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HomeMy WebLinkAbout05-12-06 (2) f"i""" \.. f..I. ....1 () '1$:' (..1 "j" . . l.l~1 (..1 I.Li I',) (') (') ;0 II) C CD :::!.. 3 (Q -. iii' a' III en CD - CD :::: " ~ ., ., .- "'tI ii 0 )> ~ ..... Q. ~ ..a. (') ...... 0 Vi '- 0 '- ..a. C -' W ~ - '< -' (') 0 c .- ::+ - ::I: -... 0 C en -' ~ -' - - - _.. ','.',.\ l...V s::~:E CD :J: 0 nl>>:::;; ::r N -. I>> C'D ~ ~ -CQ _.:e C'D no"'" en 0 C"c.. c ""'''''C tel>> ~ - ""C::r )> ~ ...... o (J1 o '" [ I , \ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 2B060 1 HARRISBURG, PA 1712B-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT WOLFINGER MARTINA K 2 HAZELWOOD PATH MECHANICSBURG, PA 17050 un fold ESTATE INFORMATION: SSN: 204-03-5222 FILE NUMBER: 2106-0014 DECEDENT NAME: LINE FLORENCE E DATE OF PAYMENT: 05/12/2006 POSTMARK DATE: 05/12/2006 COUNTY: CUMBERLAND DATE OF DEATH: 12/21/2005 NO. CD 006685 ACN ASSESSMENT CONTROL NUMBER AMOUNT 06118897 I $15.41 06118888 I $8.52 I I I I I I I TOTAL AMOUNT PAID: $23.93 REMARKS: MARTINA K WOLFINGER CHECK# 626 SEAL INITIALS: CM RECEIVED BY: REGISTER OF WILLS GLENDA FARNER STRASBAUGH 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 ACN DATE NO. 21 06 - 0 0 14 06118897 04-24-2006 REV-1543 EX AFP (D9-DDl ~ ':::~ J TYPE OF ACCOUNT [X] SAVINGS D CHECKING D TRUST D CERTIF. r, EST. OF FLORENCE ELINE S.S. NO. 204-03-5222 DATE OF DEATH 12-21-2005 COUNTY CUMBERLAND MARTINA WOLFINGER 2 HAZELWOOD PATH MECHANICSBURG PA 17050 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 MEMBERS 1ST FCU 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 incorrectl please obtain written correction from the financial institutionl 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 may be answered by calling (717) 787-8327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 75049-00 Date 05-26-1961 Established Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due Tax PART [!J 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: "Register of Wills, Agent... x 10,272.31 3.333 342.38 .045 15.41 TAXPAYER RESPONSE 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 ~ax due will become delinquent nine (9) months after the date of death. x [CHECK ] ONE BLOCK ONLY 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 "AU and return this notice to the Register of Wills and an official assessment will be issued by the PA Department of Revenue. 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. OF TAX ON JOINT/TRUST ACCOUNTS 1 2 3 X 4 5 6 7 X 8 PART ~ TAX RETURN - COMPUTATION If you indicate a different tax rate, please state your relationship to decedent: 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 PAYEE DEBTS AND DEDUCTIONS CLAIMED DESCRIPTION AMOUNT PAID I TOTAL (Enter on Line 5 of Tax Computation) I $ Under penalties of complete to the best of -rY1M1l~ We TAXPAYER SIGNATURE perjury, I declare that the facts I have reported above are true, correct and my knowledge and belief. HOME (1/1) 13J.. - O&4D WORK ( ) TELEPHONE NUMBER 05-/D DATE 0& COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE BUREAU OF INOIVIOUAL TAXES DEPT. 2B0601 HARRISBURG, PA 17128-0601 INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DATE NO. 21 06-0014 06118888 04-24-2006 REV-1543 EX AFP <09-00) r> .~" L,v '} EST. OF FLORENCE ELINE S.S. NO. 204-03-5222 DATE OF DEATH 12-21-2005 COUNTY CUMBERLAND TYPE OF ACCOUNT D SAVINGS D CHECKING D TRUST IX] CERTIF . MARTINA WOLFINGER 2 HAZELWOOD PATH MECHANICSBURG PA 17050 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 MEMBERS 1ST FCU 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 may be answered by calling (717) 787-8327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 75049-40 Date 03-12-1990 Established x 5,682.07 3.333 189.38 .045 8.52 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: URegister of Wills, Agent... Account Balance Percent Taxable Anount 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 57. discount of the tax due. Any inheritance tax due will become delinquent nine (9) months after the date of death. Tax PART [!] A. ~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. [CHECK ] ONE BLOCK ONLY 8. [] 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. LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Anount Subject to Tax 5. Debts and Deductions 6. Anount Taxable 7. Tax Rate 8. Tax Due OF TAX ON JOINT/TRUST ACCOUNTS 1 2 3 X 4 5 6 7 X 8 PART ~ TAX RETURN - COMPUTATION If you indicate a different tax rate, please state your relationship to decedent: PART [!] DATE PAID DEBTS AND DEDUCTIONS CLAIMED PAYEE DESCRIPTION AMOUNT PAID TOTAL (Enter on Line 5 of Tax ConputationJ I $ Under penalties of perjury, I declare that the facts I conplete to the best of ny'knowledge and belief. have reported above are true, correct HOME (7/7) 73d - 06J'-IO WORK ( ) TELEPHONE NUMBER and 05-10-00 DATE