTS AND DEDUCTIONS CLAIMED a DATE PAID PAYEE DESCRIPTION AMOUNT PAID Under penalties of perjury, I declare that the facts I reported above are true, correct and complete to the best of my knowledge and belief. HOME C 717 ) ~~~ ~`7y~~Z Z, WORK C 7 ~`7 ) d ~ (p (d `t TL7'z-lf (/~ ,X PAYE SIGNATURE TELEPHONE NUMBER DATE TOTAL CEnter on Line 5 of Tax Computation) S ~~~ PENNSYLVANIA INHERITANCE TAX l INFORMATION NOTICE FILE N0. 21 ~' / ~~~ BUREAU OF INDIVIDUAL TAXES /\ K~ t-~ r ,~° - ~ l 1 ^~ Po Box Zso6o1 perm ~= ~ '~-'+ ~ 1~ ~ ~ AND ACN 11141673 HARRISBURG PA 171zs-o6o1 ~'~° - „ ~~~ C CTAXPAYER RESPONSE DEPARTMENT Ev~gMy~ ,~. +' ' ~ ,r~; 41,',-- ~ .. _.~.,,,~ DATE 0 6 -17 - 2011 REV-1543 EX AFP (05-11) a~ c~~R~ ~F F'~-!Al1i a C~~.1RT Ct1l~RF~~,A~#C~ C,'~ , PA TYPE OF ACCOUNT SAVINGS CHECKING TRUST CERTIF. DOUGLAS CALAMAN 709 WEST PINE STREET MT HOLLY SPRINGS PA 17065 EST. OF LENA L CALAMAN SSN 202-20-4328 DATE OF DEATH 06-04-2011 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 MEMBER S 1S T F 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 be due, but you must notify the department of your relationship to the deceased by checking Box C in PART 1 below and writing "spouse" in PART 2. If you believe 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. Please call 717-787-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No . 381836 - 0 0 Date 04 - 07 - 201 0 To ensure proper credit to the account, two Established copies of this notice must accompany 9$ payment to the Register of Wills. Make check Account Balance 560 . payable to "Register of Wills, Agent". Percent Taxable X 50.000 NOTE: If •t ax payments are made within three Amount Subject to Tax $` 2$0 49 . 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 $ 12.62 nine months after the date of death. PART TAXPAYER RESPONSE 1^ \ ~ \ ~ ~~~~ 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 3~ below. PART If indicating a different tax rate, please state \ a relationship to decedent: TAX RETURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS \~\ ~ LINE 1. Date Establisheo 1 ® ~ ~~ 2. Account Balance 2 $ 0 3. Percent Taxable 3 X ~~ \ ~~ ~ 4. Amount Subject to Tax 4 $ ,...\~ 5. Debts and Deductions 5 - ~ 6. Amount Taxable 6 $ ~ ~~ \ \ 7. Tax Rate 7 X ~ ~~ 8. Tax Due 8 PART DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION AMOUNT PAID Under penalties of perjury, I declare that the facts I reported above are true, correct and complete to the best of my knowledge and belief . HOME C '? ~? ) ~~6 X77 3 Z ~ -L7 ~-Ld ~~ WORK ( ) ~ ~ ~p/d TAXPAYER S NATURE TELEPHONE NUMBER DATE TOTAL (Enter on Line 5 of Tax Computation) ~