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HomeMy WebLinkAbout01-03-06 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-961 DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CO 006168 HEFFLEFINGER BLANCHE 199 CONODOQUINET MOBILE ESTATE NEWVILLE, PA 17241 ACN ASSESSMENT AMOUNT CONTROL NUMBER n_hn_ fold ---------- -------- 101 I $401.50 ESTATE INFORMATION: SSN: 192-32-1871 I FILE NUMBER: 2105-0853 I DECEDENT NAME: BOUDER GLENN E I DA TE OF PAYMENT: 01/03/2006 I POSTMARK DATE: 01/03/2006 I COUNTY: CUMBERLAND I DATE OF DEATH: 08/27/2005 I I TOTAL AMOUNT PAID: $401.50 REMARKS: BLANCHE HEFFLEFINGER CHECK# 98 INITIALS: RSK SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS ! REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 *' INFORMATION NOTICE AND TAXPAYER RESPONSE FILE NO. 21 05-0853 ACN 05154503 DATE 12-16-2005 REY-1543 EX AFP (09-00) ~"'~ \. ~ ~\~~ EST. OF GLENN E BOUDER S.S. NO. 192-32-1871 DATE OF DEATH 08-27-2005 COUNTY CUMBERLAND TYPE OF ACCOUNT [i] SAVINGS o CHECKING o TRUST o CERTIF. BLANCHE CME 199 NEWVILLE HEFFlEFINGER PA 17241 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 FARMERS NATIONAL BANK has p..ovided the Depa..tment with the info..mation listed below which has been used in calculating the potential tax due. Thei.. ..eco..ds indicate that at the death of the above decedent, yoU we..e a joint owne../beneficia..y of this account. If you feel this info..mation is inco....ect, please obtain w..itten co....ection f..oll the financial institution, attach a copy to this fo..m and ..etu..n it to the above add..ess. This account is taxable in acco..dance with the Inhe..itance Tax Laws of the Commonwealth of PennsYlvania. Questions may be answe..ed by calling (717) 787-8327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 9627448 Date 09-23-1996 Established Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x 6,691.59 50.000 3,345.80 .12 401.50 TAXPAYER RESPONSE To insu..e p..ope.. c..edit to you.. account, two (2) copies of this notice must accompany you.. payment to the Registe.. of Wills. Make check payable to: "Registe.. of Wills, Agent". x NOTE: If tax payments a..e made within th..ee (3) months of the decedent.s date of death, you may deduct a 57. discount of the tax due. Any inhe..itance tax due will become delinquent nine (9) months afte.. the date of death. Tax PART [!] A. [ CHECK ] ONE BLOCK B. ONLY c. ~ The above info..mation and tax due is co....ect. 1. You may choose to ..emit payment to the Registe.. of Wills with two copies of this notice to obtain a discount 0" avoid inte..est, 0.. you may check box "A" and ..etu..n this notice to the Registe.. of Wills and an official assessment will be issued by the PA Depa..tment of Revenue. [J The above asset has been 0.. will be ..epo..ted and tax paid with the Pennsylvania Inhe..itance Tax ..etu..n to be filed by the decedent.s ..ep..esentative. [J The above info..mation is inco....ect and/o.. debts and deductions we..e paid by you. You must complete PART ~ and/o.. PART ~ below. If you indicate a different tax rate, please state your relationship to decedent: PART [!J TAX RETURN - COMPUTATION 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 PART [!] DATE PAID DEBTS AND DEDUCTIONS CLAIMED OF 1 2 3 4 5 6 7 8 x TAX ON JOINT/TRUST ACCOUNTS x PAYEE DESCRIPTION AMOUNT PAID I TOTAL (Enter on Line 5 of Tax Computation) I $ Under penalties of perjury, I declare that the facts I have reported above are true, correct and complete to the best of my knowledge and belief. /~.J~ 7~q~ .TAXPAYER SIGNATURE .r HOME~ ( ) ~ (7/7 ) 77G- -~<::)49 TELEPHONE NUMBER I-d-c)~ DATE COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CO 006166 HEFFLEFINGER BLANCHE 199 CONODOQUINET MOBILE ESTATE NEWVILLE, PA 17241 ACN ASSESSMENT AMOUNT CONTROL NUMBER __nun fold ---------- -------- 101 I $129.57 ESTATE INFORMATION: SSN: 192-32-1871 I FILE NUMBER: 2105-0853 I DECEDENT NAME: BOUDER GLENN E I DATE OF PAYMENT: 01/03/2006 I POSTMARK DATE: 01/03/2006 I COUNTY: CUMBERLAND I DATE OF DEATH: 08/27/2005 I I TOTAL AMOUNT PAID: $129.57 REMARKS: BLANCHE HEFFLEFINGER CHECK# 99 INITIALS: RSK SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS I I I COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. Z80601 HARRISBURG, PA 171Z8-0601 *' INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DATE NO. 21 05-0853 05154504 12-16-2005 REY-154S EX AFP (09-001 EST. OF GLENN E BOUDER S.S. NO. 192-32-1871 DATE OF DEATH 08-27-2005 COUNTY CUMBERLAND TYPE OF ACCOUNT [X] SAVINGS D CHECKING D TRUST D CERTIF. ~,~... -\\.. '\::. '\) \., \ ~ \c BLANCHE CME 199 NEWVILLE HEFFLEFINGER PA 17241 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 FARMERS NATIONAL BANK has provided the Department with the information listed below which has been used in celculating 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 institution, attach a copy to this form and return it to the above address. This account is taxa~e in accordance with the Inheritance Tax Laws of the Commonwealth of Pennsylvania. Questions may be answered by calling,,"pl71 787-83Z7.:.--J COMPLETE PART 1 BELOW . . . SEE REVERS! SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 2163864 Date 01-02-2004 Established Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x 2,159.57 50.000 1,079.79 .12 129.57 TAXPAYER RESPONSE To insure proper credit to your account, two (Z) copies of this notice must accompany your payment to the Register of Wills. Make check payable to: "Register of Wills, Agent". 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. If you indicate a different tax rate, please state your relationship to decedent: PART ~ DATE PAID DEBTS AND DEDUCTIONS CLAIMED PART ~ TAX RETURN - COMPUTATION 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 1 2 3 4 5 6 7 8 x TAX ON JOINT/TRUST ACCOUNTS x PAYEE DESCRIPTION AMOUNT PAID I TOTAL (Enter on Line 5 of Tax Computation) I $ Under penalties of perjury, I declare that the facts I have reported above are true, correct and cOllplete to the best of my knowledge and belief. HOME ( 71'7 ) ?? ~ -? Q 4 9- ~~ ~L_' 90.-- WORK () ) _ ;.).- Q <e TAXPAYER SIGNAtOI&.P ~.---; TELEPHONE NUMBER DATE COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 006169 HOOVER SHARON L 77 WINDY HILL ROAD NEWVILLE, PA 17241 ACN ASSESSMENT CONTROL NUMBER AMOUNT -------- fold 05154502 $37.51 ESTATE INFORMATION: SSN: 192-32-1871 FILE NUMBER: 2105-0853 DECEDENT NAME: BOUDER GLENN E DATE OF PAYMENT: 01/03/2006 POSTMARK DATE: 12/23/2005 COUNTY: CUMBERLAND DATE OF DEATH: 08/27/2005 TOTAL AMOUNT PAID: $37.51 REMARKS: SHARON HOOVER CHECK# 1123 SEAL INITIALS: RSK RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 *' INFORMATION NOTICE AND TAXPAYER RESPONSE FILE NO. 21 05-0853 ACN 05154502 DATE 12-16-2005 REY-1545 EX AFP (09-001 EST. OF GLENN E BOUDER 5.5. NO. 192-32-1871 DATE OF DEATH 08-27-2005 COUNTY CUMBERLAND TYPE OF ACCOUNT IX] SAVINGS D CHECKING D TRUST D CERTIF . SHARON HOOVER 77 WINDY HILL RD NEWVILLE PA 17241 REHIT PAYHENT AND FORHS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 FARHERS NATIONAL BANK has provided the Department with the information 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 institution, attach a COpy to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth of PennsYlvania. Questions mav be answered by calling (717) 787-6377. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 5985706 Date 11- 05-2001 Established Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x 501.48 50.000 250.74 .15 37.61 TAXPAYER RESPONSE To insure proper credit to your account, two (2) copies of this notice must accompany your payment to the Register of Wills. Make check payable to: nRegister of Wills, Agent". 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 [!] 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 "An and return this notice to the Register of Wills and an official assessment will be issued by the PA Department of Revenue. [CHECK ] ONE BLOCK ONLY B. [] 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. C. [] The above information is incorrect and/or debts and deductions were paid by you. You must complete PART ~ and/or PART ~ below. PART [!] DATE PAID DEBTS AND DEDUCTIONS CLAIMED If you indicate a different tax rate, please state your relationship to decedent: PART ~ TAX RETURN - COMPUTATION 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 1 2 3 4 5 6 7 8 x TAX ON JOINT/TRUST ACCOUNTS x PAYEE DESCRIPTION AMOUNT PAID I TOTAL (Enter on Line 5 of Tax Computation) Under penalties of perjury, I declare that the facts I complete to the best of my knowledge and belief. TA~~~UR~ \~ ~ I $ have reported above are true, correct and HOME (7/1) -rJ(p-s9)(/J WORK (., n ) IJ(P - dtlO 0 ~tb TELEPHONE NUMBER ) ckd. 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