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Home My WebLink About03-13-07 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 SNYDER MARY L 6018 MOCKINGBIRD DRIVE MECHANICSBURG, PA 17050 __nun fold r I ESTATE INFORMATION: SSN: 162-22-6225 I FILE NUMBER: 2107-0238 I ANCH EFF ELI E I DECEDENT NAME: I I 03/13/2007 IDA TE OF PAYMENT: I POSTMARK DATE: 03/12/2007 i I COUNTY: CUMBERLAND I IDA TE OF DEATH: 12/24/2006 NO. CD 007895 ACN ASSESSMENT CONTROL NUMBER AMOUNT 07104411 I $18.07 I I I I I I I I TOTAL AMOUNT PAID: $18.07 REMARI<S: MARY SNYDER CHECK# 335 SEAL INITIALS: AJW RECEIVED BY: REGISTER OF WILLS GLENDA FARNER STRASBAUGH REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG. PA 1712B-0601 *' INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DATE NO.21 ()lDa~~ 07104411 02-05-2007 REV-1S43 EX AFP (09-00) EST. OF ELI E ANCHEFF S.S. NO. 162-22-6225 DATE OF DEATH 12-24-2006 COUNTY CUMBERLAND TYPE OF ACCOUNT D SAVINGS IiJ CHECKING D TRUST D CERTIF. MARY L SNYDER 6018 MOCKINGBIRD DR MECHANICSBURG PA 17050 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 r......:; C;) ,~=~ \::;:> --.I f1 c::) ";-1 _,c.. --T1 -. COMMUNITY BANKS has p..ovided the Depa..t.ent with the info...ation listed below which h~b~ useJt;l:;.n calculating the potential tax due. Thei.. ..eco..ds indicate that at the death of the above decedent. you We..e a_j~~ne"Q!!neficial"Ye>f this account. If you feel this info...ation is inco....ect. please obtain w..itten co....ection f..o,. the financial in!lti!gtion.~tach a-c_, to this fo... and ..etu..n it to the above add..ess. This account is taxable in acco..dance with fhe Inhe..itanceTaK~8ws of the Co..onweaIth of PennSylvanla. Questlons .ay De answe..ed by cul1ng (1171 lil7-b327. . '~::>.:-:. -a ' . '. .... COMPLETE PART 1 BELOW IE IE IE SEE REVERSE SIDE FOR FILING AND PAYMENTl':NSTiitUCT-ItlNS JI N To insu..e p..ope.. c..ellU-'ti you.. actbunt. two {2l copies of this net'lce .ust acEbtipany you.. pay.ent to the Resiste.. of Wills. ~ke check payable to. "Registe.. of Wills. Agent". f--"-' Account No. 146024526 Date Established 08-01-2005 x 2,408.90 16.667 401.49 .045 18.07 NOTE. If tax pay.ents a..e .ade within th..ee {3l .onths of the decedent's date of death. you .ay deduct a 5X discount of the tax due. Any inhe..itance tax due will beco.e delinquent nine {9l .onths afte.. the date of death. Account Balance Pe..cent Taxable Amount Subject to Tax Tax Rate Potential Tax Due x PART [!] TAXPAYER RESPONSE The above info...ation and tax due is co....ect. 1. You.ay choose to ..e.it pay.ent to the Registe.. of Wills with two copies of this notice to obtain a discount 0" avoid inte..est. 0.. you .ay check box "A" and ..etu..n this notice to the Registe.. of Wills and an official assess.ent will be issued by the PA Depa..t.ent of Revenue. [CHECK ] ONE BLOCK ONLY B. [] The above asset has been 0.. will be ..epo..ted and tax paid with the Pennsylvania Inhe..itance Tax ..etu..n to be filed by the decedent's ..ep..esentative. PART If you indicate a diffe..ent ~ ..elationship to decedent: TAX RETURN - COMPUTATION OF 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 C. [] The above info...ation is inco....ect and/o.. debts and deductions we..e paid by you. You .ust co.plete PART ~ and/o.. PART ~ below. tax rate. please state YOUI' x TAX ON JOINT/TRUST ACCOUNTS x PART [!] DATE PAID DEBTS AND DEDUCTIONS CLAIMED PAYEE DESCRIPTION AMOUNT PAID TOTAL (Enter on Line 5 of Tax Computation) . perjurY. I declare that the facts I knowledge and belief. have reported ell e 71 HOME WORK ~ 0] , .J '" NO. 21 ()\ ()~~t 07104410 02-05-2007 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 *' INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DATE REV-iS'3 EX AFP (09-00l EST. OF ELI E ANCHEFF S.S. NO. 162-22-6225 DATE OF DEATH 12-24-2006 COUNTY CUMBERLAND TYPE OF ACCOUNT o SAVINGS [i] CHECKING o TRUST o CERTIF. AGNES S ANCHEFF 6018 MOCKINGBIRD DR MECHANICSBURG PA 17050 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 l~""'" CJ ~~ COMMUNITY BANKS has provided the Department with the inforllation listed below (;~icll has beeii.::t.sed in, -;. calculating the potential tax due. Their records indicate that at the death of the above decedent, YOuW~~~ joint ~er/b.netie1~ry of this account. If you feel this inforllation is incorrect, please obtain written correction froll the financ~~titu~n, attac~a1copy to this forll and return it to the above address. This account is taxable in accordance with the Inheritan~7~ Lawl-Qf theCQ"o~ealth of P~;:n3ylY15r.io.. Questiuils .ay b" an.:swEtred by calling (71 Ti ,87"'8327. ~.~~ I._I, W .. ~_." COMPLETE PART 1 BELOW IE IE IE SEE REVERSE SIDE FOR FILING AND PAYMENt' ~tNSTRUCTIONS,-~ .'_ ~' :-~-~ ,J - -:-~ To insure proper'~~iid;.tl to y.iiif accoUnt,ctw:.. (2) copies of thls~Altice lIu~ccoIIPa~iv~r paYllent to the R'llster of Wills. Ma~e chepk payable to: "Regi'ster of Wil]QY Agent". o NOTE: If tax paYllents are lIade within three (3) 1I0nths of the decedent's date of death, you lIay deduct a 5X discount of the tax due. Any inheritance tax due will becolle delinquent nine (9) 1I0nths after the date of death. Account No. 146024526 Date 08-01-2005 Established Amount Subject to Tax Tax Rate x 2,408.90 16.667 401. 49 .00 .00 Account Balance Percent Taxable x Potential Tax Due PART ill TAXPAYER RESPONSE The above inforllation and tax due is correct. 1. You lIay choose to rellit payllent 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 assessllent will be issued by the PA Departllent of Revenue. [CHECK ] 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 IIUSt cOllplete 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 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 TOTAL (Enter on Line 5 of Tax Computation) . Under penalties of perjury, I declare that the facts complete to the best of my knowledge and belief. --~...~ I ~a;~Erep~~i~~ov~r~ t~e~S~;3.l ~ WORK ( ), "/LJ -VI ~ TE:l E:DUnldE: IdIlMRI:P nAT~ . ~ -c ~ t- J 1'", ~ l' ;) f ! ~ Q (i r--. .~ C ~ ~ tJ) i-4 ~ 3 ~ ( cr.: :E ( ~ ~ :t ....... o lI'l It:~O Q) '!:: r-- '50..... ~]~ ........c ~ Ei3 Ol) eo .r::: =' rliJ2..c ~~.s ~oo...r= ~~~ "--. 12 :2 Hd 81 LDDZ .J