HomeMy WebLinkAbout09-27-11COMMONWEALTH OF oF~~NS1'LVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL iAXE3
DEPT. 280601
HARRISBURG, Pq 77728.0607
RECEIVED FROM:
GEISTWHITE BARBARA K
18 CIRCLE DRIVE
CARLISLE, PA 17015
------- fold
REV-1162 EX(11-96)
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ACN
ASSESSMENT
CONTROL
NUMBER
ESTATE INFORMAT ION:
FILE NUMBER: SSN: 184-12-4725
2111-1016
DECEDENT NAME: KONHAUS FRANCE
DATE OF PAYMENT: S F
09/27/201 1
POSTMARK DATE:
09/27/201 1
couNTY: CUMBERLAND
DATE OF DEATH:
06/28/2011
REMARKS:
11501754
11501755
11501756
11501757
NO. CD 015006
AMOUNT
~ 5614.20
~ 5614.20
~ 5614.20
~ 5614.20
I
TOTAL AMOUNT PAID:
CHECK# 246
INITIALS: HMW
SEAL
RECEIVED By:
52,456.80
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO BOX 280661
HARRISBURG PA 17128-0601
REV-!1 ~43k #FP '(7-00)
101,141.01
X 25.000
25,285.25
X .045
1,137.84
INFORMATION NOTICE
AND
'-l~.l~`XPAYER RESPONSE
1
~-
_ ~- TYPE OF ACCO
~ ~ "' ~- EST. OF FRANCES F KONHAUS
nn S.S. N0. 184-12-4725 ^ SE
DATE OF DEATH 06-28-2011
at~l~~`^ ( '~.,( ~~~~ COUNTY CUMBERLAND ^ sT
~~J;~~r~r ~ 1 ~ BO
BARBARA K GEISTWHITE ~'p~.
18 CIRCLE DRIVE REMIT PAYMENT AND FORMS T0:
CARLISLE REGISTER OF WILLS
PA 17015 1 COURTHOUSE SQUARE
CARLISLE PA 17013
MERRILL LYNCH
calculating the potential tax has provided the Department with the information listed below which has been used in
due. Their records indicate that at the death of the
If you feel this information is incorrect, please obtain written correction from the
return it to the above address. This account is taxable in accordance with the InhebitanceclaxnLawsoofwere a beneficiar
Questions ma transfer agent, attach a y of this asset.
v be answered by callin (717 copy to this form and
COMPLETE PART g ~ 767-6.,27 the Commonwealth of Pennsylvania.
1 BELOW * * * SEE REVERSE SIDE FOR FILING eun o......-.._ _
ACCOUn+ u.. o~-.
"'~ i ~ O L b
PART
FILE N0, 21 "'~/-~~
ACN 11501754
DATE 08-11-2011
"" `~ ~naiKUCTIONS
To insure proper credit to your account, two
(21 copies of this notice must accompany your
payment to the Register of Wills. Make check
payable to: "Register of Wills, Agent".
NOTE: If tax payments are made within three
(3) months of the decedent's date of death,
you may deduct a 5; discount of the tax due.
Any inheritance tax due will become delinquent
nine (9) months after the date of death.
FAILURE TO RESPOND WILL ----• ^•`n R~aruNSE
RESULT IN AN OFFICIAL-:.TAX ASSESSMENT BASED ON THIS hlOTICE
A• ^ The above information and tax due
CHECK
ONE
BLOCK ~ B
ONLY _.1
C
PART If you inAS.. ..4
1• You may choose to remit is correct.
a discount or avoid interestenorto the Register of Wills with
You may check box two copies of this notice to obtain
Wills and an official assessment will be „A" and return this notice
issued by the Pq pe to the Register of
partment of Revenue.
The above asset has been or will be reported and tax paid with the Penns
to be filed by the decedent's representative,
vlvania Inheritance Tax return
The above information is incorrect and/or debts and deductions were paid b
You must complete PART ~ and/or PART ~ t~elow.
Y You.
LJ relationshi "'" 'Trent tax rate, please state
P to decedent: Your
TAX RETURN - COMPUTATION OF TAX ON ABOVE ASSETCS~
LINE 1. DOD Valuation
1
2. Percent Taxable
2 X
3. Amount Subject to Tax 3
4. Debts and Deductions y
5• Amount Taxable
5
6. Tax Rate
6 X
7. Tax Due
7
PART
0
DATE PAID PAYEE
~ ~
DEBTS AND DEDUCTIONS CL
I PAD
1
2
3
4
5
6
7
AIMED
DESCRIPTION
DDD Valuation
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
lln ria ..
OTAL CEnter on Line 5 of Tax cmm~,~F..r: __.
AMOUNT PAID
complete to the bes
' °T Per7urY, I declare that the facts I have reported above are trues correct an
of my knowledge and belief. C
TAXPAYER SIGNATUR ~~ l~ WORK (.~_ ~
_ TELEPHONE NUMBER Z'
- - ATc
OFFICIAL USE ONLY ^ AAF
PA DEPARTMENT OF REVENUE
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE 1 /
BUREAU OF INDIVIDUAL rnxES INFORMATION NOTICE FILE N0. 21 `-! ~- ~ (.%
PD Box zso6ol - ~~ND
HARRISBURG PA lnza-ocol - TAX~f~A,Y~'R RESPONSE ACN 1p1501755
REV-1543A AFP (~~00) J DATE 08 -11 - 201
r +. TYPE OF ACCT
_.. i' F i ;
EST~• OF FRANCES F KONHAUS ^ s
r. r,~~ S.S. N0. 184-12-4725 O s
~~"~~'~ `'' -SATE OF DEATH 0 6 - 28 - 2 011 s
(Jt~f,!~f ~ r,r i ,~~~~NTY CUMBERLAND ~ g
JOHN C KONHAUS REMIT PAYMENT AND FORMS T0:
6301 MIMOSA DRIVE REGISTER OF WILLS
CHAPEL HILL NC 27514 1 COURTHOUSE SQUARE
CARLISLE PA 17013
MERRILL LYNCH has provided the Department with the information listed below which has been used in
calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a beneficiary of this asset
If you feel this information is incorrect, please obtain written correction from the transfer agent, attach a copy to this form and
return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth of Pennsylvani
Questions niay be answered by calling C71;3 73: 3327.
COMPLETE PART 1 BELOW ~ * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 872-1 0826
To insure proper credit to your account, two
(2) copies of this notice must accompany your
DOD Valuation I OI ~ 141 . O1 Payment to the Register of Wills. Make check
Percent Taxable X payable to: "Register of Wills, Agent".
25.000
Amount Subject to Tax 25 ~ 285.25 NOTE: If tax payments are made within three
C3) months of the decedent's date of death,
Tax Rate X 0(i5 you may deduct a 5% discount of the tax due.
Potential TaX Due 1 ~ 137.84 Anv inheritance tax due will become delinquent
PART nine (9) months after the date of death.
TAXPAYER RESPONSE
FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT BASED ON THIS NOTICE
A. ^ The above information and tax due is correct.
1. You may choose to remit payment to tyre Register of Wills with two copies of this notice to obtain
C C H E C K a discount or avoid interest, or you may 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 B. ^ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
0 N L Y to be filed by the decedent's representative.
C. dThe above information is incorrect and/or debts and deductions were paid by you.
You must complete PART ~ and/or PART r3~ below.
PART If you indicate a different tax rate, please state Your
a relationship to decedent: OFFICIAL USE ONLY ~ AA
TAX RETURN - COMPUTATION OF TAX ON ABOVE ASSET(S) PA DEPARTMENT OF REVENUE
PAD
LINE 1. DOD valuation, ,
- 1
2. Percent Taxable 2 X
2
3. Amount Subject to Tax 3
3
4. Debts and Deductions 4 - 4
5. Amount Taxable 5
5
6. Tax Rate 6 X 6
7. Tax Due ~ 7
S
PART DEBTS AND DEDUCTIONS CLAIMED
0
DATE P ID PAYEE DESCRIPTION
~ AMOUNT PAID
E ca
TOTAL (Enter on Line 5 of Tax Computation) g
Under penalties of perjury, I declare that the facts I have reported above are true, cor t and
complete o the best of y knowledge and belief.
HOME ( ~ -(~ c
WORK C ) ~{ c
TAX ER SIGNATU E TELEPHONE NUMBER 1
DATE -
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE INFORMATION NOTICE /
BUREAU OF INDIVIDUAL TAXES FILE N0. 21"" I I l.'
Po eox 2eo6ol AND
~~ ACN 11501756
HARRISBURG PA 17zza-ocol ._~. ~. ~}tiAXPAYER RESPONSE
DATE 08-11-201
~~7 Y543R RFP(7-00)
!, ~ 1 ..._
i~~' ~ ~. L
('~ 0p ~_F}~~,~ ~K ~~~_ ART
ANN K WILSON •'
1224 BELL TAVERN ROAD
LYNCHBURG VA 24503
TYPE DF ACC
EST. OF FRANCES F KONHAUS ^
S.S. N0. 184-12-4725 X^
DATE OF DEATH 06-28-2011 ^
COUNTY CUMBERLAND ^
REMIT PAYMENT AND FORMS TD:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
MERRILL LYNCH has provided the Department with the information listed below which has been used in
calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a beneficiary of this ass:
If you feel this information is incorrect, please obtain written correction from the transfer agent, attach a copy to this form and
return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth of Pennsylva~
Questions may be answered by calling C71?) 787-5327.
COMPLETE PART 1 BELOW ~ ~ * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 872-1 0826 To insure proper credit to your account, two
<2) copies of this notice must accompany your
1 O 1 ~ 141 . O 1 payment to the Register of Wills. Make check
DOD Valuation
payable to: "Register of Wills, Agent".
Percent Taxable X 25.000
NOTE: If tax payments are made within three
Amount Subject to TaX 25 ~ 285.25 (3) months of the decedent's date of death,
Tax Rate x . 045 you may deduct a 5% discount of the tax due.
Any inheritance tax due will become delinquent
Potential Tax DUe 1 , 137.84 nine (9) months after the date of death.
PART TAXPAYER RESPONSE
FAILURE TO RESPOND WILL RESULT INIAN OFFICIAL TAX', ASSESSMENT BASED ON THIS NOTICE
A. ^ The above information and tax due is correct.
1. You may choose to 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 you may check box "A" and return this notice to the Register of
0 N E Wills and an official assessment wall be issued by the PA Department of Revenue.
BLOC K ~ g, ^ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
0 N L Y to be filed by the decedent's representative.
C. I VIThe above information is incorrect and/or debts and deductions were paid by you.
You must complete PART 2^ and/or PARIf ^3 below.
PART If you indicate a different tax rate, please state your DFFI~ IAL' US E ONLY ^ ;
relationship to decedent: , PA DEPARTMENT OF REVENUE
TAX RETURN - COMPUTATION OF TAX ON ABOVE ASSETCS? PAD
LINE 1. DOD VaL_atior. 1 1
2. Percent Taxable 2 X 2
3. Amount Subject to Tax 3 3
4. Debts and Deductions 4 - 4
5. Amount Taxable 5 5
6. Tax Rate 6 X 6
7. Tax Due 7 7 _
8
PART DEBTS AND DEDUCTIONS CLAIMED
^3
DATE PAID PAYEE DESCRIPTION AMOUNT PAI
TOTAL (Enter on Line 5 of Tax Computation) S
Under penalties of perjury, I declare that the facts I have reported above are true, correct and
complete to the best of my knowledge and belief.
~•~ HOME ( `I 3`{ ~ 3 8`1 -C~ "I 7 `f __ _ `-
C~- I L 6 vti-~-4~--~ W O R K C ~{ 3 `) 1 3 ~i ~- I ~l ~' Z _ ~~ ~~ y
TAXPAYER SIGNATURE TELEPHONE NUMBER DA#E
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO BOX 280601
HARRISBURG PA 17128-0601
r!~
hAEY-154bA AFP'(7-n0)
INFORMATION NOTICE
~~ AND
~Jr TAXPAYER RESPONSE
l
.-~J
L ... ~ ,. ,' .. ~,
dRPN~~1'~ +~C;U~T
FRANK B KONHAUS
6301 MIMOSA DRIVE
CHAPEL HILL NC 27514
FILE N0. 21
ACN 11501757
DATE 08-11-2011
TYPE OF ACC(
EST. OF FRANCES F KONHAUS ^ S`
184-12-4725 ~S`
S.S. N0.
DATE OF DEATH 06-28-2011 ^ s
COUNTY CUMBERLAND ^ B'
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
MERRILL LYNCH has provided the Department with the information listed below which has been used in
Iflyouafeel thispinformationxisuincorrect,~epleaselobtain writtentcorrection fromhthebtransferdagentYOattach a copYftolthis formlandss~
return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth of Pennsvlva
pua scions ;nay be answered by calling (717) 787-8327.
COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 872-10826 To insure proper credit to your account, two
(2) copies of this notice must accompany your
payment to the Register of Wills. Make check
DOD Valuation 101 ~ 141 . OI payable to: "Register of Wills, Agent".
X 2 5 ' O O O NOTE: If tax payments are made within three
Percent Taxable
Amount Subject to Tax 25,285.25 (3) months of the decedent's date of death,
. 0 4 5 You may deduct a 5% discount of the tax due.
Tax Rate X Any inheritance tax due will become delinque~
1 ~ 137 , 84 nine (9) months after the date of death.
Potential Tax Due
PART TAXPAYER RESPONSE
FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT BASED ON THIS NOTICE
0
A. ^ The above information and tax due is correct.
1. You may choose to remit payment to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest> or you may check box "A" and return this notice to the Register of
C H E C K Wills and 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 retur
C ONE
0 N L Y to be filed by the decedent's representative.
C. dThe above information is incorrect and/or debts and deductions were paid by you.
You must complete PART 2^ and/or PART ^3 below.
OFFICIAL USE ONLY
PART If you indicate a different tax rate, please state your
relationship to decedent: PA DEPARTMENT OF REVENU
TAX RETURN - COMPUTATION OF TAX ON ABOVE ASSET(S) PADS _
LINE 1. DOD Valuation 1
2. Percent Taxable 2 X 2
3
3. Amount Subject to Tax 3
4
4. Debts and Deductions 4 -
5 5
5. Amount Taxable
6 x 6
6. Tax Rate
7 7
7. Tax Due
8
DEBTS AND DEDUCTIONS CLAIMED
PART
a
PAYEE DESCRIPTION AMOUNT
DATE PAID
TOTAL (Enter on Line 5 of Tax Computation) $
nder peR ties of perjury, I declare that the facts I have repor//thhed above are true, correct and
comp ~ the best of my knowledge and belief. HOME C °1~ ~ ) ~~~ ~ ~~~ 1
I WORK ( ~~y ( ~ U~ s ~/
_-~--...
TAXP ~RISI~NATU
rtLt
E NUMBER
DA