HomeMy WebLinkAbout02-0410
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CALL (717) 2.40-<o3tl5FO!\ ANY [NQUffiI:ES
FROM ~..~ ~LUb.-!__
County of Cumberland
One Courthouse Square
Carlisle, PA 17013-3387
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F' A.Y.. # (7 1 7) . 240-7797
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
*'
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO. 21 -0,;) - 4./ /D
02112677
03-20-2002
REV-1545 EX AFP 109-001
'02 APR 24 P 1 :O~j
EST. OF ESTHER M JOHNSON
S.S. NO. 168-36-9362
DATE OF DEATH 02-13-2002
COUNTY CUMBERLAND
TYPE OF ACCOUNT
D SAVINGS
[i] CHECKING
D TRUST
D CERTIF.
GLADYS B DORTY
11005 MORGAN DR "' .....
SHIPPENSBURG P1~O~~~7-892o
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
ALLFIRST FINANCIAL SERVICE has provided the Departllent with the inforntion 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 joint owner/beneficiary of
this account. If you feel this information is incorrect, please obtain written correction from the financial insti~ution, attach a COpy
to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax~ 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. 0036728918 Date 08-01-1997
Established
x
1,220.52
50.000
610.26
.15
91. 54
TAXPAYER RESPONSE
To insure prDper credit to your account, two
(2) copies of this notice must accompany your
payment to the Register of Wills. Make check
payable to: "Register of Wills, Agent".
Account Balance
Percent Taxable
Amount Subject to
Tax Rate
Potential Tax Due
x
NOTE: If tax payments are made within three
(3) months of the decedent's date of death,
you may deduct a 5% discount of the tax due.
Any inheritance tax due will become delinquent
nine (9) months after the date of death.
Tax
PART
[!]
A.
[ CHECK ]
ONE
BLOCK B.
ONLY
c.
[] 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
Wills and an official assessment will be issued by the PA Department of Revenue.
[] The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
to be filed by the decedent's representative.
[] 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
~ relationship to decedent:
TAX RETURN - COHPUTAT!~N
LINE 1. Date Established
2. Account Balance
3. Percent Taxable
4. Amount Subject to Tax
5. Debts and Deductions
6. Amount Taxable
7. Tax Rate
8. Tax Due
OF TAX OM 10INT/TRUST ACCOUNTS
1
2
3 X
4
5
6
7 X
8
PART DEBTS AND DEDUCTIONS CLAIMED
[!]
DATE PAID PAYEE DESCRIPTION
Jf.!l~O ~ I ~uW>k<- )I ~~ L. r1~u"t_~ ~?'
TOTAL (Enter on Line 5 of Tax Computation)
AMOUNT PAID
q/, ~-'f
I
$
/7 -.$9'-c:v
have reported above are true, correct and
HOME (')1'7) ...;".3 0 - I ??S'O
WORK () il/~' 17;1...
TELEPHONE NUMBER ATE'
perjury, I declare that the facts I
now ledge and belief.
/7-6' 9- .y
\; BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
*'
NOTICE OF INHERITANCE TAX
APPRAISEKENT~ ALLOHANCE OR DISALLOHANCE
OF DEDUCTION~, AND ASSESSKENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REY-1548 EX AFP (01-02>
GLADYS B DORTY
11005 MORGAN DR
SHIPPENSBURG PA 17257-8920
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
06-10-2002
JOHNSON
02-13-2002
21 02-0410
CUMBERLAND
168-36-9362
02112677
Allount Rellitted
ESTHER
M
I,
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 ~
RE-V=is1ri-E)f-AFii-coi-:02j------------------------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 06-10-2002
ESTATE OF JOHNSON
ESTHER
M DATE OF DEATH 02-13-2002
COUNTY
CUMBERLAND
FILE NO. 21 02-0410
TAX RETURN WAS:
S.S/D.C. NO. 168-36-9362
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
02112677
FINANCIAL INSTITUTION: ALLFIRST FINANCIAL SERVICE
ACCOUNT NO.
0036728918
TYPE OF ACCOUNT: () SAVINGS (X> CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 08-01-1997
X
1,220.52
0.500
610.26
.00
610.26
.15
91.54
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."
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
04-12-2002 CDOO1106 4.58 91.54
TOTAL TAX CREDIT 96.12
BALANCE OF TAX DUE 4.58CR
INTEREST AND PEN. .00
TOTAL DUE 4.58CR
. IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ·
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRJ, YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. J
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUFIEAU OF INDIVIDUAL TAXES
DEPT. 280601
HAHRISBURG, PA 17128-0601
REV-1162 EX( 11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
DaRTY GLADYS B
11005 MORGAN DR
SHIPPENSBURG, PA 17257-8920
____un fold
ESTATE INFORMATION: SSN: 168-36-9362
FILE NUMBER: 2102-0410
DECEDENT NAME: JOHNSON ESTHER M
DA TE OF PAYMENT: 04/24/2002
POSTMARK DATE: 04/12/2002
COUNTY: CUMBERLAND
DATE OF DEATH: 02/13/2002
NO. CD 001106
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
02112677 I $91.54
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$91.54
REMARKS: GLADYS B DaRTY
CHECK#1236
SEAL
INITIALS: AC
RECEIVED BY:
REGISTER OF WILLS
MARY C. LEWIS
REGISTER OF WILLS