HomeMy WebLinkAbout10-26-11COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.Z80607
HARRISBURG, PA 17128-0601
RECEIVED FROM:
REV-1162 EX(11-96)
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
CRONIN RENEE
406 CHEROKEE DRIVE
MECHANICSBSURG, PA 17050
ACN
ASSESSMENT
CONTROL
NUMBER
fold
ESTATE INFORMATION: SSN: Oso-22-5s5s
FILE NUMBER: 211 1-1 143
DECEDENT NAME: LAWLER ROSEMARIE E
DATE OF PAYMENT: 10/26/2011
POSTMARK DATE: 10/25/201 1
CouNTY: CUMBERLAND
DATE OF DEATH: 02/ 10/201 1
N0. CD 0151 1 1
AMOUNT
11145276 ~ 54.12
11145277 ~ 52.42
TOTAL AMOUNT PAID:
REMARKS: RENEE CRONIN
SEAL
CHECK#1426
INITIALS: WZ
RECEIVED BY:
56.54
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
'4 ~~ PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE FILE N0. 21 ~ + + - ~ l~~
BUREAU Df INDIVIDUAL TAXES
Po Box zaouol Pennsylvania ~~(~i ; ~ ' ~~-j-'(~~ ACN 11145276
HARRISBURG PA 1712E-D601 DEPARTMENT OF REVENUE ~Ta#XPAYF,'1~ ESPONSE
~-j ,I DATE 07-06-2011
REV-1543 E% AFP (05-11) ~ `r~','--~r ~. .. _ ~-.'J
TYPE OF ACCOUNT
::tai ~ ~wT 26 ~~~'
E~~.'(~ ROSEMARIE E LAWLER ® savlNr;s
SSN 090-22-5656 ^ CHECKING
C(,E~~( SEDATE OF DEATH 02-10-2011 ^ TRUST
ORPW'~'S ~QG~NTY CUMBERLAND ^ CERTIF.
Cl1M~ ( ~~ L~t±'\~~I ~M~APAYMENT AND FORMS T0:
RENEE CRONIN REGISTER OF WILLS
406 CHEROKEE DR 1 COURTHOUSE SQUARE
MECHANICSBURG PA 17050 CARLISLE PA 17013
METRO 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 yDU 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 yyDU believe the information is incorrect, please obtain written correction from the financial institution, attach a cony, to this form and return
it to the above address. PTease call 717-787-8327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. b26239594 Date 04-22-2004 To ensure vrover credit to the account, two
Established copies of this notice must accompany
Account Balance 1 , 065.27 payment to the Register of Wills. Make check
payable to "Register of Wills, Agent".
Percent Taxable )( 50.000
NOTE: If tax payments are made within three
Amount Subject to Tax g 532 . b4 months of the decedent's date of death,
Tax Rate X , 15 deduct a 5 vercent discount on the tax due.
Aron inheritance tax due will become delinquent
Potential TaX DUe $ 79.90 nine months after the date of death.
PaT TAXPAYER RESPONSE
A. ^ The above information and tax due is correct.
Rerit 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 paid with the Pennsylvania inheritance tax return
0 N L Y filed by the estate revresentative.
C. ~ The above informs ion is incorrect and/or debts and deductions were paid.
Complete PART 2^f and/or PART ~ below.
PART If indicating a different tax rate, please state
relationship to decedent:
TAX RETURN - CALCULATION
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
DATE PAID PAYEE
OF TAX ON JOINT/TRUST ACCOUNTS
g,
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2
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DEBTS AND DEDUCTIONS CLAIMED
DESCRIPTION
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AMOUNT PAin
TOTAL CEnter on Line 5 of Tax Computation? 8
Under penalties of perjury, I declare that the facts I reported above are true, correcGt and
o lets to the best of my knowledge and belief. HOME C~'I~' )fib g~~
i(~) llQ f WORK C ) 0 S olOll
TAXPAYER SIGN URE TELEPHONE NUMBER DAT
.-,, ~ PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE FILE N0. 21 - ~ ~ ~ ~~~^"
BUREAU OF INDIVIDUAL TAXES ~/~j? r
PO BOX 280601 perms la'la ~~~, (~;" AND ACN 11145277
HARRISBURG PA 17128-0601 DEPARTMENT OF~YENU£ ~'i)Tt~XPAYER RESPONSE
,•~~ DATE 07-06-2011
REV-1543 E% AFP (05-11)
~' T ~ r {
- k !.~ it A (.
CtfRK 0~
o~~H~+s co~.~~T
TYPE OF ACCOUNT
^ savlNCs
® CHECKING
^ TRUST
^ CERTIF.
RENEE CRONIN
406 CHEROKEE DR
MECHANICSBURG PA 17050
EST. OF ROSEMARIE E LAWLER
SSN 090-22-5656
DATE OF DEATH o2-10-2011
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
METRO 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 ,point owner/beneficiary of this account. If y0U are the spouse Of the
deceased and any amount other than zero is reflected below on the Potential Tax Due line, pate no tax may be due, but you must
notify the deppartment of your relationship to the deceased by checking Box C in PART I below and writing "spouse" in PART 2.
If you believe Ehe 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 717-78i-8327 with quest7eo-s.-- -
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 536719354 Date 04-22-2004 7o ensure proper credit to the account, two
Established copies of this notice ^ust accompany
Account Balance 107.85 payment to the Register of Wills. Make check
payable to "Register of Wills, Agent".
Percent Taxable X 50.000
NOTEi If tax payments are made within three
Amount subject to Tax $ 53.93 months of the decedent's date of death,
Tax Rate ~( , ],rj deduct a 5 percent discount on the tax due.
Potential Tax Due $. 8 09 Any inheritance tax due will become delinquent
nine months after the date of death.
P~T TAXPAYER RESPONSE
1 F~`~~~~,R£~~"°.~~~.~.~kl~~'~,i~r"_~ ~fixlt!L;TA?t:,1ta~S~`~lr~l4~'~'
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
C ONE ~ 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
ON L Y filed by the estate representative.
C. Iil The above informs
'f-' ion is incorrect and/or debts and deductions were paid.
Complete PART 2~ and/or PART ~ below.
PART If indicating a different toX ~a
1>• e,~p},easa state
~tlQ(l~eY •:
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a relationship to decedent: ~
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TAX RETURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS ~ '' ~ "'°~~ a'; ~ ~ ° ~ `~ '
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LINE 1 . Date Established 1
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2. Account Balance 2 ~ ~ ~~ ' ,
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3. Percent Taxable 3 X ~d +~~~ ~~' 3 ~,,,,~;,,,,,, f v` lt~,~
4.
Amount Subject to Tax 4
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5. Debts and Deductions 5 - ~
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6. Amount Taxable 6 $ '~ ' ~ •"={- ~~ ' `° '~
7. Tax Rate 7 X .~~ '~_ r: {''"~2'~="` :~'~ ~; ~
8. Tax Due 8 $ ~'~~ ~. ~ ~ ~e~=,'dr:t~=.:~ }
PART DEBTS AND DEDUCTIONS CLAIMED
DATE P AID PAYEE DESCRIPTION AMOUNT PAID
Under penalties of perjury, I declare that the facts I reported above are true, correct and
c%% to to tQhe~ben(st-~of my knowledge and belief. HOME C~1'~ ) ~~3''~~i
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