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.
...
...
...
:-
~
...
==
-