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HomeMy WebLinkAbout09-09-11wMMONWEAL7H OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: MATTHEWS CAROLyN J 30 SUNFLOWER LANE BLUFFTON, SC 29gOg ------'- told ESTATE INFORMAT ION: FILE NUMBER: SSN: 129-14-9520 2111-0955 DECEDENT NAME: GLIBER BE RNICE DATE OF PAYMENT: 09/Og/201 1 POSTMARK DATE: Og~06~201 1 COUNTY: CUIVIgERL AND DATE OF DEATH: 03/28/2011 PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX(11-96) N~' CD 014944 ASS SSMENT CONTROL AMOUNT NUMBER 11154892 ------- ~ 531.33 11154893 ~ S31.33 11154894 ~ 531.33 TOTAL AMOUNT PAID; REMARKS: CAROLYN MATT $93.99 HEWS CHECK# 2932 INITIALS: WZ SEAL RECEIVEp gy; GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS BUREAU OF INDI1tIDUAL tAxES • PE YLyANI NNS A INHE Po Box 2sosol _ RI7ANCE HARRISBURr PA r'r~I~ Q TAX 17128-0601 Pennsy(~~` ~ ~ ~ ~ f ~~~~Lr`MATION NOTICE DEPARTMENT OF REV~-~j - ~ r;~ ~ ' A N -- REV-1543 Ex AfP <os-„> . FILE NO. 2I " l ~`%4~•PA yE R D RESPONSE ACN ,, 11154892 ~. .,. ~ ~_ ~A ~ ~, ;, 0 -"~1 «c~ DATE' 8-19-2011 (.;, ;~ EST, Op BERNICE GLIBER TYPE OF ACCOUNT ~~~~~ r' SSN ~~~~~r==,~~.~` j ~;(,i~~~i i DAT 129 -14 - 9520 ^ SAVING. G'~Jp~', ,~ -~' ~,,`,~, E ('.,r; E OF DEATH 03- CHECKIF CAROLYN F~~ COUNTY 28-2011 ^ 50 SOUTHCRESTARpHEWS REMIT p CUMBERLAND X^ rRUSr YORK AYMENT AND FORMS HAVEN REGISTER OF ro: ^ CERTIF. PA 17370-9764 CAR OUR7HOUSE WILLS LISLE PA SQUARE 17013 BANK OF AMERICA NA Records indicate deceased and anthat at the death provided the notify the 'Y amount other of the above-named department with If y01 believee~artment of than zero decedent, the information he inf Your re)ati is reflected below pne below, which it to the above ormation i onship tp the Dint owner/b TaXipUe Y of was used i address. Pleases ~ncorr the decease tents n calculatin call 717~t' please obtain d by chec Po al this account. 9 the inh COMPLET 787-8327 with written corrects king gox C in line, note If You are eritance tax due. E PART 1 BELOW Questions, on from the financiaART el ow ando tax may be duethe Spouse of the Account No. 009 ~ SEE REVERS 7nstibution, attachiaing ~~SPouse" b~tpyou must 426335570 E SIDE FOR FILING COpy t0 this form andT eturn Date AND PAYMENT Account Balance Established 05-25-2000 INSTRUCTIONS n t To ensur pro Perce Taxable $ 2 08 copies of per credit to the Amount ~ 8, 44 payaent this notice eust account, two Subject to Tax X to Register accoe y to $ Tax Ra 33 • 333 paS-able to "Register of Willsl A na Make check Potentia X 696.14 NOTE: If gent • 1 Tax Due tax payeents PART $- • 15 eonths of are Bade within deduct a 5 the decedent's date three 1 04 • 42 Any inher• percent discount o of death, stance tax n the tax due. TAXPA Y nine eonths after the Ue will becowe delinquent FATLU~E T~ RESP© ER RESPONSE date of death. ~D wxLL ~ESUL~r zN ~~ A' ^ The above inforeation and {3~fi1~'ICtAj, T CHECK Reeit payeent to the tax due is correct. ~s$ESSM~~~- 0 NE a discount Register of wills an off" °r avoid interest, or with two B L pC K icial assesseent return COP1es of this will be issued this notice to notice to ob 0 N L Y B• The above by the pA the Register tain asset has Departeent of RevenUef wills and filed by the been or will be r estate represen sported and C tative, tax Daid with The above the Pennsylvania inheri 'Coeplete inforea ion is incorrect a tance PART If PART 12~ and/or PART 3 nd~or debts and tax return indicating a different ~I ^ below, deductions relationship to were paid. decedent; tax rate, please TAX RETURN state - CALCULATION OF LINE 1 • Date Established TAX O DFFI:CIA; ~ YO ~ T~ usr accovrvrs USA ©NLY ^ AAF 2. Account 1 PA UE~';~T~T!''IENT'r . Balance PAD !3F REYENDE 3• Percent 2 $ ~~ Taxable ~ 4 • Amount Sub ' 3 X , 5. Debts sect to Tax 4 $--....""".~.~- ,~ and Deductions ~ 9 ~' ~ Amount Taxable C~ ,~ 7. Tax Rate 6 $ ~ ! Co 8• Tax Due T X i 5 8 $ ~ •~ ~ PART ~ ! ~ 3 7 DEBTS AND DEDUCTIONS CL 8 DATE PAID AIMED PAYEE DESCRIPTION AMOUNT PAID Under Pe alties of TOTAL CEnter on complet Per' Line 5 of to the ]ury' I declare that Tax Computation) ` best of m knowled the 9e and facts I reported ~ belief, above rAXPAY HOME t ~ e true' correct and R SIGNATURE WORK ~ ~3 ~ 7 CS 5 - (o z.--/Z~ rFl FP ~ ~ NnNF NIIMRFR BUREAU OF INDIVIDUAL TAXES PO BOX 280601 HARRISBURG PA 17128-0601 ~` PENNSYLVANIA INHERITANCE INFORMATION NOTICE perms ~~'°~ ,-, ,. ; t ; , Y ~ ~;~,~ ~#` AND DEPARTMENT of F~EVEp~1E, ~ ,, ~AXPA Y E R REV-1543 EX AFP~~~b'S_]llj' _ ---.~1 RESPONSE / V ~ __ "' ~Y CLERK n~ QR~'N,^,~w°~ ~ ~~~,~RT fit- r" rti '~, ~ I' r'1 ~~d I P"~ ~" ~ ~ ~~, ANDREA GLIBER 50 SOUTHCREST RD Y(]RK uevr.~ PA 17370-9764 TAX FILE N0. 21 f / ~ ~ c ACN 11154/893 DATE 08-19-2011 EST. OF BERNICE GLIBER SSN 129-14-9520 DATE OF DEATH 03-28-2011 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT ^ SAVINt ^ CHECK [XQ rausr ^ CERTIF BANK OF AMERICA NA Records indicate that at the death of provided the department with the information below, deceased and an the above-named decedent, notif y amount other than zero is reflected below one the Potential T which was used in If youybelh eveeiPhe tmformatfon is incorrect, Joint owner/beneficiar calculatin it to the above address. Pleaseuca )e 7a7i787 hip to the deceased b y of this account. 9 the inheritance tax due. y checking gox ax Due line, note no If You are the spouse of the please obtain written correction from the financial institution, taX may be due, 8327 with C in PART 1 below and writing "spouse" in PART 2- COMPLETE PART 1 questions. but you must BELOW ~ SEE REVERSE SIDE FOR FILING attach a copy to this form and return Account No. 009426335570 Date AND PAYMENT 05-25-2000 INSTRUCTIONS Account Balance Established To ensure proper credit to the account, two $ copies of this notice must accompany Percent Taxable 2 ~ 088.44 payment to the Register X payable to " of wills. Make check Amount Subject to Tax 33 • 333 Register of wills, Agent". Tax Rate $ 696.14 NOTE: If tax X months of the decedent'srdatedofwdeath~three Potential Tax Due 15 5 percent discount on deduct a P;RT $ 104.42 Any inheritaaf{eft due will becometdelidnquent ^ TAXPAYER RESPONSE nine months the date of death. FAILURE ~0 RESPOND WILL RESULT IN AN OFFI A• ^ The above information and tax due is correct. CTAL TAX ASSESSMENT Remit payment to the Register of CHECK a discount or avoid interest wills with two copies of ONE or return this notice to thetRegistercofto obtain an official assessment will be issued by the PA Department of BLOCK wills and 0 N L Y B• ^ The above asset has been or will be re orted and tax Revenue. filed by the estate representative. p Paid with the Pennsylvania inheritance tax return C. The above infor,m~~a ion is incorrect and/or debts and deduct- Complete PART U and/or PART ~ below. ~--~ `-- J ions were paid. PART If indicating a different tax rate, please state relationship to decedent: TAX RETURN - CALCULATION OF QFFICIAL USE ONLY LINE 1 . TAX O JO NT/TRUST PA DEPART ^ AAF Date Established ACCOUNTS pAD MENT DF REyENUE 1 Z ,..-- 2 • Account Balance ~OCa 2 ,~ 2--C., ~' ~, 3• Percent Taxable s X 3:3~ ~ 4• Amount Sub' Ject to Tax 4 $ ~ 5. Debts and Deductions 5 - ' ~ / ' 4 6• Amount Taxable 6 $ 7. Tax Rate ~ ~ ~° ~ j ~ ~ 7 X r C7 +5 $. Tax Due PART 8 a DEBTS AND DEDUCTIONS CLAIM E~ DATE PAID - PAYEE DESCRIPTION AMOUNT PAID TOTAL CEnter on Line 5 of Tax Computation) Under penalties of com 1 Perjury, I declare that ~ P to t~^o~the bes the facts I re ,.``X-G~--/ o~ m knowledge and belief. Ported above are true correct and HOME ( ) ~ f TAXPAYER SIGNATURE WORK _ ~ TELEPHONE NUMBER BUREAU OF INDIVIDUAL TAXES PO BOX 280601 HARRISBURG PA 17128-0601 °~~ PENNSYLVANIA INHERITANCE TAX - ~~',,,, ~~.~ ~-. i=~~~RMATION NOTICE pennsyly ~.j"~, Ir'r _~,1{ ~` AND DEPARTMENT OF RE R ~ ~ ~uE;: ; ''"1'`-A~PAYER RESPONSE REV-1543 EX AFP (05 -11) FILE N0. 21 `-1 r ACN 11154894 DATE 08-19-2011 EST. OF BERNICE GLIBER L~ER~ !~~ SSN 129 -14 - 9520 0~~~'!~~s,i~~ ~ 4.~0~)RT DATE OF DEATH o3-28_ ~~~~V~° } ~'~~ is ~,;"`, :.;~ 2011 'MI PA, COUNTY CUMBERLAND JAN MCCREARY REMIT PAYMENT AND FORMS T0: 50 SOUTHCREST RD REGISTER OF YORK HAVEN PA 17370-9764 1 COURTHOUSEWSQUARE CARLISLE PA 17013 TYPE OF ACCOUNT ^ savIN~ CHECKI XQ TRUST ^ CERTIF BANK OF AMERICA NA Records indicate that at the death of provided the department with the information below, deceased and any amount other the above-named decedent, notify the department of than zero is reflected below one theoPotentialbTaxiDuehlineas used in If you believe he information °Ur;~eo a eCtnshi calculating the inheritance tax due. it to the above address. Please call 717-787-8327twithhe deceased b Y of this account. If y0U are the SpOUSe Of the please obtain written correcthonkfrom BOX C in PART l note no tax may be due. questions. the financial instibut~on aadttachiaino ~~sRouse" intPART lust COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR pY to this form and return Account No. 009426335570 FILING AND PAYMENT INSTRUCTIONS Date 05-25-2000 Account Balance Established To ensure proper credit to copies of this notice must accompanynt, two Percent Taxable $ 2, 088.44 payment to the Register X payable to "Register of wilwslls. Make check Amount Subject to Tax 33.333 ~ Agent . Tax Rate $ 696.14 NOTE: If tax payments Potential Tax Due X months of are made within three . 1 5 the decedent's date of death, deduct a 5 percent discount on the t PART $ 104.42 Any inheritance tax due will become del ineuent nine months after the date of 4 TAXPAYER RESPONSE death. A~rtuRE To ~ESpoNn wxL R~suLT ~H /1N o~~x A• ^ The above information and tax due is correct. ~TAL TAX.: ASSESSMENT CHECK Remit payment to the Register of Wills with two copies of this no - a discount or avoid interest, or return this notice to the Register 0 N E an official assessment will be issued b tice to obtain BLOCK f - Y the PA Department of Revenue Wells and 0 N L Y B' ^ The above asset h as been or will be reported and t filed by the estate ax representative. paid with C. The above informs ion i the Pennsylvania inheritance tax return s incorrect and/or debts and deducti Complete PART 2~ and/or PART ~ b ons wer PART '---' elow. If indicating a e paid. a different tax rate, please state relationship to decedent: TAX LINE RETURN - CALCULATION OF TAX O 1. ~ JOINT/TRUST accouNrs Date Established '" 1 ~ l CGS v Pin 2• Account B OFFICIAL IiSE ONLY PA DEPARTME~I7 ~ REYEN ~ AAF alance 2 .~` ~.-~ =w 1 3. Percent Taxable 3 X 4 J ~ ~ ~ ~ • Amount Sub ' sect to Tax 4 $ 3 5. Debts and Deductions 5 4 6• Amount Taxable 6 7• Tax Rate ~ 7 X U ~ 8• Tax Due $ $ 1. 3 7 PART DEBTS AND DEDUCTIONS CLA ~ IMED DATE PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL CEnter on Line 5 Under penalties of of Tax Computation) perjury, I declare that the facts I re ~ plete t_o the best of m ~f/J Y knowledge and belief, ported above are true, correct and ~-2 ~ HOME ~ /~/ p X YER SIGNATURE } ~ ~ ~ Z7 WORK ~ ~ ~~~ TELEPHONE NUMBER ner~ F•t. ~„ ~i ;.... {,t,j ..~ . i.~.~ ~.+,~ ~~1 +~... .« ti ~. ..... ~~ Fr `w w w ~ W ~~ ~ •~ ~ ... +~. '~ +.~~ ~ .. M M 4 ~~ r ,~ ~~ J 0 W a ~~ ~~ ~~ ~~ b ~~ o~ ~o J .. r'?, ~~ {`{~ ;.;~ ~.~ '~~. r J ~,~ ~~~~ •+J, ~~~ 5.~,.-~ ~i ~, C _' ~~ *~ C V33 ~`Jj:. .V.~: ~~~~.r ~~ A~_-~