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HomeMy WebLinkAbout08-23-06 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT 280601 HARRISBURl3, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT JUMPER SHERRY L 90 FOX HOLLOW ROAD SHERMANSDALE, PA 17090 __~_n__ lold EST ATE II\J FORMA TI ON: SSN: 198-34-6506 FILE NUMBER: 2106-0745 DECEDENT NAME: JUMPER FLORENCE E DA TE OF PAYMENT: 08/23/2006 POSTMARK DATE: 08/23/2006 COUNTY CUMBERLAND DATE OF DEATH: 01/18/2006 NO. CD 007136 ACN ASSESSMENT CONTROL NUMBER AMOUNT 06125435 I $10.20 06125434 I $3.06 I I I I I I I TOTAL AMOUNT PAID: REMARI<S: SEAL INITIALS: AJW RECEIVED BY: REGISTER OF WILLS $13.26 GLENDA FARNER STRASBAUGH REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENIT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBU~~G, PA 17128-0601 INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DATE NO. 21 06125434 06-02-2006 REV-1543 EX AFP (09-00) EST. OF FLORENCE E JUMPER 5.5. NO. 198-34-6506 DATE OF DEATH 01-18-2006 COUNTY CUMBERLAND TYPE OF ACCOUNT [X] SAVINGS o CHECKING o TRUST o CERTIF. JONATHAN JUMPER 90 FOX HOllOW RD SHERMANS DALE PA 17090 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 ~ay be answered by calling (717) 787-8327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS ACCl)Unt No. 186733-00 Date 08-18-1999 Established x 408.00 16.667 68.00 .045 3.06 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". ACCl)Unt Balance Per,:ent 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 57. discount of the tax due. Any inheritance tax due will become delinquent nine (9) months after the date of death. Tax [ CHECK ] ONE BLOCK B. ONLY c. 'l."- he 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. [] 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. x If you indicate a different tax rate, please state your relationship to decedent: PART [3J 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 JOINT/TRUST ACCOUNTS 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) I $ Under penalties complete to the bes ~~f' TAXP,AYER SIGN declare that the facts I and belief. have reported above are tru HOME ((17) S-OJ. WORK ( ) TELEPHONE NUMBER COMMONWEIIL TH OF PENNSYLVANIA DEPARTMEIH OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 281J601 HARRISBUI~G, PA 17128-0601 INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DATE NO. 21 06125435 06-02-2006 REV-154l EX AFP <09-00) TYPE OF ACCOUNT [X] SAVINGS o CHECKING o TRUST o CERTIF. TO: EST. OF FLORENCE E JUMPER 5.5. NO. 198-34-6506 DATE OF DEATH 01-18-2006 COUNTY CUMBERLAND SHERRY L JUMPER 90 FOX HOLLOW RD SHERMANS DALE PA 17090 REMIT PAYMENT AND FORMS 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 Penn5ylvanis. QU2~tions may be answered by calling (717) 787-8327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 186733- 0 0 Date 08-18-1999 Established x 408.00 16.667 68.00 .15 10.20 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 Per'cent Taxable Amclunt Subject to TalC: RatEt,) poi:entiaoV Tax Due x NOTE: If tax payments are made within three (3) months of the decedent's date of death, you may deduct a 51. discount of the tax due. Any inheritance tax due will become delinquent nine (9) months after the date of death. Tax ! ! PART; rn OJ ,he 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. t..:'. CH. ECK....]............. : '; 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. 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 TAX ON JOINT/TRUST ACCOUNTS OF 1 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) $ Under penalties complete to the bes [Q80L') TAXPAVER SIG T RE declare that the facts I belief. have reported above are true~~orr~t HOME (717) 5-0;)..." 0'10\ WORK ( ) TELEPHONE NUMBER and D"'" \tdJ/~(~ ATE'