HomeMy WebLinkAbout01-30-12REV-1162 EX.1 1 -90)
COM"v10NWEALTH OF PENfd S~'LV ANIA
pEpART MENT OF 3EV ENUF
BUREAU OF INDIV-0UAL T.~XES
DEPT. 280601
F;ARRISBURG, pA 1 7 1 28-6601
RECEIVED FROM:
KLIPPLE HELEN E
208 MARCH BLVD
PHILLIPSBURG, NJ 08865
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ACN
ASSESSMENT
CONTROL
NUMBER
ESTATE INFORMATION:
FILE NUMBER:
DECEDENT NAME:
DATE OF PAYMENT:
POSTMARK DATE:
COUNTY:
DATE OF DEATH:
SSN: 199-38-2983
2112-0036
STEWART MARYANN
01/30/2012
01 /28/2012
CUMBERLAND
07/19/2011
TOTAL AMOUNT PAID:
REMARKS:
CHECK#1971
SEAL
INITIALS: CJ
RECEIVED BY:
NO. CD 015521
AMOUNT
527.56
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
BUREAU OF INDIVIDUAL TAXES f ~~.,{n;r1
PD BOX 280601 ~ ~Q
HARRISBURG PA 17128-0601 pT(~EN7 OF,REyEwuE~
vcv-1543 EX sAFP (05-11)
PENNSYLVANIA INHERITANCE
INFORMATION NOTICE
~~ ~= T y~ yFANDRF p~N
`!_~ j* * iFA"R'E~IS~D 'ND~ICE'S~
To ensure proper cream w .~~~ ~----~~-~
copies of this notice must accompany
payment to the Register of Wills. Make check
payable to "Register of Wills, Agent".
NOTE: If tax payments are made within three
months of the decedent's date of death,
deduct a 5 percent discount on the tax due.
Anv inheritance tax due will become delinquent
nine months after the date of death.
.'' ~ 2 ~.~-~`'~ 30 ~ 12~ 4
CLtRi<. ~;f
HELEN E KLIPPLE
208 MARCH BLVD NJ 08865-3903
PHILLIPSBURG
EST. OF MARYANN STEWART
SSN 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
a CHECKING
TRUST
CERTIF.
SOVEREIGN BANK provided the departmeou were ah~oint owner/bebeficiaWY~of thisuacdCOUntcal If ayou are thbut you must he
Records indicate that at the death of the above-named decedent. Y to this form and return
he de artment of your relationship to the deceased by checking Box C in PART 1 below and writing spouse" in PART 2.
deceased and any amount other than zero leaseeobtacted,b~eowoneChonPftomnthelfinanci0aleinst tutnoneattath amopYbe ue,
notify t p
Sf you believe the information is incorrect, p
it to the ab we zddress. Please call 717-787-8327 with questions.
.- nAO7 i nF~UW * SEE REVERSE SIDE FOR FILING AND PAYMENT YNSTRU%TIONS^* two
Account No. 0571124496
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
Date 09-17-1993
Established
3.636.66
$
X 8.333
$ 303.04
X .045
$ 13.64
PAYER RESPON
TAX E
PART
FAILURE TO RESPOND WILL RESULT TN AN OFFICIAL TAX ASSESSMEN
A, ^ The above information and tax due is correct.
Remit payment to the Register or Weturnwthistnoticelto thetRegistercoftWillsaand
a discount or avoid interest,
C H E C K an official assessment will be issued by the PA Department of Revenue.
C B L 0 C K B. ~ The above asset has been or will be reported and tax Daid with the Pennsylvania inheritance tax re urn
ONE
0 N L Y filed by the estate representative.
C, ~ The above information is incorre3t belowr. debts and deductions were paid.
Complete PART ~ and/or PART
IAL USE ONLY ~ AAF
PART If indicating a different tax rate, Please state
relationship to decedent:
TAX RETURN - CALCULATION
LINE 1. Date Established
2. Account Balance
~. Percent Taxable
4. Amount Subject to Tax
5. Debts and Deductions
6. Amount Taxable
7. Tax Rate
OF TAX ON JOINT/TRUST ACCOUNTS
2 $
X
4 'fi
5
6 '~
~ X
8 $
TAX
FILE NO. 21 ~~ ~~
ACN 12101439
* DATE 01-25-2012
OFFIC
PA DEPARTMENT OF REVENUE
PAD
1
2
3
4
5
it 6
7
ii 8
PART
0
DESCRIPTION
AMOUNT PAID
s
TOTAL (Enter on Line 5 of Tax Computation)
Under penalties of perjury, I declare that the facts I repot Hf1ME ov( ~a~J ~ ~.~~ i1re~ ~a C~ /
comp ete to the best of my knowledge and belief - y,~ORK C ~ 7 / ~a / Z
l~-c~..E1~ ~ / TELEPHONE NUMBER DATE
_ -__... ..r n~(A TIID
DEBTS AND DEDUCTIONS [;LAtrl~u
BUREAU OF INDIVIDUAL TAXES ~, t~~t~~~~
PO BOX 280601 P
HARRISBURG PA 17128-0601 gEpµRTMENTDFREVENyEii
,j <~p X11-}gk3'-EXPFP X05-1,1 )'_.~
PENNSYLVANIA INHERITANCE
INFORMATION NOTICE
AND
.~~ ~ * ~A~E~~~~ ~~~~~5~
rn
,~ ,JH~a ,~0 r'" i~~
CLERK 0~
ORPl~~~N'S ~::~J~R
HELEN E KLIPPLE
208 MARCH BLVD NJ 08865-3903
PHILLIPSBURG
TAX
FILE N0. 21 -`:.-"' ..' .
ACN 12101442
* DATE 01-25-2012
EST. OF MARYANN STEWART
SSN 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.
ou are the spouse of t e
SOVEREIGN B ANK provided the department with the information below. which was used in calcu sting the inheritance tax due.
ou were a joint owner/beneficiary of thinOte ono taX may be due, but you must
Records indicate that at the death of the above named decedent, Y to this form and return
b checking Box C in PART 1 below and writing "spouse" in PART 2.
notefyethendeapartmentnofoyour.relationship tofthetdeceased oy the Potential Tax Due line.
If you believe the information ~s Incorrect, please obtain written correction from the financial institution, attach a copy
it to the above address. Please call 717-787-8327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Date 09 - 17 - 1993 To ensure proper credit to the account, two
Account No. 0574116125 copies of this notice must accompany
Established payment to the Register of Wills. Make check
3 ~ 713 , 23 payable to "Register of Wills, Agent".
Account Balance 8 , 333
Percent Taxable X NOTE: If tax payments are made within three
$ 3 0 9 .4 2 months of the decedent's date of death,
Amount Subject to TaX , 045 deduct a 5 percent discount on the tax due.
TaX Rate X Any inheritance tax due will become delinquent
$ 1 3.9 2 nine months after the date of death.
Potential Tax Due
TAXPAYER RESPONSE
PART
FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMEN
A
e above information and tax due is correct.
Wills with two copies of this notice to obtain
, ~ Remit payment to the Register of
this notice to the Register of Wills and
a discount or avoid interest, or return
the
d b PA Department of Revenue.
C H E C K y
an official assessment will be issue return
t
ONE
reported and
b
tax Daid with
ax
the Pennsylvania inheritance
C
B L 0 C K B. ~ The e
above asset has been or will
tative
.
filed by the estate represen
0 N L Y incorrect and/or debts
i and deductions were paid.
C, ~ The s
above informs ion
T ~ and/or PART ~ below.
Com plete PAR . ~ ucr nhtl v n AAF
PART If indicating a different ~x rater E,l~ease s ate
a relationship to decedent:
TAX RETURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS
1
LINE 1. Date Established
2. Account Balance 2
3 X
3. Perr.ent Taxable
4. Amount Subject to Tax 4
5. Debts and Deductions 5
(,, Amount Taxable 6
~ X
7. Tax Rate
g. Tax Due $
PART
DATE
DESCRIPTION
AMOUNT PAID
s
TOTAL (Enter on Line 5 of Tax Computation)
Under penalties of perjury, I declare that the facts I reported above ~ ^ ltiuei ho~rec3t a~n~
complete to the est of my knowledge and belief. WORK ~ !J ~ J ~ ~ Z~
r DATE
~,La/ ~ ~-~ TELEPHONE NUMBER
___ ..~...~.T IDC
PA DEPARTMENT OF REVENUE
PAD
1
2
3 i _____----
4
5
6
7
s
DEBTS AND DEDUCTIONS CLalntu
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