The URL can be used to link to this page

Home My WebLink About08-16-06 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 HURLEY BONNIE M 2185 NEWVILLE RD CARLISLE, PA 17013 __nuh fold ESTATE INFORMATION: SSN: 209-12-8570 FILE NUMBER: 2106-0725 DECEDENT NAME: HURLEY LOTTIE M DA TE OF PA YMENT: 08/16/2006 POSTMARK DATE: 08/15/2006 COUNTY: CUMBERLAND DA TE OF DEATH: 06/25/2006 NO. CD 007112 ACN ASSESSMENT CONTROL NUMBER AMOUNT 06140487 I $7.16 06140488 I $138.84 06140489 I $.12 I I I I I I TOTAL AMOUNT PAID: REMARKS: CHECK#1386 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS $146.12 GLENDA FARNER STRASBAUGH REGISTER OF WILLS ~ ;.... orl ~ iJl.. ,.~ ~ "'" d 1:) ,~ :.J1 ~ rl ::.:Po tL q: ~..;.:J. ~ r.r, . . ' LG ~j' c' \-= (r; "5" ~ """ tD ("". 'X ';.J N C) -, .J ~ ifl 'r~ '~ '~ 1'- ~\" 1:' I ~ "- '1~~ ,,~., " - -~-~~ -\ :.~ y~~ ("\') -- .~ 'I, r-4 cy " --'-~, ,--..:- ..... .'. . p: riCl t j j i \".,.... .... t ... ..:: ,.:;; - - .... 'Q., ~ - .... - ::: - ... .:t - ~ .~.~ ~~ c)~ ~ ":', .., - .... .... .: '" ......... I(J "" ~ '~"'>~ " " ~)., ~ ~ ..... '1"1 '~ i!t ", '. f.i .~. 111 j'. "'::.' COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 * ('1r- REV-1545 EX AFP {,~, INFORMATION NOTICE - _ AND TAXPAYJ:R, RESPONSE FILE ACN DATE NO. 21 ~(25 06140487 08-11-2006 (", EST: 9:JF LOTTIE M HURLEY 5.5. NO. 209-12-8570 DATE OF DEATH 06-25-2006 C~UNTY CUMBERLAND TYPE OF ACCOUNT o SAVINGS fil CHECKING o TRUST o CERTIF. Zr"" , , l. I J {'.~. BONNIE M HURLEY 2185 NEWVILLE RD CARLISLE PA 17013 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 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 for. and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth of PAnnsYlvania~ Questions may bp ~nswergd b~ c~!!ing (717) 787-232? COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 120634 Date 07-17-1967 Established Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x 318.34 50.000 159.17 .045 7.16 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". Tax x NOTE: If tax payments are .ade 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. PART ill 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. If you indicate a different tax rate, please state your relationship to decedent: [] The above infor.ation is incorrect and/or debts and deductions were paid by YOU. You must complete PART ~ and/or PART ~ below. PART [!l 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 CEnter on Line 5 of Tax Computation) I $ Under penalties of perjury, I declare that the facts I complete to the best of mY~knOWledge and belief. 78 ~~/ 9;'1 _" TAXPAYER SIGNATURE have reported above are true, HOME ( ? / '/ ) /1.. q 3 WORK ( ) TElEPHONE NUMBER correct and //6& j ~ '-/~~ - .1 otf(, DATE - I COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 '* . ........-.'.....J:N...~F.ORMATION NOTICE "". '. AND . '. "TAXPAYER RESPONSE FILE ACN DATE NO. 21 0(0 (25 06140488 08-11-2006 REY-1543 EX AFP <09-00) I ; j j .~-, ,''''i j EST. OF lOTTIE M HURLEY S.S. NO. 209-12-8570 DATE OF DEATH 06-25-2006 COUNTY CUMBERLAND TYPE OF ACCOUNT fXI SAVINGS o CHECKING o TRUST o CERTIF. BONNIE M HURLEY 2185 NEWVILLE RD CARLISLE PA 17013 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 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 arswered b~ callins (717) 787-8327. COMPLETE PART 1 BELOW · . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 9643613 Date 07 -18-1975 Established Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x 20,288.04 50.000 10,144.02 .045 456.48 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". Tax 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. PART [!J A. [ CHECK ] ONE BLOCK B. ONLY c. [J 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. If yoU indicate a different tax rate, please state your relationship to decedent: [J 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 ~ 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 T 1 2 3 4 5 6 7 8 ACCOUNTS x o. r~l~:4t~ / ~~~if~~ DEBTS AND DEDUCTIONS CLAIMED x TOTAL (Enter on Line 5 of Tax Computation) $ ~ TAXPAYER facts I have reported above are true, correc> and HOME ( 7/ /) :J tf 3 - '/ / /f te WORK () ;l-l ~~ ~r; TELEPHONE NUMBER DATE - COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 ~..~...."" ," ,.,., INFORMATION NOTICE .'''::i(V:- :~ - AND ".TA>CI?AYER RESPONSE FILE NO. 21 Olo - Il.S ACN 06140489 DATE 08-11-2006 REY-1545 EX AFP '09-001 I {"; r -, ,. i.. (..- ,.' .. ; I 1, : ~'~. OF LOTTIE M HURLEY S.S. NO. 209-12-8570 DATE OF DEATH 06-25-2006 COUNTY CUMBERLAND TYPE OF ACCOUNT [i] SAVINGS o CHECKING o TRUST o CERTIF. BONNIE M HURLEY 2185 NEWVILLE RD CARLISLE PA 17013 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 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 am.w..rell by calli"" (717) 767-a32.7. COMPLETE PART 1 BELOW · . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 9639179 Date 07 -17 -196 7 Established Account Balance Percent Taxable A.ount Subject to Tax Rate Potential Tax Due x 347.65 50.000 173.83 .045 7.82 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". Tax 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. PART [J 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. c=J 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. If yOU indicate a different tax rate, please state your relationship to decedent: c=J The above information is incorrect and/or debts and deductions were paid by you. You must complete PART ~ and/or PART ~ below. PART [3J TAX RETURN - COMPUTATION LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. A.ount Subject to Tax 5. Debts and Deductions 6. A.ount 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 Under penalties of complete to the best of facts I have reported above0are true, corre~and HOME (7/ '}) "'- ~ "3 - 7 /6 WORK () . 9-/-)-'2 ril'7&, TELEPHONE NUMBER DATE TAXPAYER SIGNATURE -