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Home My WebLink About02-13-12COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280607 HARRISBURG, PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT BROWNE DAVID N 150 FIELDSTONE DRIVE CARLISLE, PA 17015 ACN ASSESSMENT CONTROL NUMBER fold ESTATE INFORMATION: SSN: iso-22-ossa FILE NUMBER: 21 1 1-1258 DECEDENT NAME: BROWNE HELEN P DATE OF PAYMENT: 02/ 13/ 2012 POSTMARK DATE: 02/13/2012 couNTY: CUMBERLAND DATE OF DEATH: 1 1 / 1 7/201 1 REMARKS: SEAL CHECK# 475 REV-1162 EXI11-96) N0. CD 415579 AMOUNT 12500439 ~ 51,327.86 12500440 ~ 51,327.86 12500441 ~ 51,327.86 TOTAL AMOUNT PAID: INITIALS: DMB RECEIVED BY: REGISTER OF WILLS 53, 983.58 GLENDA EARNER STRASBAUGH REGISTER OF WILLS CDMMDNWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES Po sox zso6ol ~ r) ••. HARRISBURG PA 17128-0601 ~t!~.: ~r`~ y"' ~,!~ ~r/ ' + II ~ - 1 '- '- RE1~j}¢95~1FP (7-OR) 0i2 DEB 13 A~ i0~ 22 CLERK CAE ~},RpPHf-A1iV~S COURz DAVID N BROWNE 150 FIELDSTONE DR CARLISLE PA 17015-9036 INFORMATION NOTICE FILE N0. 21 AND ACN 12500439 TAXPAYER RESPONSE DATE 02-07-2012 TYPE OF ACCOUNT EST. OF HELEN P BROWNE ® SECURITY $.$. N0. 190-22-0693 ^ SEC ACCT DATE OF DEATH 11- 17 - 2011 ^ STOCK COUNTY CUMBERLAND ^ soNDs REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 RAYMOND JAMES has provided the Department with the information listed below which has been used in calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a beneficiary of this asset. If you feel this information is incorrect, please obtain written correction from the transfer agent, attach a copy to tfiis form and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws Of the Commonwealth of Pennsylvania. Questions may be answered by calling (717) 787-8327. COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS _ __ Account No. 12948750 To insure proper credit to your account, two (2) copies of this notice must accompany your payment to the Register of Wills. Make check DOD Valuation 124,243.67 payable to: "Register of Wills, Agent". Percent Taxable X 25.000 NOTE: If tax payments are made within three Amount Subject to Tax 31 , 060 • 92 (3) months of the decedent's date of death, Tax Rate X , 045 you may deduct a 5% discount of the tax due. Any inheritance tax due will become delinquent Potential Tax Due 1 , 397.74 nine (9) months after the date of death. PART TAXPAYER RESPONSE FAILURE ~TO ESPO~JD ILA. ESU1~ I D , Ie.... AL, X /1,&S~S°S'ME~iT ~/~SED ON-HIS NOTICE A. The above information and tax due is correct. 1. You may choose to remit payment to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, or you may check box "A" and return this notice to the Register of C H E C K Wills and an official assessment will be issued by the PA Department of Revenue. C 0 N E ~ BLOCK B. ^ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return 0 N L Y to be filed by the decedent's representative. C. ^ The above information is incorrect andfor debts and deductions were paid by you. You must complete PART ^ and/or PART ^3 below. PART If you indicate a different tax rate, please state your relationship to decedent: TAX RETURN - COMPUTATION OF TAX ON ABOVE ASSET(S) LINE 1. DOD Valuation 1 2. Percent Taxable 2 X 3. Amount Subject to Tax 3 4. Debts and Deductions 4 - 5. Amount Taxable 5 6. Tax Rate 6 X 7. Tax Due 7 PART DATE PAID PAYEE OFFICIAL U5E ~N~Y ~^AAF PA DEPARTMENT OF REVENUE PAD 1 2 r ~ 4 5 6 7 8 .AIMED DESCRIPTION Under penaltie of perjury, I declare that the facts I have repot ed bove are pl a ty the s of my knowledge and belief. HOME C }%~ ~ p(~// W O R K ( 7 7) Z 3`~ TAXPAY DEBTS AND DEDUCTIONS CI AMOUNT PAID ., core Y 6 ~~i~~ ~~ DATE __ ~ _ T --~: __ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REYE BUREAU OF INDIVIDU ' r ;r ~, ~C INFORMATION NOTICE Po eox zao6sl ~`~~~~~ ~ ~' ~t~~ U~ AND HARRISBURG PA lnzs {+~oi~ ~ - ~ }~ ~ ~ TAXPAYER RESPONSE .. _.~!J REY-15430. 0.FP (7-OD) FILE N0. 21 ACN 12500440 DATE 02-07-2012 ~~~~ ~~a ~ 3 ~~ ~a: z pi~sCLERK ~E ('~ !Q{f1pl-f'ifi~~S CD~r1T BARRY L BROWNS 231 FRANCIS CADDEN PKWY HARRISBURG PA 17111 TYPE OF ACCOUNT EST. OF HELEN P BROWNS ® SECURITY S.S. N0. 190-22-0693 ^ sEC acct DATE OF DEATH 11-17 - 2011 ^ STOCK COUNTY CUMBERLAND ^ aoNns REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 RAYMOND JAMES has provided the Department with the information listed below which has been used in calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a beneficiary of this asset. If you feel this information is incorrect, please obtain written correction from the transfer agent, attach a copy to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth of Pennsylvania. Questions may be answered by calling (717) 787-8327. COMPLETE PART 1 BELOW ~ * ~ SE E. REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS __ Account No. 12948750 To insure proper credit to your account, two (2) copies of this notice must accompany your DOD Valuation 124 ~ 243.67 payment to the Register of Wills. Make check payable to: "Register of Wills, Agent". Percent Taxable X 25.OD0 NOTE: If tax payments are made within three Amount Subject to TaX 31 ~ D6D . 92 (3) months of the decedent's date of death, Tax Rate X . 045 You may deduct a 5% discount of the tax due. Any inheritance tax due will become delinquent Potential TeX DUe 1,397.74 nine (9) months after the date of death. P~T TAXPAYER RESPONSE 1 IL E~ i+P ~ ILcL~R~SULT, I~f °A F ; I~~ T ASSESSMENTS BASED ON THIS~~° NOTICE, A. ~y The above information and tax due is correct. I/V 1. You may choose to 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 you may check box "A" and return this notice to the Register of 0 N E Wills and 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 to be filed by the decedent's representative. C. ^ The above information is incorrect and/or debts and deductions were paid by you. You must complete PART ~ and/or PART ~ below. PART If you indicate a different tax rate, please state your ~ OFFICIAL USA O~iL1~' ~S~AA~F relationship to decedent: PA DEPARTME~JT OF REVENUE TAX RETURN - COMPUTATION OF TAX ON ABOVE ASSET(S~ pAD LINE 1. DOD Valuation 1 1 2. Percent Taxable 2 X 2 3. Amount Subject to Tax 3 3 4. Debts and Deductions 4 - 4 5. Amount Taxable 5 5 6. Tax Rate 6 X 6 7. Tax Due 7 7 PART DEBTS AND DEDUCTIONS CLAIMED ^S DATE PAID PAYEE DESCRIPTION eMniiu-r porn - - - ~ ~ a Under penalties of perjury, I declare that the facts I have reported above are true, correct and complete to the best of my knowled and belief . HOME C'T77 ~ 6 4 S q $S ,~~ ~ WORK C ~l~ ) 787 ~70~? B-!2 ~l2. TAXPAYER SIG RE TELEPHONE NUMBER DATE COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUALr,T ~~ PO BOX 280601 F ~ ('~ tf~~ HARRISBURG PA 17128~,~~1~t' ~ ~ ~ ~~ ll ' N-~ N"+~ ,. - ~--- ~ .~ 'Y~..{,,,~.~EV-1543A AFP (7-00) INFORMATION NOTICE FILE N0. 21 AND ACN 12500441 TAXPAYER RESPONSE DATE 02-07-2012 :~Q=2 F~~B i 3 ~M !G~ 22 CLERK OF ORPH/;,N'~ ~ouR T STEVEN M BROWNE 13 EVERGREEN LN CARLISLE PA 17015-8873 TYPE OF ACCOUNT EST. OF HELEN P BROWNE ~ SECURITY S.S. N0. 190-22-0693 ^ SEC ACCT DATE OF DEATH 11-17-2011 ^ sTOCK COUNTY CUMBERLAND ^ BONDS REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 RAYMOND JAMES has provided the Department with the information listed below which has been used in calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a beneficiary of this asset. If you feel this information is incorrect, please obtain written correction from the transfer agent, attach a copy to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth of Pennsylvania. Questions may be answered by calling C717) 787-8327. COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 12948750 To insure proper credit to your account, two (2) copies of this notice must accompany your DOD Valuation 124,243.67 payment to the Register of Wills. Make check payable to: "Register of Wills, Agent". Percent Taxable X 25.000 NOTE: If tax payments are made within three Amount Subject to Tax 31, 060 • 92 (3) months of the decedent's date of death, Tax Rate X . 045 you nay deduct a 5% discount of the tax due. Any inheritance tax due will become delinquent Potential Tax Due 1 , 397 .74 nine C9) months after the date of death. PART TAXPAYER RESPONSE 1^ FAILURE ~ c,,,,, WILL RESUL ANS. CI , TAX~,ASA SSliENT ~SEDN THIS~OTICE~, A. ~he above information and tax due is correct. LJ 1. You may choose to 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 you may check box "A" and return this notice to the Register of 0 N E Wills and an official assessment will be issued by the PA Department of Revenue. B L 0 C K ~ B. ^ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return 0 N L Y ~~~111 to be filed by the decedent's representative. C. ^ The above information is incorrect and/or debts and deductions were paid by You. You must complete PART ~ and/or PART ^3 below. PART If you indicate a different tax rate, please state your ~~~n~~~~~ ~ O,FF~CIAL US~~NLY ~ AAC relationship to decedent: PA DEPARTMENT OF REVENUE 0 TAX RETURN - COMPUTATION OF TAX ON ABOVE ASSET(S~ pAD LINE 1. DOD Valuation 1 1 2. Percent Taxable 2 X 2 3. Amount Subject to Tax 3 3 4. Debts and Deductions 4 - ~ 4 5. Amount Taxable 5 ~ 6. Tax Rate 6 X ~ 6 7. Tax Due 7 7 ~~~~~~ PART DEBTS AND DEDUCTIONS CLAIMED ^3 Under penaltie p jury, I declare that the facts I have reported above are true, correct and complete to th e y knowledge and belief. HOME C ~ ) ~~~~ S6~ WORK C 7/7 ) $,3~ - 8ya 'a` 1/ TAXPA ER SIGNATURE TELEPHONE NUMBER DATE DATE PAID PAYEE DESCRIPTION AMOUNT PAID