HomeMy WebLinkAbout03-01-12COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128A801
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
STEMMEL SHIRLEY
514 CAROL ST
NEW CUMBERLAND, PA 17070
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ESTATE INFORMATION: ssN:
FILE NUMBER: 2112-0268
DECEDENT NAME: TROUP JERRY
DATE OF PAYMENT: 03/01 /2012
POSTMARK DATE: 02/29/2012
COUNTY: CUMBERLAND
DATE OF DEATH: 12/ 21 / 201 1
ACN
ASSESSMENT
CONTROL
NUMBER
REV-1182 EX111-881
NO. CD 015647
AMOUNT
12103717 ~ 5117.14
TOTAL AMOUNT PAID: 5117.14
REMARKS:
CHECK#132
INITIALS: HMW
sEaL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
R PENNSYLVANIA INHERITANCE TAX .o~b~
INF~R~ATION NOTICE ~~~ Q
BUREAU OF INDIVIDUAL TAXES n +JtiL ~1i FILE N0. 21
PD Box ZB®6B1 pennsyl ~ K~tC~. 1111~~ AND ACN 12103717
HARRISBURG PA 17128-0601 oePARTMEwr of HE ' r ~' ~"~~> '•,1~1A~PAYE R RESPONSE '
~ ~~ vE u BATE O 1-16 - 2012
REY-1543 EX AFP (RS-Il)
ZOI2 ~4AR - I P~ 1' .~~ TYPE OF ACCOUNT
EST. OF JERRY TROOP Q SAYINGS
$~': 198-t15-6706 Q CHECKING
~~ ~ , . ,
p~,~~~~ D~CTi~ OF DEATH ],~ 2'l-2!.011 ~'tku3T
QI'U"CYp'lV!~1~~nn~~++//~~~~ ~ ~~~~(,~~.yy ~ U~~ER~:AND 'CERTIF..
~~rlf«~LJ t,~iJ.. ~ REMIT+PAMMENT AND FORMS T0:
SH'IrRLEY,:,. `STREMMEL REO•ISTER- OR WILLS.
514,CARtkLST 1'COUR~HOUSE SQUARE - ;`
NEW CUMBBRLAND+ PA 17070-1215 CARLISLE PA 17D13
~,
FULTOM BANK NA ..'~ ~ provided the department with the info+~aatfon beldr, yhich was used in caicul•ating tfie•iAherltiinCe tax dve.
Records ;ipdig~b~e that a>r4the death of the above-aaaeA decedent, ypu were a Point ownerlbeneficiary of this account::. M:yau~ BPoSthe sp~uae.af the
deceaaei~ artd.~hny aaoant ogler than zero is reflected be1.oW on the Pots. ial.'~ax Due line, note no to nay be due. Dut yyo~~II west
notlty tfie d~ppartieent of youY relatiohsblp to the deceased by 'checking~ox C 1~i PART 1 be,1.oW.and Wr1~1ng "spouse" 1n PAR7 2.
If yo4 believe the information is incorrect, please obtain written correction from the financial institution, attach a copy ttl this fora and return
. , it~o`'thl•"~'`'7atiCVe-aidMress: ~Yte+a'se-eerl•#~1T-T8?-~B32•f'~(.tfih ~aesi<•i.of.~: ~:--- "- ,_- , - --, .o_....~_. ~- ,____ __" _~ _ ~--_m.<._. - _ _
COMPLETE. PART 1 BELOW *'~SELr` REVERSE SIDE FOR EYEING _A~ 'PAYl~Et~T INSTRUCTIONS
x.~: < . . .
Account. No. 0004-4'6"E37 Date "` ' 01-02-1'~'8~ ,,; To",4nsu~a proper credit to the aarowit, tro
Established _ copies of this noJ:,ice oust acceRw)a.Ew ~.
Account Balance ~ 5,480.13 payaant to the Register of Wills.. Nake check
payable to "Register of Wills. Agent°.
Percent •Taxabls ': X 50': OQtI
-- "°' a' NOTE) if toot pa~reents' era dada w'ithin' throe
Amount Subject to Tqx $ 2, 740.07. taonths of the decedent's data of death.. _
TeX" Rats X ,"Q~ deduct a 5 percent discount ou( ihe'taz flue:
PotantiaT Tax Due -~ ' - 123', ~~1 . ~ ~--d nheritrnce` tax flue will becoee d*1lnauent
nfnRi aonths after tfie date of death.
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A. ~(, The above infonatiori" and tax duo is,~~q~fec~t.. •
+ 4~ Raait paYaant to.td-i'RdlfYst•b df!``~~tlls~5~fiitli~tMO eppies of this~nOtic• to obtain
~, ~~~~~, a discount or syoid interest, or"'FOturn'fhi's notiie pa 'the Raitister of Willr and
s ONE an official assa'sseenf will be fisued by the PA DepaPtaan~ ofL Revenue.
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+ BLOCK ] B. ~-The above aisset has bbeh or will be reported and tax paid with the Pennsylvania inMrftance tax return
ONLY filed by the estaL• representative. `
C. ~ The above info ion is ineonr c and/or debts and deductions waro`pafd. '
Coapl~#e PART r Z and/or PART 3 :bala+.
_ , , ... ~,. x.,.
PART If indic~ati"np a different tax rate, please state
(~+ ~rr~i;tionship to baicedent': ,
TAX RETURN - C~C,I~LAT,ION OF TAX ON J++D1~INTlT UST ACCOUN,~S ,
. ., u.,,:
LINE 1. Date Estabiisfr+rd s.^° i °~ ~°"°~« ~~/
,,
~~~~ ' ,
3. ParcertS .J~alanba - ?~
f~Ta6ca6 4: , _ ~_ ~ .. ""
4. Amount Subject to Tax 4
5. Debts and Deductions 5 _'
6. Amount:Taxabla 6 ~
7: Tax Rate, ~ 7 X
B: Tax Dui; ,T B ~ ...
PART uCPE~ w~i+ ucuv~..aavn~ v~...anca.
DATE PAID PAYEE DESCRIPTION ~ AMOUNT PAxD
_,~^, ;. ,
... _ , ._..._ti.. ~~~ .
TOTAL CEntRr ba Line 5 cif ~afc Can~puta#ion~ . ~ .
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Under onalties of ei~r~ur_y, I dec?Rte thfFt the facts I raPRrtod atgOvo are,truot"'~ tract and
co 1 ` s to the bast. s5r,'knowloe~9a. sbd bflief. HON C ) "" • ~
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PENNSYLVANIA INHERITANCE TAX
ORMATION NOTICE
' BUREAU OF INDIVIDW6 TAXES F (~ FILE N0. 21
PO sox 280601 enn ~' AND
HARRISBURG PA 1712s-o6o1 p " ~~'~ ~~,~1~E~'AXPAYER RESPONSE ACN 12103716
DEPARTMENT .: ~h y, ~ . DATE. 0 1 "- 1 6.'! 2Q I2
' ~ REY-15iS EX i1F~ (R5-11) _
TYPE°DF ACCOUNT
Q12 MaR -1 F!~ I : 26
..EST.. OF-JERRY TROOP - ~,[~ SAYINGS
p~L~~~~r~~ ~C SS$~- '__ °,198-85-670f ~ CHECKING
~~~ to {~- RT nA~' OF DEATH ' 12 = 21-~2~01'~.~ ~ TRUST .
~~ t~~,. ~ C~;°; CUNB~RLAND: CERTIF.
11 RENLT PAYMENT AND FORMS TQ: _ '
ESTHER V TR4UP -:RE~IST~ER DF WILL$ ~: "
514r CAROL ST _ 1 COURTHOUSE SQUARE°
NEW CUMBERLAND PA 17070-1215 CARLISLE PA 17013
FULTON BANK NA provided the departaent with the inforsation below, which was used in calculating the inheritance tax due.,
Records: i icata zthat at the -death of the above-named: decedent,. you Mere ~a foiR74 pNMter/beneflsiary of this account. -" If you erp, th SpOUSe..of the
deceese>~-d gp;jr e~ount ether than zero 1s reflected be1oM on.thg.POten 1a1 Tax4,Due line, note no tax aay~~be dues ~ut u ioyst
notify'tttfififiiiie.d+~~sitrtment of your'relatiohship to the deceased by checking ~ox C in PART 1 below and writing spouse in PART 2:
If ou believe he lnforaation is incorrect please obtain written correction from the financial institution; attach a copy to this flora and 'return
- ~~pt~rC.=FART 1 BELOW * $L~ REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 0004-46637 `Date ~ 01-02-1981 ``
.To ansyra`p~opar credit totha sceaunt, two
Established cooS4as.of#h>a noS3ca gust secop`parq-:..,
Account Balance 5,480.13 oav~on# #e tha,Raoi;tpr.of Wflls...'Makq ehadc
paarabla to °Re0lstar of Wills, Ayant".
Percgnt'taxabla _ X 50.000'
NOTE: If tax payaants-era aada within three
Amount Subject to Tax ~ 2, 740.07 aonths of the decedent's dst• of death,
Tax Rita X , QO deduct a 5 peremt discount on tM'!ax`dua.
Any inheritance tax du will ba~ora'do1f~1Au0nt
Potairttial TaX Due. ~ ', .80~ 'nine aonths"after i:hS ~~to of desth.
PART .<. ~;_ ~ ,
_ ~ A. a The above infonation and tax dU~ is correct. "~
Raait payaartt.:to the Reyiat~ad gF,~tii"lterith two copies of this. not~ce to obtefn
a discount or avoid inttir~sti,, or return th3Y ~otiBe to tho Replitar of Wills and
CHECK
dNE an''official assessrgn~..itill be issued by the PA Deoartsent of Revenue. °
FLOCK s. ~ The above gsselR haF~bsan or will be reported and tax paid-with the Pannsylvsnia Inheritance tax return
DNLY filed by tho estate representative.
C. ~ The above info ion. is ncorr t and/or debts and deductions-ware-paid.
CoDlete PART 2~ and/or PART 3~ below.
,, " :: ,. .
_ ,., .
PART I}`indicatih~ a different tax r ta, pl s• state
relationsfiip to"daeedentz "'
TAX RETi~RN - CALCt~i~ATION OF, TAX ON JOINT/TRUST ACCOU~[~'S~:
LINE 1. Dat• Eatablisrked 1 -
2. Account Balance 2 ~
3. i+erc6nt Taxatii 3 ~~ -- _ _ -. ,._ .: _ _
4. Amount Subject to Tax 4 ~
5. Debts ind Deductions 5 <
6. Amount Taxable 6 ~ ,
7. Tax:Rste , 7 X
8, 7aix bue`` 8 $
PART DEBTS AND DEDUCTIONS GtAINED
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
y. .
_. _. ~,.~
~~ .. _ TDTAL :(!venter a!n 41na 5 of Tax Coiaputatian) i
Unslac pen~lti~as ofperjury, I declare thin the facts_f~reported.~bov era true,, carr~act aqd,~ ~~
wpleta k~+ tho bast of my knoaladge atld belief. .;,,
itaNE c 71"~ ~ ~'7~} 1a~~4:~ d7 ao /~.
~~ _ . 1. ~_
TAX AY tsN~ T LEPHONE N MBER DATE