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HomeMy WebLinkAbout07-18-06 COMMONWE"'l TH OF PENNSYL VANIA DEPARTMENT OF REVENUE BUREAU OF INDiVIDUAL TAXES DEFT. 280601 H,.'4RRISBURG, PA 17128-0601 REV-1162 EX(11-96) R(:'C(:'lVl=n I=ROM. PENNSYLVANIA INHERITANCE AND !;"STAT!;" TAX OFFICIAL RECEIPT NO. CD 006984 DUPLICA TE VERNON THOMAS L 1001 DALE PLACE CARLISLE, PA 17013 __h____ r'jld ESTATE INFORMATION: SSN: 001-20-4367 FILE NUMBER: 2106-0637 DECEDENT NAME: VERNON JOYCE T DA TE OF Pl\ YMENT: 07/17/2006 POSTMARK DATE: 07/1 7/2006 COUNTY: CUMBERLAND DA TE OF DEATH: 04/27/2006 ACN ASSESSMENT CONTROL NUMBER AMOUNT 06131005 I $1,536.57 I I I I I I I I TOTAL AMOUNT PAID: REMARI<S: VERNON THOMAS L CHECI<#103 SEAL INITIALS: AJW RECEIVED BY: REGISTER OF WILLS $1,536.57 GLENDA FARNER STRASBAUGH REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA D~PARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 INFORMATION NOTICE AND JAXPAYER RESPONSE FILE ACN DATE "), I '1 ... NO. 21 - /..' I.::j ! 06131005 06-30-2006 REV-1543 EX AFP (D9-DDJ J , j', , ,. ! c<" I,,) EST. OF JOYCE T VERNON 5.5. NO. 001-20-4367 DATE OF DEATH 04-27-2006 COUNTY CUMBERLAND TYPE OF ACCOUNT o SAVINGS [X] CHECKING o TRUST o CERTIF. THOMAS L VERNON 1001 DALE PL CARLISLE PA 17013 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 ORRSTOWN 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 may be answered bY calling (717) 787-8327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 106002056 Date 05- 31-20 01 Established x 21,565.82 50.000 10,782.91 .15 1,617 .44 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: "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 5Z 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 "A" and return this notice to the Register of Wills and an official assessment will be issued by the PA Department of Revenue. I CHECK I L J 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. LINE 1. Date Established 2. 3. 4. 5. 6. 7. 8. Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Amount Taxable Tax Rate x PART ~ TAX RETURN - COMPUTATiON If you indicate a different tax rate, please state your relationship to decedent: TAX ON JOiNT/TRUST ACCOUNTS Tax Due OF 1 2 3 4 5 6 7 8 x PART ~ DATE PAID DEBTS AND DEDUCTIONS CLAIMED PAYEE DESCRIPTION AMOUNT PAID I $ TOTAL (Enter on Line 5 of Tax Computation) facts I have reported above are true, correct and HOME ({ ( J b - .f',JC7 ..r WORK (1(1) 2YCf -(230 TELEPHONE NUMBER COMMONWEALTH OF PENNSYLVANIA D~PARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DATE -" I I,) '1,'_ NO. 21 -, l' ,;: - V';; , 06131005 06-30-2006 REV-1543 EX AFP (,o9-00l "I I" ~ J " i', _ , Co I,.) EST. OF JOYCE T VERNON 5.5. NO. 001-20-4367 DATE OF DEATH 04-27-2006 COUNTY CUMBERLAND TYPE OF ACCOUNT o SAVINGS [X] CHECKING o TRUST o CERTIF. THOMAS L VERNON 1001 DALE PL CARLISLE PA 17013 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 ORRSTOWN 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 may be answered by calling (717) 787-8327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 106002056 Date 05- 31-2001 Established x 21,565.82 50.000 10,782.91 .15 1,617 .44 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: "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 [!] 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. L' C~~~K IJ 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. x 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 TAX ON JOiHT/TKUST ACCOUNTS :I. 2 3 4 5 6 7 8 x PART ~ DATE PAID DEBTS AND DEDUCTIONS CLAIMED PAYEE DESCRIPTION AMOUNT PAID TOTAL (Enter on Line 5 of Tax Computation) $ have reported above are true, correct HOME (,n) lei -,f"'JCJF WORK (1(1 ) 2YQ -/2}O TELEPHONE NUMBER and I ! 7/17/0(; DATE'