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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