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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 -~ ' ~r I , i ~_, ~ .'. i 0~ - , ~,, .5J ~. ~: .,~. ;~ ~,- ~.; ~` ,~ ~., `.,~ .: ~s ,:- ,f. 1F Ri L ~O _. d ~ Qa_~ ~ ~ ~ ~N, ~ S7 ® ~ d' N ~ r ~~ 1 CLERK CF ORF~if'~N'S {COURT ~ ^~V ~~ t, /t :! S ~.~ =~4 (~t .1.. ~~i .~~ ~...~ ~'•.. •r^!