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HomeMy WebLinkAbout09-15-06 -, "-'.' .t....\".~~;~ 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 007209 GUERNSEY VIRGINIA L 701 W LOUTHER ST CARLISLE, PA 17013 ACN ASSESSMENT CONTROL NUMBER AMOUNT ______n fold ESTATE INFORMATION: SSN: 203-10-9667 FILE NUMBER: 2106-0806 DECEDENT NAME: WILLHIDE ROMA YE M DATE OF PAYMENT: 09/15/2006 POSTMARK DATE: 09/14/2006 COUNTY: CUMBERLAND DATE OF DEATH: 03/26/2006 06125438 06125439 $12.98 $481.12 TOTAL AMOUNT PAID: $494.10 REMARKS: CHECK# 437 SEAL INITIALS: JA 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 171Z8-0601 -~.r ~'r REC'Q8~~ '--i I",i \1,11;-, ~ ' ",:.. f ":, ' ; _ I, J ;...- "" I I 'r' "G~r1i.4 EXiAFP t""'un INFORMATION NOTICE AND TAXPAYER RESPONSE FILE NO. 21 CXo <g"Ob ACN 06125439 DATE 06-02-2006 200& SEP \ 5 AM \\: \ 3 EST. OF ROMAYNE M WILLHIDE S.S. NO. 203-10-9667 DATE OF DEATH 03-26-2006 COUNTY CUMBERLAND TYPE OF ACCOUNT IXJ SAVINGS D CHECKING D TRUST D CERTIF. q;E~~ ;~f,\ ~T O~,EHr\N ~ \>'.;:>l:~ 'P/\ , ('\ \:'." , VIRGINIA L GUERNSEYVv, 701 W LOUTHER ST CARLISLE PA 17013 RE"IT PAYMENT AND FORKS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 ORRSTONN SANK has provided thll Departllent lIith thll inforlllltion listlld bllloll IIhich has blllln used in calculating the potentilll tax due. Their records indicate thllt lit thll death of the IIbOVll dllClIdent, yoU lIere a joint ollner/baneficiary of this IIccount. If YOU flllll this infor~tion is incorrect, plllllSll obtain IIritten corrllction fr~ the financilll institution, IIttach a copy to this for. IInd return it to the &bove address. This IIccount is taxable in accordance lIith the Inhllrltllncll Tax Lalls of the Coe.onllealth of Pennsylvtmi.. Questions ..y be ansllerad byc;alling (717) 787-8327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 706001564 D.t. 09-27-2002 E dull shed Account Salance Parc..,t Taxabla AIIount Subject to Tax Rate Pot..,tial Tax Due x 21,383.17 50.000 10,691.59 .15 1,603.74 TAXPAYER RESPONSE To Insurll proper credit to YOur account, tllO (2) copllls of this notice BUst IIccoepany your pay.ent to the RlIgistar of Wills. Makll chllck payable to: "RlIglstllr of Wills, Agent". x NOTE: If tax plly.ents ara .lIde lIithin thrllB (3) .onths of the dllcedent.s date of dllath, yoU ~y deduct II SZ discount of thll tax due. Any Inheritllnce tlIx due 11111 bllco.e delinqUllnt nine (9) .onths lifter the dlIte of dellth. Tax PART [!] A. [ CHECK ] ONE BLOCK B. ONLY c. c=J The IIboVlI Infor.ation lInd tllX dUll is correct. 1. You .ay choose to r..lt pay..nt to the Registllr of Wills lIith tllO copies of this noticll to obtain a discount or avoid interest, or YOU lIay check box "A" and return this notlcll to the Registllr of Wills and an official assesseent 11111 bll issued by the PA DlIpartllent of RevenUll. c=J The abovll asset hilS been or lIill be reported and tax paid lIith thll PennsylvlInia Inhllrltanca TlIx return --- ~ bll filed by the declldllnt.s representative. ~The above infor.ation is Incorrect and/or debts and deductions lIere pllid by YOU. You lIUSt coeplete PART ~ lind/or PART ~ bllloll. PART If you indicate a differ..,t jJlx rate*- ~ase state your ~ relationship to ~eced..,t: ~4 .., TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Date Established I 2. Account Salance 2 3. Perc..,t Taxule 3 X 4. A.ount Subject to Tax 4 S. Debts and Deductions S 6. Mount Taxable 6 7. Tax Rate 7 X 8. Tax Due 8 fO;~JfJf? f r () l./ · A/Y/~ IZ- DEBTS AND DEDUCTIONS PART [!J DATE PAID CLAIMED PAYEE DESCRIPTION AMOUNT PAID I TOTAL (Enter on Line S of Tax COIIPUt.Uon) I $ Under penalties of perjury, I declare that the _let. t. _tho, be: .~l_ ond be".f. TA~~~ ~~ facts I have reported Hove are true, correct and HOME (71: ).2~-83Y&- WORK ( ) /'/"/~ TELEPHON NUMBE ~/~C'~ AT COMMONWEALTH OF PENNSVLVANIA DEPARTMENT OF REVEIIJE BUREAU OF INDIVIDUAL TAXES DEPT. Z8060l HARRISBURG. PA l7lZ8-060l RtCORDEI*: >1:. . f''. ", .-r. L;Jv.h.us ,.J1\ l (a.-DIJ !,..';"-" "-l. i ~ " "'\ .~~ ""AU'... INFORMATION NOTICE AND TAXPAYER RESPONSE FILE NO. 21 CJLP ~ ACN 06125438 DATE 06-02-2006 2006 SEP I 5 AH \\: \ 3 CLER\\ OF , ~. ,'" r'n\ pT QRPlj.-i.p,l\j :J..'-,..../v, \ \ . !.. -' c",~. pr,. VIRGINIA L GUER~~~'~"--" ',n 701 W LOUTHER ST CARLISLE PA 17013 TYPE OF ACCOUNT EST. OF ROMAYE M WILLHIDE 0 SAVINGS S. S. NO. 203-10-9667 [X] CHECKING DATE OF DEATH 03-26-2006 0 TRUST COUNTY CUMBERLAND 0 CERTIF. REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 ORRSTOWN BANK hilS provided the o.pllrtllent with the infonllltion listed belDlil which has been usad in clllculating the potential tax due. Their records indicllte thllt at the daath of the above decedent. YOU were a joint Dlilner/beneficillry of this IIccount. If YOU faal this infor.ation is incorrect. please obtain written correction fro. the finllncilll institution. attach II copy to this for. and return it to the above address. This account is taxllble in accordance with the Inheritllnce Tax L8IiIs of the C~onwealth of PennsYlvanIa. Quastions.BY be ans...red by calling (717) 787-8327. COMPLETE PART 1 BELON . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 106001794 Date 09-27-2002 Est.blished Account BalMee Percent Tax_Ie A~t Subject to Tax Rate Potential Tax Due To insure proper credit to your account. two (Z) copies of this notice IlUSt aCCOllpany your plly.ent to the Register of Wills. Milke check pllYllble to: "Register of Wills. Agent". 577.00 50.000 288.50 .15 43.28 TAXPAYER RESPONSE x Tax x PART [!] A. [ CHECK ] ONE BLOCK B. ONLY c. NOTE: If tax pa~ants are .lIde within three (3) IIDnths of the decedent's date of death. YOU ..y deduct II 5" discount of the tax due. Any inheritance tax due will becOH delinquent nine (9) .onths after the date of daath. D The above infonlllltion and tax due is correct. 1. You .ay choose to r..it pay.ent to the Register of Wills with tlilO copies of this notice to obtain II discount or IIvoid interest. or YOU ..y check box "A" and return this notice to the Register of Wills and IIn official asses.-ent will be issued by the PA Depart.ent of Revenue. D The above asset hilS been or will be reported and tax paid with the PennsYlvllnia Inheritance Tax return to be filed by the decedent's representative. ~ above infor.ation is incorrect and/or debts and deductions were paid by YOU. You .ust cOllplete PART [!] and/or PART ~ belDlil. PART If you indicate a di fferent !~ rat~ase state your ~ relationship to decedent: ~~JV------ TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Date Est_lished I 2. Account Balence 2 3. Percent Taxable 3 X 4. Mount Subject to Tax 4 5. Debts end Deductions 5 6. A.ount Texable 6 7. Tex Rete 7 X 8. Tax Due 8 2. gK.5CJ ~~~~ PART [!J DATE PAID DEBTS AND DEDUCTIONS CLAIMED PAYEE DESCRIPTION AMOUNT PAID I TOTAL (Enter on Line 5 of Tax Computetion) Under penal ties to the best I $ perjury, I declare that the fects I heve reported above are true, correct end .y knowledge end belief. HOME ('1/7> ~~-8'38'~ WORK ( > ~ ~ Y-/~-PV DATE ~ a: Ir~ 11"...;- I ;'~Ii' :>r-r- , ~iC) gr; :C!i IV.' ... ....I '< ,.... -.1 o ,..,. (,a) ...." (aJ ~ a}j \ -.J u', Rt .,.. 5...4 ..... - -l4 J.= :: .,., - tt1 ~"'V F 7.i ... rn >-! - V V"i - r t..) CO ~ r 1.f '- - ~ =- U ",.t..l' ... t"J, CI ::: .. V U - ...... ):. - ... .... ... ... 5...4 ~ 5...4 ""j - -j j.,.l. ... ... ... :- ~ ... == -