The URL can be used to link to this page

Home My WebLink About08-31-11COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE REV-1162 EX(11-96) BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 014918 WILLIER GARY A 610 WATEREDGE RD LITITZ, PA 17543-8766 ""---- fold REMARKS: CHECK# 1922 SEAL ACN ASSESSMENT AMOUNT CONTROL NUMBER $371.34 TOTAL AMOUNT PAID: INITIALS: HMW RECEIVED BY: REGISTER OF WILLS GLENDA EARNER STRASBAUGH REGISTER OF WILLS ~~~ PENNSYLVANIA INHERITANCE TAX BUREAU OF INDIVIDUAL raxES I N F O R MA T I O N N O T I1: E Po eox 2so6o1 ~ r- ,;--~•~--,.~ FILE N0. 21 HARRISBURG PA 17128-0601 pennS-~; -; -P-,~~~. AND DEPARTMENT OF n4ug - ACN 11153583 a ~ ~r~~~ PAYER RESPONSE REV-1543 EX AF~ ro9~11'7 ~ - - ~,',..:...~~ DATE 08 - 16 - 201 1 E;~ ~~~ ~~ y~. ~~ ~~~" EST. OF PAULIN E M WASSER SSN 168-32-1344 ~~-~~~ ~~~ DATE OF DEATH' 0 7 - 31- 2 011 fJRP~!A~~ ~ ~ ~l.~~T COUNTY CUMBERLAND CU~~~F~~~ ,,,h,. ~~~ ;-,,~, n . P~ REMIT PAYMENT AN:D FORMS T0: GARY A WILLIER REGISTER OF WILLS 610 WATEREDGE ROAD 1 COURTHOUSE SQUARE LITITZ PA 17543-8766 CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS CHECKING TRUST CERTIF. SUSQUEHANNA BANK. provided the department with the information below, which was used in calculating the inheritance Records indicate that at the death of the above-named decedent, you were a joint owner/beneficiary of i:his 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 be due, but ou m X due. notify the de artment of your relationship to the deceased by checking Box C in PART 1 below and writing "spouse" in PART 2. If you believe ~he information is incorrect, please obtain written correction from the financial institution, attach a y ust it to the above address. Please call 717-787-8327 with questicns. copy to this form and return COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAV'MENT INSTRUCTIONS Account No. 10005852115 Date 1 0 - O 1 - 20 08 To ensure proper credit to the account, two Established copies of this notice must accompany Account Balance $- 52, 105.38 payment to the Register of Wills. Make check Percent Taxable X payable to "Register of Wills, Agent". 16.6b7 Amount Subject to Tax $ 8, 684.40 NOTE: If tax payments are made within three Tax Rate X months a~f the decedent's date of death, . 1 5 d 0 deduct a 5 percent discount on the tax due. Potential Tax Due $- 1 , 302.(( Any inheritance tax due will become delinquent PART ~~~~~ 9 nine months after the date of death. TAXPAYER RESPONSE '~~ ~~ 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 return this notice to the Register of Wills and ~~ 0 N E an official assessment will be issued by the PA Department of Revenue. BLOCK B• ~ The above asset has been or will be reported and tax ~..TY ~.J~~~ 0 N L Y filed by the estate representative. Paid with the Pennsylvania inheritance tax return \~ 1 ~~ 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: TAX RETURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Date Established 1 2. Account Balance 2 $ 3. Percent Taxable g X 4. Amount Subject to Tax 4 $ 5. Debts and Deductions 5 ,~~~,. - ~~• mow, 6. Amount Taxable 6 $ \ ~ 7. Tax Rate ~ X 8. Tax Due 8 $ PART 0 DEBTS AND DEDUCTIONS CLAIMED \ \\ DATE PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL (Enter on Line 5 of Tax Computation) S n er penal - of per'ury, eclare that the facts I reported above are tru correc nd o p ete t e t of my w edge and belief. HOME ('~ ~~ ~ ~ -- TOXPev~c C` -IATI,r.r WORK ( ~ ua~DtK DATE BUREAU OF INDIVIDUAL TAXES PO BOX 280601 HARRISBURG PA 17128-0601 \®\ Pennsylvania DEPARTMENT ~~~a~1 ~..~, ., REV-1543 EX AF~R„1.p5:11) PENNSYLVANIA INHERITANCE TAX INFORMATION NOTII:E _ AND FILE „ ~ -~~,~;;~-~7~CPAYER RESPONSE ACN .. ~ ;;; ; ~, DATE N0. 21 11153581 08-16-2011 ` ~ ~ ~ ~;µ. '~' ~ ~ ~ ~; EST. OF PAUL I NE M WASSER SSN 168-32-1344 ~~R~`~~ DATE OF DEATH 07-31-2011 Q~rP,~, ..,~! COUNTY CUMBERLAND '~•~~~T REMIT PAYMENT AND FORMS T0: GARY A WILLIER Gl~~~~~'''A:~;C'r'.~`~3, P~ 610 WATEREDGE ROAD REGISTER OF WILLS LITITZ PA 17543-876b 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS ® CHECKING TRUST CERTIF. SUSQUEHANNA BANK Records indicate that at the death of the above named decedent, provided the department with the information below, which Nras used in calculating the inheritance tax due. deceased and any amount other than zero is reflected below on the Potential Tax Due line, note no tax may be du notify the department of your relationship to the deceased byechecking Box/Cni n1 PART if this account. If you are the spouse of the If you believe the information is incorrect, please obtain written correction from the financial institution e• but you mUSt it to the above address. Please call 717-787-8327 with questions. below and Writing "spouse" in PART 2. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYM ~ attach a copy to this form and return Account No. 1102x65909 ENT INSTRUCTIONS Date 08-31-2006 To ensure proper credit to the account, two Established copies of this notice must accompany Account Balance $ 1 0 ~ 7b2 . 19 payment to the Register of Wills. Make check Percent Taxable X Payable to "Register of Wills, Agent". Amount Subject to Tax 16.667 1 ~ 793.73 NOTE: If tax payments are made within three Tax Rate X months of the decedent's date of death, Potential Tax Due 15 deduct a 5 percent discount on the tax due. $ 2 6 9. 0 S Any inheritance tax due will become delinquent PART nine months after the date of death. TAXPAYER RESPONSE 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 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 " 0 N L Y filed by the estate representative. inheritance tax return C• ~ The above informs ion is incorr~ect and/or debts and deductions were paid. Complete PART 2~ and/or PART I~ I below. PART If indicating a different tax rate, please~-s-Mate relationship to decedent: TAX RETURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS 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 PART 1 2 3 X 4 ~` 5 - 6 $ 7 X 8 DEBTS AND DEDUCTIONS CLAIMED DESCRIPTION TOTAL CEnter on Line 5 of Tax Computation) Under S 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 ( ~ TAXPAYER SIGNATURE WORK ( ~ TELEPHONE NUMBER DATE DATE PAID PAYEE COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0601 RECEIVED FROM: WILLIER GARY A 610 WATEREDGE RD LITITZ, PA 17543-8766 '-'----- fold REMARKS: CHECK# 1921 SEAL PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ACN ASSESSMENT AMOUNT CONTROL NUMBER N0. CD 014920 TOTAL AMOUNT PAID: INITIALS: HMW RECEIVED BY: REGISTER OF WILLS REV-1162 EX~11-96) 5371.34 GLENDA FA.RNER STRASBAUGH REGISTER OF WILLS F: '~ ;; ~ . ~``~° PENNSYLVANIA INHERITANCE TAX BUREAU OF INDIVIDUAL TAXES ~ INFORMATION NOTICE Po BOX 280601 ~ ~ "" ~ - .. ~,... ^' AND HARRISBURG PA 17128-0601 pennsy~!~f~r~ ;= r ~,N '- OEPARTMENT OF ~{tEIV,UE ;~'~'~CPAY E R R E S P O N S E REY-1541 EX AFP ('05~~IY1 - - ~ ~-:.~'~ -, i ~:~ n OR~~!H^~~~ L ~ ~t~~T GARY A WILLIER 610 WATEREDGE ROAD LITITZ PA 17543-8766 FILE N0. 21 ACN 11153583 DATE 08-16-2011 EST. OF PAULINE M WASSER SSN 168-32-1344 DATE OF DEATH 07-31-2011 COUNTY CUMBERLAND REMIT PAYMENT ANI) FORMS T0: REGISTER OF WILLS 1 COURTHOUSE :SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS CHECKING TRUST XC~ CERTIF. SUSQUEHANNA BANK 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 1:his 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 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 q~estic~s. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 10005852115 Date 10-01-2008 To ensure proper credit to the account, two Established copies Hof this notice must accompany Account Balance $` 52, 105.38 payment to the Register of Wills. Make check payable to "Register of wills, Agent". Percent Taxable X 16 . b67 Amount Subject to Tax $ 8, 684.40 NOTE: :[f tax payments are made within three months of the decedent's date of death, Tax Rate ~( 15 ~~~ deduct :~ 5 percent discount on the tax due. Potential Tax Due $ 1 , 302 . bb Any inheritance tax due will become delinquent ~~~ 9 nine months after the date of death. PART TAXPAYER RESPONSE o ~~~ ~. ' ;~.~., Y`:,~- ~... a I`I TA~;aAS S F,~S S~'I EST .. ., < ~ ~ i.„. .. A. ~ The above information and tax due is correct. i • 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 o1' Revenue. B L 0 C K B. ~ The above asset has been or will be reported and tax paid with ttie Penns lv ~ ~~ 0 N L Y filed by the estate representative. y ania inheritance tax return ~~ C. ~ The above informs ion is incorrect and/or d bt e s and de Complete PART 2~ and/or PART 3~ below. ductions were paid. PART If indicating a different tax rate, please state '~~ ~~ ~> ,~,, ' relationship to decedent: ~~' ~~~CXAL USE: ONL,~I~..,..~;~ AAF TAX RE TURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS ~ t I'~4`~D~PART~lENT DF REVENUE ~ ' .Y~~ ' '~ ~~ ' ~'~ `- LINE 1 D ~~3 . ate Established 1 ~a •; .~ 2 • Account Balance ,~` ~ ~ '` ~ .~k~.Y~ ~ ~~~ , 3. Percent Taxable 3 X ~' f ~'~~.' .,.,r ' n "~'n'~ -R~.. _' . ` 4. Amount Subject to Tax 4 +{ <.;.~ z ~'~'^~ ~ .~ ~ ~ ~ ~ 5. Debts and Deductions 5 - ' `~ ' ~ '` ~ ' 6. Amount Taxable 6 $ , ~ s3,. t-,„. ,,t , ~,c ~ ~ t f:{ ~ .., 7. Tax Rate X Tax Due g $ ~, ~ PART 3 ~ » ~. <. DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE nFSrttrprr nu _.______ ------- -•• --••- ~ .. ion ~.vm{~ulaLlOnJ $ n er penalt' of per'ury, Clare that the facts I reported above are true, correc nd o pl`ete t e t of my w edge and belief . ~ .- HOME ( ) ~ WORK ( ) TAXPAYER S NATURE TELEPHONE NUMBER DATE BUREAU OF INDIVIDUAL TAXES PO BOX 280601 HARRISBURG PA 17128-0601 ~, a\ ~ ,~; PENNSYLVANIA INHERITANCE • INFORMATION NOTICE pennsyLvania _ AND DEPARTMENT~~~~~a(,lE' `.~~ ,-~~j=~'pAYER RESPONSE REV-1543 EX AF,R„40~;11) .-. • , ;') ~,, r ~: CRP~~~.N'S l,~U GARY A WILLIER Ct1~°,~~~-~' ~.f•,`r'i '~'~~ ~~ 610 WATEREDGE ROAD LITITZ PA 17543-8766 FILE N0. 21 ACN 11153581 DATE 08-16-2011 EST. OF PAULINE M WASSER SSN 168-32-1344 DATE OF DEATH 07-31-2011 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF W][LLS 1 COURTHOUSE >QUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS ® CHECKING TRUST CERTIF. SUSQUEHANNA BANK 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 be due, but ou 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. 1102865909 Date 08-31-2006 To ensure proper credit to the account, two Established copies of this notice must accompany Account Balance $ 1 0 , 762.19 payment to the Register of Wills. Make check payable to "Register of Wills, Agent". Percent Taxable X 16.667 Amount Subject to Tax $ 1 , 793.73 NOTE: If tax payments are made within three months of the decedent's date of death, Tax Rate ~( . 15 deduct a 5 percent discount on the tax due. Potential Tax Due $ 269.06 Any inheritance tax due will become delinquent nine months after the date of death. PART TAXPAYER RESPONSE 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 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 0 N L Y B. ~ The above asset has been or will be reported and tax paid with th~a Pennsylvani i h filed by the estate representative. a n eritance tax return C. ~ The above informs ion is incorrect a d/ n o Complete PART 2~ and/or PART 3~ below r debts and deductions were paid. . PART If indicating a different relationship to decedent: tax rate, please state ~ ~~~~~ .~~ •°~ „~;. TAX RETURN - CALCULATION OF TAX ON JOINT/TRUST r ~. ~~ ~. ~ ACCOUNTS ~`~~~ ~~~~~~~~~~" LINE 1. Date Established 1 2. Account Balance 2 $ ~•-~~~'" 3. Percent Taxable 3 X ''fF ~ ~~~e ~ 4. Amount Subject to Tax 4 $ ~ ~r r ~°~. 5. Debts and Deductions 5 - _ ~ ~r \ 6. Amount Taxable 6 ~` '~ ~ ~-- 7. Tax Rate T X -_ N ~ ...~ ~;~ 8. Tax Due g $ _ -,~ $ , _ ~:~~~ ': --:_ PART ~ DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION RT~'t~~T ~~F~~N~YENUE= ~~ '~~~~ ~ :~ ,~ ~ ,,:~ ~~: ,.,..{ ~ if e~ ~pv~~~ V ~° ~' , ~; . ~: .~. ~• .£ s y: ,.. ~~ xr,. ~ „''`~~ AMOUNT PAID TOTAL CEnter on Line 5 of Tax Computation) ~g 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 :) WORK C :) TAXPAYER SIGNATURE TELEPHONE NUMBER DATE TAX ,,,- t ,t ii,t{ljf1lii " -i '~ ~~ ~~ 4~Q -~-~L ~~ Q a ~ o~ o~~ ~~~ SJ~~ f~~,~yfy~I-~L.]~~ ~~,i ~,~~? I~ ,~-. . ~: ~ . ~ ~ ~;,>< ~ Eau °; .:a W ,,<<~ i ...N ._.,.~,. ~.,... W k...>.~:.,. ~.t,~ ~?J4rNMNM4'l~}•I:' NI511H\htl:)~~iv ~I~~c N .lli~ I lY"65 ~ j:.\.u.\i. f,,tlv.f i V 7Y5~ ~ '95+!- V.1L ~~ r.Ft. .).-tf:. .:... .. s.:~i~)l {r/~ ,..... sNjY TM1:.::~....: ,~ ty,,.f e.h.:ltl5t.t1f5'Y. OL ~•, _ 1.SKftf.:~P~'f+}f`f14/)V551\M.k4C:V:yySf~)~5'f(t.::.k": yY`a Si„ ... s ;~~ ~ , :, :..; .... F ~.~ ~ .~ 99L8'~~~L~ - .pa aBpa .~ali!!M - n r. ~ ~ '. ~~~` C~Ow.,~~~ ~ ~~ Q d~ ~~o ~~ ~ b60 4 .. ~" _ R ~~, .. _ - - `~ ~,. C~-~~I~, Cfis'; ~N~S ~~QU~ r ~~ o .~~_ • ._~ ~ .c:: r~ ~ ~~6a~ ~; -~__ r~ =~~ --~ 6 ~a l ~ ~~ - --_.~»^-ti~SrL~a~~~«.~~~ri.~=i. iflf7~~l~ j jj ~7 i~ I~~J #j ff - f}~:}e~~l1!}1~!!~}~~l1!! 1! !}}!}i }i}!!}~1l1i~l~