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CIJMMOtllllEAL TN OF PENNSYLVANIA
. DEPAR'i'IlENT OF REVENUE
IUREAU OF INDIVIDUAl TAXES
DEPT. 21.601
HARRISIURG, PA 17121.0601
'*
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO. 21 cYl O'2..'2.~
07108364
03-01-2007
'"
1liV-1543 EX In U9.10l
EST. OF VINCENT E MORGAN
5.5. NO. 179-09-7023
DATE OF DEATH 01-15-2007
COUNTY CUMBERLAND
TYPE OF ACCOUNT
o SAVINGS
[i] CHECKING
o TRUST
o CIERTIF.
LOIS I MORGAN
15 MARSHALL DR
CAMP HILL PA 17011
REMIT PAYKENT AND FORKS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
P L >11 , 0 1
BELCO COKKUNITY CU
has provided tha o.partaant with tha inforaation listad balow which has baan usad in
~~1~ulQtin8 th. pytwntial tax dU5. Th~ir i~CGids Indicata that ~t the d;~th ef the above deeedentF YOU wer~ a joint ~"~r/b~"~fiei~ry of
this account. If ~ou faal this inforaation is incorract, plaasa obtain writtan corraction f~ tha financial institution, attach a copy
to this fora and raturn it to tha abova addrass. This account is taxabla in accordanca with tha Inharitanca Tax laws of tha C...onwaalth
D'f.....'8TJ1fSYlVar.l.. QUnt'lans--..bT~.nr-W'c.l'ITi.lf~ (n7T717-;0327 .--~-'--~._"..-
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILIN; AND PAYMENT INSTRUCTIONS
Account No. 83~
11''13
Data 02-11-2003
Establishad
To insure proper credit to your ~cecu"tj two
(2) copias of this notice Must accoapany your
p~ant to tha Ra,ister of Wills. M~e chack
payabla to. "Rellistar of Wills, Allant".
Account Balanca
Pare ant Taxabla
A.ount Subject to Tax
TaX Rate
Potential Tax Due
15,468.08
X 50.000
7,734.04
X .045
348.03
TAXPAYER RESPONSE
NOTE. If tax pay.ents are..ada within three
(3) .onths of tha dacadant's data of deeth.
yOU M.v deduct a &X d1scount of the tax due.
Any inheritance tax due will bac..e delinquant
nine (9) aonths after tha data of daath.
PART
ill
I :~~~~ l
L ONL Y ..J
A. I\"} Tha above inforaation and t_ dua is corract.
~ 1. You..v choosa to raait p~ent to the Rallistar of Nills with two copias of this notice to obtain
a discount or avoid interast. or yoU .ay chack box "A" and raturn this notica to the Rallistar of
Wills end an official assass.ant will be issued by tha PA Dapartaent of Ravenue.
!. [:] Th~ ~hovc asset has be~n or will be re~ort~d ~"d t~~ ~~id with th~ P~n"~lv~ni~ r"h_r1tR"r.~ T8X r..turn
to be filed by tha decadant's representative.
C. 0 The above inforaaUon is incorract and/or debts and deductions ware paid by you.
You .ust coaplata PART I!J end/or PART 0 below.
PART
I!l
TAX RETURN - COMPUTATION
LINE 1. Data Est.blished
2. Account Balance
3. Percent Taxable
4. AMount Subject to Tax
5. Dabts and Deductions
6. Amount Taxable
7. Tax Rate
8. Tax Due
TAX ON JOINT/TRUST
If YOU indicate a different tax rate, please state your
relationship to decedent:
OF
1
2
3
4
5
6
X
7
x
8
PART
[!]
DATE PAID
PAYEE
DESCRIPTION
AMOUNT PAID
TOTAL CEnter on Line 5 of Tax Computation)
.
~nde penalties of perjury, I daclare that the
co.pl t 0 tha best of MY knowledga and belief.
A.. .. \},t/" N....
facts I
have raported
HOME ( ? 11
WORK (
above are trua, cOrrect and
) 73~-11tl9
) , ~/7 1& .,
:,OMMOI.WEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
8i,JREAU OF I~DIVIDUAL TAXES
,!u: T .18,0601
h':~;:~F-:l:.-~r';UP,G. p,;;' ,'7, 2H-0601
:CEIVE~ FROM:
,~,,("'lr: '" 1\, t lil~ ,
lV1\...I1 \'-11"'""'\'''' .............''-'' I
1 5 MARSHALL DR
CAMP HILL, PA 17011
- ,,,11
! EST.A,TE If\JI=ORMATION'
1 FILE NUMBER:
, DECEDENT NAME:
I
I
I DA TE OF PAYMENT:
i
I POSTMARK DATE:
I
I COUNTY:
REV-1162 EX(11.96)
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
SSN: 179-09-7023
2107-0226
MORGAN VINCENT E
03/09/2007
03/08/2007
CUMBERLAND
01/15/2007
NO, CD 007881
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
\07108364
I
t
\
I
$348.03
REMARKS:
CHECK# 3734
SEAL
TOTAL AMOUNT PAID:
$348.03
INITIALS: CJ
RECEiVED BY:
TAXPAYER
GLENDA FP..RI'JER STRASBAUGH
REGISTER OF WilLS
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