HomeMy WebLinkAbout02-0270COHHONREALTH OF PENNSYLVANIA
DEPARTHENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. Z80601
HARRISBURG, PA 171ZB-0601
REV-i.~iS EX AFP cng-DO)
ZNFORHATZON NOTICE
AND
TAXPAYER RESPONSE
FILE NO. 21 ~'~-~
ACN 0210632q
DATE 05-05-2002
EST. OF MAR6ARET E RICE
S.S. NO. 167-1q-5167
DATE OF DEATH 11-10-2001
'02 MAR 15 ~II :3~c°uNT~
JOYCE A WENTZ
C/O 3~8 PLUM ST
LEHOYNE PA 170~ r,:
TYPE OF ACCOUNT
E~SAVZNGS
[]CHECKING
[~TRUST
CUMBERLAND ~]CERTZF.
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
PNC BANK has provided the Department with t~e information listed belaw which has been used in
calculating the potantial tax due. Their records indicate that at the death of tha above decedent, you ware · joint owner/beneficiary of
this account. If you feel this information is incorrect, please obtain written correction from the financial institution, attach a copy
to this form and return it to the above address. This account is taxable ]n accordance with the Inheritance Tax Laws of the Commonwealth
of Pennsylvania. Questions may be answered by calling (717) 787-83Z7.
COMPLETE PART 1 BELOW # # ~ SEE REVERSE SzDE FOR FZLZNG AND PAYMENT ZNSTRUCTZONS
Account No. 51q0067816 Date 10-18-1996
Established
Account Balance 3, q 0 3.6 q
Percent Taxable X 5 0.0 0 0
Amount Subject to Tax 1,701.82
Tax Rate X · 15
Poten'l:iel Tax Due 255.Z7
To insure proper credit to your account, two
(Z) copies of this notice must accompany your
payment to the Register of Hills. Hake check
payable to: "Register of Hills, Agent".
NOTE: If tax payments are made within three
(3) months of the dacedent's date of death,
you amy deduct a Sg discount of the tax due.
Any inheritance tax due will become delinquent
nine (9) months after the date of death.
PART TAXPAYER RESPONSE
CHECK
ONE
BLOCK
ONLY
PART
TAX
LINE
A. ~lThe above information and tax due is correct.
1. You may choose to remit payment to the Register of #ills with two copies of this notice to obtain
a discount or avoid interest, or you amy check box "A" and return this notice to the Register of
Wills and an official assessment will be issued by the PA Department of Revenue.
B. F~ The above asset has been or will be reported and tax paid with
the
Pennsylvania
Inheritance
Tax
to be filed by the decadent's representative.
C. []The above information is incorrect and/or debts and deductions mere paid by you.
You must complete PART F~and/or PART
Zf you indicate a different tax rate, please state your
relationship ~o decadent:
RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
1. Date Established I
2. Account Balance
3. Percent Taxable
q. Amount Subject to Tax
5. Debts and Deductions
6. Amount Taxable
7. Tax Rate
8. Tax Due
PART
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
PAYEE DESCRIPTION AMOUNT PAID
TOTAL (Enter on Line S of Tax Computation)
Under penalties of perjury; Z declare that the facts Z have reported above ere true~ correct and
coaplete~,~ ,re the best of ay know_~_~e and belief. HOME
TAXPAYER S~NRTURE T ~ TELEPHONE NUMBER DATE
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO.
REV-1162 EX(11-96)
CD 000964
WENTZ JOYCE A
348 PLUM STREET
LEMOYNE, PA 17043
........ fold
ESTATE INFORMATION: SSN: 167-14-5167
FILE NUMBER: 2102-0270
DECEDENT NAME: RICE MARGARET E
DATE OF PAYMENT: 03/15/2002
POSTMARK DATE: 00/00/0000
COUNTY: CUM BERLAN D
DATE OF DEATH: 11/10/2001
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
02106324 $255.27
REMARKS:
JOYCE A WENTZ
TOTAL AMOUNT PAID:
$255.27
SEAL
CHECK# 4769
INITIALS: SK
RECEIVED BY:
MARY C. LEWIS
REGISTER OF WILLS
REGISTER OF WILLS
BUREAU OF 'rNDTV'rDUAL TAXES
INHERI'TANCE TAX DI*V]*SI'ON
DEPT. 180601
HARR*rSRURG, PA 17128-0601
dOYCE ANENTZ
C/O $q8 PLUM ST
LEMOYNE
'O2
COMMON#EALTH OF PENNSYLVANZA
DEPARTMENT OF REVENUE
NOTXCE OF XNHERXTANCE TAX
APPRAXSERENT. ALLOHANCE OR DXSALLOHANCE
OF DEDUCTXONS, AND ASSESSMENT OF TAX ON
3OXNTLY HELD OR TRUST ASSETS
DATE 05-27-2002
ESTATE OF R/CE
DATE OF DEATH 11-10-2001
FZLE NUMBER 21 02-0270
COUNTY CUMBERLAND
ACN 0210652q
Amoun~ Remi~md
IIEV-lS~ia Ell AFP [OX-IZ)
MARGARET E
MAKE CHECK PAYABLE AND REMXT PAYMENT TO:
REGZSTER OF NXLLS
CUMBERLAND CO COURT HOUSE
CARLTSLE, PA 17015
CUT ALONG THXS LXNE ~
REV-/S48 EX AFP (01-01)
RETAZN LONER PORT/ON FOR YOUR RECORDS
NOTXCE OF ZNHERZTANCE TAX APPRAXSEMENT, ALLONANCE OR DZSALLONANCE OF
DEDUCTXONS, AND ASSESSMENT OF TAX ON dOXNTLY HELD OR TRUST ASSETS
DATE 05-27-2002
ESTATE OF RTCE
MARGARET E DATE OF DEATH 11-10-2001 COUNTY CUMBERLAND
FTLE NO. 21 02-0270 S.S/D.C. NO. 167-1q-5162 ACN 0210651q
TAX RETURN HAS: (X) ACCEPTED AS FTLED ¢ ) CHANGED
dOZNT OR TRUST ASSET ZNFORMATXON
FTNANCTAL TNSTTTUTTON: PNC BANK ACCOUNT NO. 51q0067816
TYPE OF ACCOUNT: C ) SAVXNGS (~ CHECKTNG ( ) TRUST ( ) TTME CERTTFTCATE
DATE ESTABLXSHED 10-18-1996
Account Balance 3,qO3.6q
Percent TaxabZe X 0.500
Amount Subject to Tax 1,701.82
Debts and Deductions .00
Taxable Amount 1,701.82
Tax Rate X .15
Tax Due 255.27
NOTE:
TAX CREDZTS:
PAYMENT RECETPT DXSCOUNT ¢+)
DATE NUMBER I'NTEREST/PEN PATD ¢-) AMOUNT PATD
0:5-15-2002 CDOOO96q .00 255.27
TO TNSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMTT THE
UPPER PORTTON OF THTS NOTTCE
HTTH YOUR TAX PAYMENT TO THE
REGTSTER OF HILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE TO:
WREGTSTER OF NTLLS, AGENT."~
TOTAL TAX CREDZT
BALANCE OF TAX DUE
ZNTEREST AND PEN.
TOTAL DUE
TF PATD AFTER THTS DATE~ SEE REVERSE FOR CALCULATION OF ADDTTZONAL TNTEREST. ~
TF TOTAL DUE TS LESS THAN $1~ NO PAYMENT TS RE~UTRED.
TF TOTAL DUE TS REFLECTED AS A "CREDTT~ ( CR)~ YOU NAY BE DUE A REFUND.
SEE REVERSE SZDE OF THTS FORM FOR INSTRUCTTONS. )
255.27
.00
.00
.00
~BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA 17128-0601
JOSEPH D BUCKLEY
J D BUCKLEY LAW OFFCS
I237 HOLLY PIKE
CARLISLE
COMMONNEALTH OF PENNSYLVANIA
DEPARTNENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLONANCE
OF DEDUCTIONS AND ASSESSHENT OF TAX
~L: .: , DATE 03-22-2004
~-;* : i::ESTATE OF BOORE
DATE OF DEATH 12-18-2001
FILE NUMBER 21 02-0271
'(~ HAR 19 ~,1:4]COUNTY CUMBERLAND
ACN 101
~ ~t ~ I Amount Remitted
I
REV-1547 EX AFP (01-05)
CHRISTINA M
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF MILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LONER PORTION FOR YOUR RECORDS ~
REV-1547 EX AFP C01-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLONANCE OR
DISALLONANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF BOORE CHRISTINA M FILE NO. 21 02-0271 ACM 101 DATE 03-22-2004
TAX RETURN NAS: C X} ACCEPTED AS FILED C ~ CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON.' ORIGINAL RETURN
1. Real Estate CSchedule A) C1)
2. Stocks and Bonds (Schedule B) (23
$. Closely Held Stock/Partnership Interest CSchedule C~ C$~
r+. Mortgages/Notes Receivable CSchedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
&. Jointly O~ned Property CSchedule F)
7. Transfers CSchedu/e G) C7~
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses CSchedule H) C9)
10. Debts/Mortgage Liabilities/Liens CSchedule I) (10)
Il. Total Deductions
12. Net Value of Tax Return
15.
14.
Charitable/Governmental Bequests; Non-elected 9115 Trusts (Schedule J)
Net Value of Estate Sub3ect to Tax
O0
O0
O0
.00
.00
O0 NOTE: To lnsure proper
O0 credit to Your account,
O0 submit the Upper port/on
of this form w/th your
tax payment.
c8) . O0
.00
Cll) .00
c~2) .00
¢[$) .00
c~) .00
NOTE:
If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that Include the total of ALL returns assessed to date·
ASSESSMENT OF TAX:
15. Amount of L/ne 1~ at Spousal rate CLS)
16. Amount of L/ne 1~ taxable at Lineal/Class A rate C16)
17. Amount of Line 14 at Sibling rate C17)
18. Amount of L/ne 14 taxable at Collateral/Class B rate C18)
19. Prtnci~al Tax Due
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT
DATE NUMBER INTEREST/PEN PAID C
· O0 x O0 = . O0
.00 X 045= .00
· O0 x 12 = . O0
· O0 X 15 = . O0
C19)= · O0
AMOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
.00
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
.00
.00
.00
C IF TOTAL DUE IS LESS THAN ~1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)