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Home My WebLink About02-16-07 COMMOINVE.L\LTH OF PENNSYLVANIA DEPL\RTMENT OF REVE'JUE 6UREL\U OF INDIVIDUA_ T L\XES DEPT 2C.060 1 HL\RRISBURG, PA 17123.0601 REV.1162 EX(11.96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT LAUER BRENDA LEE 285 ROBIN ANN CT HELLAM, PA 17406 ESTATE INFORMATION: SSN: 219-28-9698 FILE NUMBER: 2106-0665 DECEDENT NAME: BUTLER GRACE MAE DA TE OF PA YMENT: 02/16/2007 POSTMARK DATE: 02/1 6/2007 COUNTY: CUMBERLAND DA TE OF DEATH: 04/22/2006 NO. CD 007815 ACN ASSESSMENT CONTROL NUMBER AMOUNT 06143013 I $23.85 06143014 I $23.68 I I , I I I I TOTAL AMOUNT PAID: REMARI<S: BRENDA l lAUER CHECI<# 665 SEAL INITIALS: AJW RECEIVED BY: REGISTER OF WILLS $47.53 GLENDA FARNER STRASBAUGH REGISTER OF WilLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 '* INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DATE NO. 21 06- 0665 06143013 08-25-2006 REV-15U EX AFP 109-001 EST. OF GRACE M BUTLER S.S. NO. 219-28-9698 DATE OF DEATH 04-22-2006 COUNTY CUMBERLAND TYPE OF ACCOUNT o SAVINGS o CHECKING o TRUST [Xl CERTIF. BRENDA L LAUER 285 ROBIN ANN CT HELLAM PA 17406 REHIT PAYHENT AND FORHS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, ~~ 17013~~ -...I .:-:~~ ~'J ... "-'1 ':::::J FULTON BANK has provided the Department with the information listed below which hlls',b~n useg\n calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a~oj~t-,owner~enefieiar~df this account. If you feel this information is incorrect, please obtain written correction from the financial -insti~tion~tach a copy to this form and return it to the above address. This account is taxable in accordance with the Inheritance T~i~Laws of~e Commonw.aI~h of Pennsylvania. Questions may be answered by calling (717) 787-8327. __'J r:'.;>, COMPLETE PART 1 BELOW I( I( I( SEE REVERSE SIDE FOR FILING AND PAYMENT,XNSTRUCUONS N Account No. 512-0128499 Date 10-19-2005 To insure proper credit to your account, two Established (2) copies of this notice must accompany your payment to the Register of Wills. Make check payable to: "Register of Wills, Agent". x 1,060.01 50.000 530.01 .045 23.85 TAXPAYER RESPONSE NOTE: If tax payments are made within three (3) months of the decedent.s date of death, you may deduct a 5X discount of the tax due. Any inheritance tax due will become delinquent nine (9) months after the date of death. Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x Tax PART [!] 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. [] The above information is incorrect and/or debts and deductions were paid by you. You must complete PART ~ and/or PART ~ below. JOINT/TRUST ACCOUNTS PART ~ TAX RETURN - COMPUTATION OF TAX ON If you indicate a different tax rate, please state your relationship to decedent: LINE 1. Date Established 1 2. Account Balance 2 3. Percent Taxable 3 4. Amount Subject to Tax 4 5. Debts and Deductions 5 6. Amount Taxable 6 7. Tax Rate 7 8. Tax Due 8 PART [!] DATE PAID PAYEE x x DEBTS AND DEDUCTIONS CLAIMED AMOUNT PAID I $ are true, and DESCRIPTION I TOTAL (Enter on Line 5 of Tax Computation) perjury, I declare that the facts I my knowledge and belief. HOME COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. Z80601 HARRISBURG, PA 171Z8-0601 '* INFORMATION NOTICE AND TAXPAYER RESPONSE FILE NO. 21 06-0665 ACN 06143014 DATE 08-25-2006 REV-15~5 EX AFP 109-00) EST. OF GRACE M BUTLER S.S. NO. 219-28-9698 DATE OF DEATH 04-22-2006 COUNTY CUMBERLAND TYPE OF ACCOUNT D SAVINGS D CHECKING D TRUST IX] CERTIF. BRENDA L LAUER 285 ROBIN ANN CT HELLAM PA 17406 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 Cj -r'\ . ~~ iT1 FUL TON BANK has provided the Department with the information listed below which ha;',b,~ usedcr:. calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a jo~t'i:iwnertWiiieficia"'y of, this account. If you feel this information is incorrect, please obtain written correction from the financial ins~tlition, ~rHach aC,opt' to this form and return it to the above address. This account is taxable in accordance with the Inheritance TaxLaW$ of the Commoow$alth of Pennsylvania. Questions may be answered by calling (717) 787-83Z7. ">'~"'1': -0 ..,.' COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT I~RUCTr5NS -., p, Account No. 512-0208539 Date 10-19-2005 To insure proper credi-e~~IYour ac~t, two Established (Zl copies of this notice must accofRilny your payment to the Register of Wills. Make check payable to: "Register of Wills, Agent". x 1,052.34 50.000 526 . 17 .045 23.68 TAXPAYER RESPONSE NOTE: If tax payments are made within three (3l months of the decedent.s date of death, you may deduct a 5X discount of the tax due. Any inheritance tax due will become delinquent nine (9l months after the date of death. Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x Tax PART ill [CHECK ] ONE BLOCK ONLY A. [] 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. 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 PART ~ TAX RETURN - COMPUTATION OF If you indicate a different tax rate, please state your relationship to decedent: TAX ON JOINT/TRUST ACCOUNTS LINE 1. Date Established 1 2. Account Balance 2 3. Percent Taxable 3 4. Amount Subject to Tax 4 5. Debts and Deductions 5 6. Amount Taxable 6 7. Tax Rate 7 8. Tax Due 8 PART ~ DATE PAID PAYEE x DEBTS AND DEDUCTIONS CLAIMED DESCRIPTION AMOUNT PAID I TOTAL (Enter on Line 5 of Tax Computation) I $ perjury, I declare that the facts I nowledge and belief. HOME above are correct and ~!