HomeMy WebLinkAbout04-12-12BUREAU OF INDIVIDUAL TAXES
PO BOX 280601
HARRISBURG PA 17128-0601
m
DEPANTMENT OF A
REV-1543 EX 11FP
PENNSYLVANIA INHERITANCE
INFORMATION NOTICE
AND
~~~W~~~ i+F'~~`F~YER RESPONSE
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i
TAX ' ~~
FILE N0. 21
ACN 12123695
DATE d4-05-2012
t~~~1 ~PR ~2 d~{ j~~ 3~ EST. OF MARY E CHRISTOPHER
RAYMOND C CHRISTOPHER D C~°•PA REGISTER OF WILLS-
251 MCKNIGHT ST 1 COURTHOUSE SQUARE
CARLISLE PA 17013-2021 CARLISLE PA 17013
TYPE OF ACCOUNT
SAVINGS
® CHECKING
TRUST
CERTIF.
CITIZENS BANK OF PENNSYLVANIA provided 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 Point ownerJbeneficiary of this account. If you 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" 1n 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 717-787-8327 with questions.
_ COMPLETE . PA_ RT :1_ BEL.QSEE REVERSE SIDE _ FQR FILING AND. -PAYMENT INS-TfWGTIO.NS~
Account No. 6218731077 Date 03-14-2007 To ensure proper credit to the account, two
Established copies of this notice wuat aecowpargr
Account Balance ~ 2, 820.60 pavwent to tho Register of Wills. Make check
payable to "Register of Wills. Agent".
Percent Taxable X 50 .000
Amount Subject to Tax
~` 1 ~ 410 .30 NOTE: If tax paywents are wade within three
wonths of the decedent's date of death,
Tax Rate ~( ~ ~fj deduct a 5 percent discount on the tax due.
Potential Tax Due ~` 211 .55 Argr inheritance tax due will becowe delinquent
nine wonths after the date of death.
A. I I The above intonation and ta7S dueis correct. -
Rewit paywent to the Registelr-of Wills with#wo topics of this notice td abtaip .` -
C H E C K a discount or avoid interest, or return this notice to the Register of Wills and `
C ONE ~ an official assesswant°ki11 ba is;uad by the PA Departwent 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 fil.d by the estate representative.
C. The above infona ion is incorrect and/or debts and deductions were paid.
~Cowplate PART 2~ and/or PART ~-,.1 belm±.
PART If indicating a different grata, please ate
a rolationship to decedent: ~~,~-'S~~4'C""
TAX RETURN - CALCULATION OF TAX ON JDINT/TRUST ACCOUNTS
LINE 1. Data Established 1
2. Account. Balance 2 ~
3. Percent Taxable 3 X
_ -- _._ ~ ___
4. - Amount Sub~act- to Tax ._.
4-~ - _. __ -_ __~__ _ s.-_ -- - --
~
5. Debts and Deductions 5 -
6. Amount Taxable 6
7. Tax Rate 7 X
8. Tax Due 8 ~
PART DEBTS AND DEDUCTIONS CLAIMED
Under penaltYes of perjury, I declare that the facts I reported abov6 are true, correct and
complete to the est f my nowledge and belief. HOME C1i ('Z ) Zy9'•r ~~~
WORK C ) _ ~ Y Z
AYER GN R TELEPHONE NUMBER AT
SSN 186-34-0517
(', ~. DATE OF DEATH 03-20-2012.
' COUNTY CUMBERLAND
~~/~ ~~~T REMIT PAYMENT AND FORMS TOz
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
BUREAU OF INDIVIDUAL TAXES
PD BOX 280601 pennS~
WIRRISBUR6 PA 17128-0601 DE?ARTMENT oF'
REY-1543 EX AF
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
:;~' %.t~Fl~~ ~ AND
t r~_ +R~fl~I~CPAYER RESPONSE
r __s
F I L E N 0. 21 '-I~-
ACN 12123696
DATE 04-05-2012
~~12 ARR 12 ~~ IQ~ 32
Qf>t"{~-~`p~~~~~1~~-y~-y~~~~A
~~f"~~..HI`+tJ CO„ ~
RAYMOND C CHRISTOPHER
251 MCKNIGHT ST
CARLISLE PA 17013-2021
EST. OF MARY E CHRISTOPHER
SSN 186-34-0517
DATE OF DEATH 03-20-.2012
COUNTY. CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE.
CARLISLE PA 17013
TYPE OF ACCOUNT
® SAVINGS
CHECKING
TRUST
CERTIF..
CITIZENS BANK OF PENNSYLVANIA provided 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 Point owner/beneficiary of this account. If you 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" 1n 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 717-787-8327 with Questions.
- COMPJL£T£ PART-i Bf~OW a SEE REVERSE SIDE ,FOR- FILING<AND PAYMENT INSTRttCfi30NS' _ .._
Account No. 6254358124 Date 11-1 2-2008 '
To ensure proper creeit to the account,
two
Established copies of this notice must accompany
Account Balance 858 58 payment to the Register of Wills. Make check
. payable to "Register of Wills, Agent".
Percent Taxable X 50 .000
ARlount Subject t0 Tax
$ 4 2 9 2 9 HOTEs If tax payments are made within three
. months of the decedent's date of death,
Tax Rate ~( , lfj deduct a 5 percent discount on the tsx due.
Potential Tax Due
~ 6 4 39 Any inheritance tax due will becoYe delinquent
. nine months after the data of death.
PART
A. ~ The above information ..and tax dw is correct.,
Remit payment to the Register of Wills with two copies of this notice to obtain
CHECK a discount or avoid interest, or return this notice to the Reaister of Wills and
QNE an official assessment will be 'issued bv'the PA Department of Revenue.
[ BLOC K ] B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania inheritance tax 'return
ONLY filed by the estate representative.
C. The above informs ion is incorrect and/or debts and deductions were paid.
Complete PART ~2 and/or PART 3~ below.
PART If indicating a different tax. rat~~lv~eEst'ate
relationship to decedent: ~ VOO
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 to Tax 4 ~
5. Debts-and Deductions 5
6. Amount Taxable 6 ~
7. Tax Rate 7 X
8. Tax Due 8 ~
PART DEBTS AND DEDUCTIONS CLAIMED
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
Under penalties of perjury, I declare that the facts I reported above sr• true, 'correct and
complete to the est of my knowledge and belief. ~ ~ ~ ~~_~~
n //JJ HOME CZ1 `~ 7 '~
11.1.nm~[ \ '-_~ .,dam _ _ WORK C !i,'L). ~!.~t~' tJt[ n,_ar. A/
BUREAU OF INDIVIDUAL TAXES INFORMATION NOTICE
PO BOX 280601 ~~~.~~~ AND
H1IRRISBtMiG PA 171za-osol ~ A4~~~R~~r~~C TAXPAYER RESPONSE
~{ ~ ~ ~
i ~G.-~ ~~~~1543' E7h~FP t~5- 1),
PENNSYLVAHIA INHERITANCE TAX
~~ ~ 2 APR 12 AM 10~ 3
Q~pp~NA1~l~~`S*,`~RRC~4+UnnRT~p
RAYMOND C CHRISTOPHER
251.MCKNIGHT ST
CARLISLE PA 17013-2021
FILE N0. 21 - r ~/
ACN T212 ~ 97~ - ~Q
DATE 04-05-2012
EST. OF MARY E CHRISTOPHER
SSN 186-34-0517
DATE OF DEATH 03-20-2012
COUNTY CUM$ERL.AND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE-SQUARE.
CARLISLE PA 17013
TYPE OF ACCOUNT
® SAVINGS
CHECKING
TRUST
CERTIF..
CITIZENS SANK OF PENNSYLVANIA provided 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 Point owner/beneficiary of this account. If you are the Spouse Of the
deceased and pant' amount other than zero is reflected below on the Potential Tax Due line, note no tax may be due, but you must
If youybe,hevepthertn~formatfon~srineo rectnphease o taend~ecttendCOr~ect onkfrom Bhe fjnanc,aARTn titutioneett~h aicopy~toothis~~form andTr turn
it to the above address. Please call 717-787-8327 with questions.
~OMP1.fTE R#)tT--1- BfLOW,t* SEE REVERSE SIDE FIIR FILING AND PAYMENT .INSTRJICTIONS°~ - _-----_.-
Account No. 6249181976 Date 08-31-2006 To ensure proper credit to the account, two r -,
Established copies of this notice aunt aceoapany
Account Balance g 664.59 pavaent to the Register of Wills. Make check
payable to "Register of Wills, Agent^.
Percent Taxable X 50.000
Amount Subject to Taxi ~ 332.30 NOTE: If tax pavaents are aade within three
months of the decedent's date of death,
Tax Rate ~( ~ lfj deduct a 5 percent discount on the tax due.
Potential Tax Due ~` 49.85 Aro inheritance tax due will becoae delinquent
nine aonths after the date of death.
P~T T XPAYER RESPONSE.
1 -
A. ~ The above information and tax+due is correct.
React payaertt to th• Register of Wills with two copies of this notice to obtaio-
CHECK a discount or avoid interest, or return this notieo to the Register of Wills and
ONE ~ an official as;essaent will be issued by the PA Departaent of Revenue.
BLOCK B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania inheritance tax retturn
ONLY filed by the estate representative.
C. The above informs ion is incorrect and/or debts and deductions ware paid.
Complete PART 2~ and/or PART 3~ below..
PART If indicating a different tax ra o" please state
relationship to decedent: ~~OV3F
TAX RETURN -CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Datg Established 1
2. Account Balance 2
3. Percent Taxable 3 X
4. Amount Stfbje`at to Tax 4 ~ `" -
5. Debts and Deductions 5 -
6. Amount Taxable 6 ~
7. Tax Rata 7 X
8. Tax Due g $
PART DEBTS AND DEDUCTIONS CLAIMED
DATE PAID PAYEE DESCRIPTION eMnitNr porn
~.e.J'L- l..~V1tlLwwl~m VLF. WORK C~/q ' ),,~5~-1/Si.~S
ER SIGNATURE TELEPHO E NUMBER A E
Under panarltfes of perjury, I declare that the facts I reported above are true,, c~~o~~r//ro~ct and'
('~omplet• towthe~esfa^of mynnowlfedge and belief. HOME C~/~ ) Z,ti/3~.~~ nV.