HomeMy WebLinkAbout04-1089
ZNFORHATZON NOTICE
AND
TAXPAYER RESPONSE
MARY L FETROW
1126 REDWOOD DR
CARLISLE PA 17~1~,'1578
ACN 0qlqq988
BATE ll-lO-ZOOq
TYPE OF ACCOUNT
EST. OF IRENE E FETROW [] SAVZNOS
S.S. HO. 195-Z6-8985 [] CHECKING
DATE 0F DEATH 07-Z0-Z00q [] TRUST
COUNTY CUMBERLAND [] CERTTF.
REHTT PAYHENT AND FORHS TO:
REGTSTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
COMPLETE PART 1 BELOW x x # SEE REVERSE SIDE FOR FILING AND PAYHENT INSTRUCTIONS
Account No. 90777707
Date 0Z-27-199Z
EsteblLshed
Account Balance 1,507.76
Perce~t Taxable X 50. 000
Amount Sub,act to Tax 753.00
Tax Rate X ,15
Po~en~lal Tax Due 11~. 08
tART TAXPAYER RESPONSE
ONE
PART Jf you J. ndJ. cata a different te~ rate;,p,X_aasa state your
~] relationsh:ip to decadent:
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Data Established
2. Account Balance
3. Percent Taxable
fi, A~ount Sub,eot to Tax
$. Debts and Deductions
6. Amount Taxable
7. Tax Rata
8. Tax
PART
DATE PAID
BEBTS AND DEDUCTIONS CLAZMED
PAYEE DESCRIPTION AMOUNT PAID
TOTAL (Enter on L/ne $ of Tax Computation) ~
Under panaXtias of perJury~ X dacXare that the facts X h~ve reported above are true, correct and
complete tO th~ bast of ly knowXed~ ~d boXXof, HOHE ( ~/~ )~ ~--~/~
TAXPAYER ~NATURE TELEPHONE' NUH~ER DATE
GENERAL INFORHATZON
1, FAILURE TO RESPOND #ILL RESULT ZN AN OFFICIAL TAX ASSESSNENT with applicable lnterist based an information
REPORTING INSTRUCTIONS - PART 1 - TAXPAYER RESPONSE
TAX RETURN - PART 2 - TAX COHPUTATION
Dm~ of Death Spouse Lineal Stblln; Collateral
01/01/95 ~o 06/$0/00 OZ 6Z 15Z ZSZ
CLAIMED OEDUCTIONS - PART $ DEBTS AN]) DEDUCTIONS CLAIMED
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
REV 1162 EX{11-96)
NO. CD 004665
FETROW MARY L
1126 REDWOOD DR
CARLISLE, PA 17013-1378
ESTATE INFORMATION: SSN: 195-26-8985
:ILE NUMBER: 2104- 1089
DECEDENT NAME: FETROW IRENE E
DATE OF PAYMENT: 11/23/2004
POSTMARK DATE: 11/22/2004
COUNTY: CUMBERLAND
DATE OF DEATH: 07/20/2004
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
)4145002 $324.40
04144988 $33.92
TOTAL AMOUNT PAID:
$358.32
REMARKS:
SEAL
CHECK# 126
INITIALS: JA
RECEIVED BY:
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
COHHRNREALTH OF PEN#SYLVANIA
DEPARTREHT OF REVENUE
EUREAU RF I#DZVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
'04 23
MARY L FETRO~J
1126 REDNOOD DR
CARLISLE PA 1701531,378
ZNFORHATZON NOTZCE
AND
TAXPAYER RESPONSE
I FILE NO. 21
ACM 041q5002
DATE 11-10-Z00q
EST. OF IRENE E FETRON
S.S. NO. 195-26-8985
DATE OF DEATH 07-Z0-200~
COUHTY CUMBERLAND
TYPE OF ACCOUNT
E~]SAVINGS
[~]CHECK/NG
E~TRUST
[~CERTZF,
REHIT PAYHENT AND FORHS TO=
RESISTER OF RILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
COMPLETE PART 1 BELON ! # . SEE REVERSE SIDE FOR FILING AND PAYMENT ZNSTRUCTIONS
Account No. 2007288~,
Date 08-15-1997
Established
Account Balance 26,590.19
Percent Taxable X 50 . 000
Amount SubSect to Tax 1~,295.10
Tax R~e X ,15
po~ial Tax Due 1,99~. Z7
PART TAXPAYER RESPONSE
~'""~' ~'"'"'~"~'"~'"':~!'-':'":~;~'":'"":; ...................... ~" ' '~"~i~! .... i ' ~; ' u' · .... ~;~' , '~ '
ONE
J
ONLY
Y~ must complete PART ~ and/or PART ~ beloN.
PART Xf you lndloa~o a dtfforon~ ~x ra~o,__ e~e~so s~a~o your
TAX RETURN - COMPUTATZON OF T~X ON JO;NT/TRUST ACCOUNTS
I~ , ~9~ 70
DEBTS AND DEDUCTIONS CLAIMED
LTNE 1. Date Established 2. Account Balance
$. Percent Taxable
~. Amount Subjmo~ ~o Tax
5. O~s and Deduc~1ons
6. ~o~ Taxable
7. T~ Re~e
8, Tax ~e
PART
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
?-~-o¢ I Me.c~,/~ [--~e,-~./,/-~ [ ¥~..~-,-~ ,m-,~,~,?~,, ~ ~ ' -' o
TOTAL (Enter on L/ne G of Tax ~m~a~Jon)
Under penalties of perSury, 1' declare that the facts 1' have reported above are trua~ correct ~nd
/// u
GENERAL INFORMATION
1, FAILURE TO RESPOND HILL RESULT IN AN OFFICIAL TAX ASSESSHENT ~lthapplicable interest based on iflforlatlon
REPORTING INSTRUCTIONS - PART 1 - TAXPAYER RESPONSE
TAX RETURN - PART 2 - TAX COMPUTATTON
07/01/9q to 12/$1/94
01/01/9S to 06/30/00 OZ 6X
07/01/00 to present OX 4.SIN 12Z
CLAIMED DEDUCTIONS - PART :5 DEBTS AND DEDUCTIONS CLAIMED
I
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
'*
BUREAU OF INDIVIDUM'fAXES
INHERITANCE TAX DIVISION.\ i. .
PO BOX ZB06Dl
HARRISBURG PA 171ZB-060t
NOTICE OF INHERITANCE TAX
APPRAISEKENT~ ALLONANCE OR DISALLONANCE
OF DEDUCTION~. AND ASSESSKENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-15~8 EX AFP 112-D~)
I?
~ \-
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
04-11-2005
FETROW
07-20-2004
21 04-1089
CUMBERLAND
195-26-8985
04144988
Allount Rellitted
IRENE
E
MARY t FETROW
1126 REDWOOD DR
CARLISLE PA 17013-1378
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
iifi:is4li-ix--AFP--foir:03j------------------------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 04-11-2005
ESTATE OF FETROW
IRENE
E DATE OF DEATH 07-20-2004
COUNTY
CUMBERLAND
FILE NO. 21 04-1089
TAX RETURN WAS:
S.S/D.C. NO. 195-26-8985
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
04144988
FINANCIAL INSTITUTION: WAYPOINT BANK
ACCOUNT NO.
90777707
TYPE OF ACCOUNT: () SAVINGS (~ CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 02-27-1992
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
1,507.76
0.500
753.88
.00
753.88
.45
33.92
NOTE: TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
11-22-2004 CD004665 .00 33.92
TOTAL TAX CREDIT 33.92
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
. IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR>, YOU HAY BE DUE A REFUND.
~.,,., ""''''''D'''''' ""Tn" nc TNTS FORM FOR INSTRUCTIONS. >
'"
<V..-S
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
'*
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION '" ,"" '
PO BOX ZB0601
HARRISBURG PA 171ZB-0601
_ NOTICE OF INHERITANCE TAX
APPRAISEKENT~ ALLONANCE OR DISALLONANCE
QF DEDUCTION~, AND ASSESSKENT OF TAX ON
, JOINTLY HELD OR TRUST ASSETS
REV-15~8 EX AFP 112-041
i ",1
:i '-
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
04-11-2005
FETROW
07-20-2004
21 04-1089
CUMBERLAND
195-26-8985
04145002
Allount R_i Ued
IRENE
E
MARY L i-FETROW
1126 REDWOOD DR
CARLISLE PA 17013-1378
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
iE-i:isr~i-E;r-AFP--fo-i:03j------------------------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 04-11-2005
ESTATE OF FETROW
IRENE
E DATE OF DEATH 07-20-2004
COUNTY
CUMBERLAND
FILE NO. 21 04-1089
TAX RETURN WAS:
S.S/D.C. NO. 195-26-8985
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
04145002
FINANCIAL INSTITUTION: WAYPOINT BANK
ACCOUNT NO.
20072884
TYPE OF ACCOUNT: () SAVINGS (~ CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 08-15-1997
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
26,590.19
0.500
13,295.10
6,086.12
7,208.98
.45
324.40
NOTE: TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
11-22-2004 " CD004665 .00 324.40
TOTAL TAX CREDIT 324.40
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
. IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ·
( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
...., TnTAI DUE IS REFLECTED AS A "CREDIT" ( CR), YOU HAY BE DUE A REFUND.
'-- ---~ ....D T"~TDIlr:TrONS. )
~.s ~