HomeMy WebLinkAbout11-16-11COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
MCSHEERY WILLIAM R JR
32 FALLINF SPRING RD
LANDISBURG, PA 17040
fold
REV-1162 EX111-96)
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 015210
ESTATE INFORMATION: ssN: iss-2o-4027
FILE NUMBER: 211 1-1 185
DECEDENT NAME: MCSHERRY WILLIAM R
DATE OF PAYMENT: 1 1 / 1 6/201 1
POSTMARK DATE: 1 1 /1 5/201 1
couNTY: CUMBERLAND
DATE OF DEATH: 09/23/201 1
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
11166427 ~ 575.28
11166428 ~ 5348.16
11166429 ~ 589.94
TOTAL AMOUNT PAID:
REMARKS:
SEAL
CHECK#178
5513.38
INITIALS: DMB
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
~ ~ PENNSYLVANIA INHERITANCE TAX ~/_
_ INFORMATION NOTICE FILE NO. 21 - I ~-(~ D~
BUREAU OF INDIVIDUAL TAXES rr1 _' 1 i`-
PD Box zao6ol I- A N D
HARRISBURG PA 17126-0601 p~ins~/lva~~~ ~`~ ACN 11166427
oEVn~IMeN7oFaEvel+ue ~~ ~ C TAXPAYER RESPONSE
_`_~~ DATE 10-07-2011
REV-1543 EX AFP (OS -11)
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.',i ( Ise i !1 (• 1: TYPE OF ACCOUNT
EST. OF WILLIAM R MCSHERRY ® SAVINGS
SSN 166-20-4027 ~ CHECKING
„ DATE OF DEATH 09-23-2011 ~ TRUST
~~
~~~' ~` S ~'~~`"~T COUNTY CUMBERLAND ~ CERTIF.
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- REMIT PAYM ENT AND FORMS T0:
WILLIAM R MCSHERRY JR REGISTER OF WILLS
32 FALLING SPRINGS RD 1 COURTHOUSE SQUARE
LANDISBURG PA 17040-9201 CARLISLE PA 17013
MEMBERS 1ST F CU 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 y0U are the 5poU5e 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, Dlease 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. 7388-00 Date 08-03-1964 To ensure proper credit to the account, two
Established copies of this notice must accompany
Account Balance ~` 3, 345.84 payment to the Register of Wills. Make check
payable to "Register of Wills, Agent".
Percent Taxable X 50.000
Amount Subject to Tax
$ 1 , 672.92 NOTE: If tax payments are made within three
months of the decedent's date of death,
Tax Rate )( . 045 deduct a 5 percent discount on the tax due.
Potential Tax DUe
$ 75.28 Any inheritance tax due will become delinquent
nine months after the date of death.
PART TAXPAYER RESPONSE
FAIL _ T ESQ WILL ~ ES U, AN ~ CIAL TAX ASSESSMENT
A. {a The above information and tax due is correct.
~1 Renit 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
an official assessment will be issued by the PA Department of Revenue.
ONE
BLOC K ~ 6. ~ 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 ~ OFFICIAI. U~ OY m~ AAF
relationship to decedent: PA DEPARTMENT OF REVENUE
TAX RETURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS PAD
LINE 1. Date Established 1
1
2. Account Balance 2 $ 2
3. Percent Taxable 3 X 3
4. Amount Subject to Tax 4 $ 4
5. Debts and Deductions 5 - 5
6. Amount Taxable 6 $ 6
7. Tax Rate 7 X 7
8. Tax Due 8 ~` 8°' ~ '~~ °~ ~`
PART DEBTS AND DEDUCTIONS CLAIMED
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
IUTAL tEnter on Line 5 of Tax Computation) S
Under penalties of perjury, I declare that the facts I reported above are true, correct and
complete to the be `of my knowledge and be ief. HOME C ~~~) 707 "~~~
• ~ WORK ( ~
TAXPAYER SIGNATURE TELEPHONE NUMBER DATE
BUREAU OF INDIVIDUAL TAXES
PO BOX 260601 r ~~: ~
HARRISBURG PA 17128-0601 ~ ~'~_-DEPAgTMENTOFa
- _REVS1543 EX AFP
PENNSYLVANIA INHERITANCE TAX `~-_
INFORMATION NOTICE FILE N0. 21 " I ~-11 0../
AND ACN 11166428
TAXPAYER RESPONSE DATE 10-07-2011
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WILLIAM R MCSHERRY JR
32 FALLING SPRINGS RD
LANDISBURG PA 17040-9201
EST. OF WILLIAM R MCSHERRY
SSN 166-20-4027
DATE OF DEATH 09-23-2011
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS TD:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
TYPE OF ACCOUNT
SAVINGS
CHECKING
TRUST
CERTIF.
MEMBERS 1ST FCU 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 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 BELOIr-~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 7388-05 Date 01-19-1993 To ensure proper credit to the account, two
Established copies of this notice must accompany
payment to the Register of wills. Make check
Account Balance $` 16, 674.85 payable to "Register of Wills, Agent".
Percent Taxable X 50.000
NOTE: If tax payments are made within three
Amount Subject to Tax $ 8,337.43 months of the decedent's date of death,
Tax Rate X . 045 deduct a 5 percent discount on the tax due.
Any inheritance tax due will become delinquent
Potential Tax Due $ 375.18 nine months after the date of death.
P~T TAXPAYER RESPONSE
~ FAIL E TO RESPOND , FFIGIAL TAX~SS>sSSME 7
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
C 0 N E ~ an official assessment will be issued by the PA Department of Revenue.
BLOC 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
O . A Qk~,~< AF
relationship to decedent:
PA DEPARTMENT OF REVENUE
TAX RETURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS PAD
LINE 1. Date Established 1 ~ 1 ~~~~~
2. Account Balance 2 $ 2
3. Percent Taxable 3 X 3
4. Amount Subject to Tax 4 $ 4
5. Debts and Deductions 5 5
6. Amount Taxable 6 $ 6
7. Tax Rate 7 X 7
8. Tax Due 8 $ g
PART
DEBTS AND DEDUCTIONS CLAIMED
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
GNAT RE TELEPHONE NUMBER DATE
TOTAL CEnter on Line 5 of Tax Computation) 8
Under enalties of perjury, I declare that the facts I reported above are true, correct and
co/mplet to the best/~of my%fkn~ow~~dge and elief. HOME C ~L~/ ~'y'~~
/~I /~~i,.,, ' iC'~ i~~% \~2!d'/C/).1~r9 ~ W O R K ( )
BUREAU OF INDIVIDUAL TAXE .f_' ~ ~ ' !•- `yl~~'M;(7~
PO BOX 280601 -,._~pE11t1Sj/~Vldc~~"f1n~
HARRISBURG PA 17128-0601 _ D~P~HTMEmr oF.Ryv ENag
REV-1543 EX AFP (OS-11)
PENNSYLVANIA INHERITANCE TAX I V~j
INFORMATION NOTICE .FILE N0. 21 ~ ~`' ~~ °"
AND ACN 11166429
TAXPAYER RESPONSE DATE 10-07-2011
EST. OF WILLIAM R MCSHERRY
(', ~p~ ~~~ SSN 166-20-4027
C`t~~; ~~~ ` ~,,~J~T DATE OF DEATH 0 9 - 23 - 2 011
C(~p~i~r<, _.~ y~y~ ~l J ~~ COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
WILLIAM R MCSHERRY JR REGISTER OF WILLS
32 FALLING SPRINGS RD 1 COURTHOUSE SQUARE
LANDISBURG PA 17040-9201 CARLISLE PA 17013
TYPE OF ACCOUNT
SAVINGS
CHECKING
TRUST
CERTIF.
MEMBERS 1ST F CU 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 yoD 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 relatioes'?'ap 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. 7388-42 Date 12-28-2004 To ensure proper credit to the account, two
Established copies of this notice must accompany
Account Balance 39 972.69 payment to the Register of Wills. Make check
~ payable to "Register of Wills, Agent".
Percent Taxable X 5.000
NOTE: If tax payments are made within three
Amount Subject to Tax ~` 1,998.63 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 $ 89.94 nine months after the date of death.
PART TAXPAYER RESPONSE
FAIL' ~ TO RESPON~WILL'~t2E~1LT ~l~kJ~OFF'ICIAL TAX ASSESSI4ENT
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
C 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 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 ~ below.
PART
If indicating a different
tax rate, please state
~~~~~ r_
(?~FFICIA~ USES O~.Y [AAF
2
^ relationship to decedent:
PA DEPARTMENT OF REVENUE
TAX RE TURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS PAD
LINE 1. Date Established 1 1
2. Account Balance 2 $ r
2 ~~
3. Percent Taxable 3 X 3'
4. Amount Subject to Tax 4 $ 4
5. Debts and Deductions 5 rj
6. Amount Taxable 6 $ (,
7. Tax Rate 7 X 7
8. Tax Due 8 $ 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
complet to the best of my knowledge d belief. HOME C ~~ ~ ) 7~9' y/ ~~
~ca- ' L ~ C WORK ( )
TAXPAYER SIGNATURE TELEPHONE NUMBER DATE
TOTAL (Enter on Line 5 of Tax Computation) S
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