HomeMy WebLinkAbout01-20-12COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280801
HARRISBURG, PA 17128-0801 PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
WUNDERLIN PATRICIA S
208 SCOTSBURG DR
WARNER ROBINS, GA 31088
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ESTATE INFORMATION: SSN: 199-3a-z9s3
FILE NUMBER: 2112-0036
DECEDENT NAME: STEWART MARYANN
DATE OF PAYMENT: 01/20/2012
POSTMARK DATE: 01 /20/201 2
COUNTY: CUMBERLAND
DATE OF DEATH: 07/19/2011
ACN
ASSESSMENT
CONTROL
NUMBER
REV-1182 EX111-98)
NO. CD 015487
AMOUNT
11162270 ~ $90.75
11162273 ~ 581.22
11162276 I 5429.73
TOTAL AMOUNT PAID: 5601.70
REMARKS: BARBARA STEWART MANLEY
CHECK#1343
INITIALS: WZ
SEAL RECEIVED BY: G'LENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
BUREAU OF INDIVIDWL TAXES
Po Box 2eosol
HARRISBURG PA 17128-0601
PENNSYLVANIA INHERITANCE
INFORMATION NOTICE
ennsyl~ihi " +,~ AND
iPARTMENT OF REy[NUE ~~ AYE R RE S P O N S E
REY-1563 EX •FP t~5.115 ~~ ~-'/
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FILE N0. 21 - ~ ~ ~-~
ACN 11162270
DATE 09-20-2011
TYPE OF ACCOUNT
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EST. OF MARYANN STEWART
SSN 199-38-2983
DATE OF DEATH 07-19-2011
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS TD:
PATRICIA S WUNDERLIN REGISTER OF WILLS
32 BEACH FARM RD 1 COURTHOUSE SgUARE
WORMLEYSBURG PA 17043-1135 CARLISLE PA 17013
SAVINGS
CHECKING
TRUST
CERTIF.
ME LLDN BANK - provided the department with the information below, which was used in calculating the inheritance tax due.
Records indicate that at the dea t~h of the above-named decedent, you were d Joint 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, note no tax may be due, but you must
notify the department of your relationship to the deceased by checking Box C 1n 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 117-7~7-8327 with questions.
COMPLETE PART 1 HELOW ^ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 1233802 Date 09-26-2001 To ensure proper credit to the account, two
Established copies of this notice aunt accoavarry
oaymant to the Register of Wills. Make cheek
Account Balance 24, 201 • 47
>t' payable to "Reaister of Wills. Avant".
Percent Taxable X 8.333
NOTE: If tas payaents are aade within three
Amount Subject to Tax ~` 2 ~ 016.71 aonths of the decedent's date of death,
TeX Rete X Lrj ~/"deduet e 5 percent discount on the tax due.
Any inheritance tax due will becoae delinquent
`9
~
POtent181 Tax Due ~
f
~ 302 • 51 ~s. !`+' nine aonths after the date of death.
PART TAXPAYER RESPONSE
a
A. ~ The above information and tax due is correct.
Resit payment to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest. or return this notice to the Register of Wills and
C H E C K an official assessment will be issued by the PA Department of Ravanue.
C ONE ~
BLOCK B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania inheritance tax return
ONL Y filed br the estate representative.
C. The above infiorma ion is incorr ct and/or debts and deductions were Daid.
omplete PART ~2 and/or PART 3~ below.
PART If indicating a different t rats, llaae~s Cato
relationship to decedent: 'ILitJ~`"~
TAX RETURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS
LLNE 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
1
2
3 X
4
5
6 S
~'
8 +~
DEBTS AND DEDUCTIONS CLAIMED
Under penalties of pOrjury, I declare that the facts
eomploto to the b~s~~ my knowledpo ~d belief.
--s ..
reported above 1a r~ true, core a~dl ~~
HOME ( ~'i ~) `/Tl J
WORK ( )
DATE
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
BUREAU OF INDIVIDUAL TAXES
PO BOX 200601
WIRRISBURG PA 17128-0601
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE FILE N0. 21 - j a-~
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ennsylvarn~f yr AND AcN 11162273
SPAaTMENT l1F REVENUE TAA ~R RESPONSE DATE 09-20-2011
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PATRICIA S WUNDERLIN
32 BEACH FARM RD
WORMLEYSBURG PA 17043-1135
G ~T. OF MARYANN STEWART
'YSSN 199-38-2983
DATE OF DEATH 07-19-2011
COUNTY CUMBERLAND
•REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
TYPE OF ACCOUNT
® SAVINGS
CHECKING
TRUST
CERTIF.
ME LLON BANK Drovi dad the department with the information below. which was used in calculating the lnheri tance tax due.
Records indicate that at the death of the above-named decedent, you were a joint owner/beneficiary of this account. If ypU 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" 1n PART 2.
If you believe the information is incorrect, pl eale'ubtein written correction from the financial institution, attach a copy to this form and return
it to the above address. Pl ease 'call 717-787.8327 with questions.
COMPLETE PART 1 BELOW ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 3552551030 Date 03-31-2003 To ensure proper credit to the account, two
Established copies of this notice oust accompany
Account Balance ~ 21 , 658 .50 Payaent to the Raaister of Wills. Make chock
payable to "Rapister of Wflls, Agent".
Porcont Taxable X 8.333
NOTE: If tax payments era aade within three
Amount Subject t0 Tix >~ 1,804.80 months of the decedent's date of death,
Tax Rate ~( lrj deduct a 5 De rcent discount on th• tax due.
Potential Tax Due S` 2 7 0 . 7 2 1 A ~ Ary inheritance tax duo will becoae delinquent
/ ~~t nine aonths after the date of death.
PART TAXPAYER RESPONSE
1^
A. ^Tha above information and tax due is correct.
Resit payment to the Re6istar 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 anti
C ONE ~ an official assessment will be issued by the PA Dapartaent of Revenue.
BLOC K B. ~ Tha 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.
CompletaPAR7 ~ and/or PART 3^ below.
pAR7 If indicating a dlfforont tax rate, please state
relationship to decedent:
TAX RETURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Date Established 1
2. Account Balance 2
3. Percent Taxable 3 X
4. Amount Subject tb Tax 4
5. Debts and Deductions 5 -
6. Amount Taxable 6 ~
7. Tax Rate 7 X
8. Tax Dua 8
PART DEBTS AND DEDUCTIONS CLAIMED
3^
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
Under penalties of perjury, I~doclare that the facts I reported above arery~~trrrue/,~ correct and
~ompleta to th be t' knowledge and belief. HOME C / a) 7 7 ~~
~~f•I~L,Gr-e..t ~L'LAtc~-- WORK C ) ~~'
TAXPAY R SIGNATURE TELEPHONE NUMBER DATE
BUREAU OF INDIV IDWL TAXES
Po Box 2eo6ol
WIRRISBURG PA 17129-0601
PENNSYLVANIA INHERITANCE T
INFORMATION NOTICE
ennsylv~n~a~ ~.~ „~ {li= AND
PARTNewfoFnsv~nuB T;1~16PAYER RESPONSE
REY-1565 E[ ~FP (RS-ill ~'~ ~
FILE N0. 21 - ~'a- 3~
ACN 11162276
DATE D9-20-2011
r., TYPE OF ACCOUNT
~iLEn~~ ,--: r-
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CUt __ ~;,.. F~
EST. OF MARYANN STEWART
SSN 199-38-2983
DATE OF DEATH 07-19-2011
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
PATRICIA S WUNDERLIN REGISTER OF WILLS
32 BEACH FARM RD 1 COURTHOUSE SpUARE
WORMLEYSBURG PA 17043-1135 CARLISLE PA 17013
SAVINGS
® CHECKING
TRUST
CERTIF.
MELLON BANK Drovided 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 ere the Spouse of the
deceased end 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 reiationship to the deceased by checking Box C 1n 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 -7~7-8327 with questions.
COMPLETE PART 1 BELOW ^ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 1728723055 Data 01-01-1993 7o ensure proper credit to the account, two
Established copies of this notice oust accompany
pavmmnt to the Raaister of Wills. Nake check
Account Balance $ 114.599.73 payable to ••Raeister of wills. Anent^.
Percent Taxable X 8.333
NOTE: If tax payments are made within three
Amount Subject to Tax ~ 9,549.60 months of the decedent's date of death,
TeX Rate X , 15 deduct a 5 percent discount on the tax due.
Aro inheritance tax due will become delinquent
Potential Tax Due ~ 1,432.44 nine months after the date of death.
PART TAXPAYER RESPONSE
1^
A. ~ The above infonation and tax duo is correct.
Remit payment to the Rselster of Wills with two copies of this notice to obtain
C H E G K a discount or avoid interest, or return this notice to the Raeistar of Wills end
C ONE ~ an official assessment will be issued by the PA Department of Revenue.
BLOCK a. ~ Tha above asset has bean or will be reported and tax paid with the Pennsylvania inheritance tax return
DN L Y filed by the estate representative.
C. ~ The above informs ion is incorr ~ct and/or debts and deductions ware Daid.
Complete PART ~ and/or PART IJ belor.
PART If indicating a different tax ~e, plea •
relationship to decadent: ,w-3--
TAX RETURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS
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 Dua
PART
1
2 S
3 X
4 8
5 -
6
7 X
B ~ ~..4~~
DEBTS AND DEDUCTIONS CLAIMED
Under penalties of perjury, I declare that th• facts I reported above ar tr e, cor eat and
/~ eomp~l to to hi est of my knowledge and belief. ry V
!F_ /..,. ~-., ~ Il~r J. ~,. _0.~ w ~ WORK C "6 t~`~ 7~ ~~ ~~
DATE
DATE PAID PAYEE DESCRIPTION AMOUNT PAID