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Home My WebLink About04-17-07 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 HANSEN ROSANN 15 NORTH PIN OAK DRIVE BOILING SPRINGS, PA 17007 -------- fold ESTATE INFORMATION: SSN: 091-30-2519 FILE NUMBER: 2107-0139 DECEDENT NAME: SANCETT A MOLLY DATE OF PAYMENT: 04/17/2007 POSTMARK DATE: 04/17/2007 COUNTY: CUMBERLAND DATE OF DEATH: 01/19/2007 NO. CD 008043 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $3,300.00 I I I I I I I I TOTAL AMOUNT PAID: $3,300.00 REMARKS: CHECK#102 INITIALS: MW RECEIVED BY: SEAL REGISTER OF WILLS 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 07-0139 07112296 03-20-2007 REV-15'i3 EX AFP (09-00) CC) EST. OF MOLLY SANCETTA 8.S. NO. 091-30-2519 DATE OF DEATH 01-19-2007 COUNTY CUMBERLAND TYPE OF ACCOUNT o SAVINGS o CHECKING o TRUST Ii] CERTIF. r- N , 0- r- i:~ ~~? ' ROS1(NN ~?:" i~HANSEN 15 gq: PI i<W.;k LJ1R BO~NG S~ PA 17007 ~ [) t.:.::J (:'-.,,1 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 SOVEREIGN BANK has provided the Depart.ent with the infor.ation listed below which has been used in calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a joint owner/beneficiary of this account. If you feel this infor.ation is incorrect, please obtain written correction fro. the financial institution, attach a COpy to this for. and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Co..onwealth of PennsYlvania. Questions .ay bq answered by calling (711) 787-8327. COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 1675274615 Date 08-23-2000 Established To insure proper credit to your account, two (2) copies of this notice .ust acco.pany your pay.ent to the Register of Wills. Make check payable to. "Register of Wills, Agent". Account Balance Percent Taxable Amount Subject to Tax Tax Rate Potential Tax Due 34,795.86 X 50.000 17,397.93 X .15 2,609.69 TAXPAYER RESPONSE NOTE. If tax pay_ents are .ade within three (3) .onths of the decedent's date of death, you .ay deduct a 5% discount of the tax due. Any inheritance tax due will beco.e delinquent nine (9) .onths after the date of death. PART [!] [CHECK ] ONE BLOCK ONLY A. [:] The above infor.ation and tax due is correct. 1. You .ay choose to re.it pay_ent to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, or you .ay check box "A" and return this notice to the Register of Wills and an official assess_ent will be issued by the PA Depart_ent of Revenue. 8. ~e 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 infor.ation is incorrect and/or debts and deductions were paid by you. You .ust co.plete PART ~ and/or PART ~ below. 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 PART [!] DATE PAID . PAYEE OF TAX ON JOINT/TRUST ACCOUNTS 1 2 3 X 4 5 6 7 X 8 PART [!] TAX RETURN - COMPUTATION If you indicate a different tax rate, please state your relationship to decedent: DEBTS AND DEDUCTIONS CLAIMED DESCRIPTION AMOUNT PAID TOTAL (Enter on Line 5 of Tax Computation) * Under penalties of perjury, I declare that the facts I X~ b~e and belief. have repo~ed abo~ are true, correct and HOME (! n ) c}.. Y 3- Y Cf9 z..-, WORK ( ) TELEPHONE NUMBER DATE ~ ......_.......'r""n ~T,.....IA,.IIDf:' 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 07-0139 07112297 03-20-2007 REV-1S"~ EX AFP (09-00) u.. EST. OF MOLLY SANCETTA S.S. NO. 091-30-2519 DATE OF DEATH 01-19-2007 COUNTY CUMBERLAND TYPE OF ACCOUNT o SAVINGS o CHECK I NG o TRUST [iJ CERTIF. r- ('oJ ("") .-- ~ t:/:' ROSANNtO-:;; _. HANSEN I!;).....N Pffl~1< DR BQi!LING-'~~ PA 17007 <C 0 ==:. ,...... --' g <.) C"'-.J REMIT PAYMENT AND FORMS TD: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 SOVEREIGN BANK has p..ovided the Depa..tllent with the info...ation listed below which has been used in calculating the potential tax due. Thei.. ..eco..ds indicate that at the death of the above decedent, you we..e a joint owne../beneficiar-y of this account. If you feel this info...ation is inco....ect, please obtain w..itten co....ection f..o. the financial institution, attach a copy to this fo... and ..etu..n it to the above add..ess. This account is taxable in acco..dance with the Inhe..itance Tax Laws of the Co..onwealth of Pennsylvania. Questions .ay be answe..ed by calling (717) 7~7-R327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 1695424307 Date 01-08-2003 x 72,459.15 50.000 36,229.58 .15 5,434.44 TAXPAYER RESPONSE To insu..e p..ope.. c..edit to you.. account, two (2) copies of this notice .ust acco.pany you.. pay.ent to the Registe.. of Wills. Make check payable to. "Registe.. of Wills, Agent", Established Account Balance Pe..cent Taxable Amount Subject to Tax Tax Rate Potential Tax Due x NOTE. If tax pay.ents a..e .ade within th..ee (3) .onths of the decedent's date of death, you may deduct a 5% discount of the tax due. Any inhe..itance tax due will become delinquent nine (9) .onths afte.. the date of death. PART [!J A. 0 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 assessment will be issued by the PA Depa..t.ent of Revenue. B. ~e 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. [CHECK ] ONE BLOCK ONLY C. 0 The above info...ation is inco....ect and/o.. debts and deductions we..e paid by you. You must co.plete PART ~ and/o.. PART ~ below. LINE l- Date Established 2. Account Balance 3. Pe..cent Taxable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due PART ~ DATE PAID PAYEE OF TAX ON JOINT/TRUST ACCOUNTS 1 2 3 X 4 5 6 7 X 8 PART [!J TAX RETURN - COMPUTATION If you indicate a diffe..ent tax ..ate, please state your ..elationship to decedent. DEBTS AND DEDUCTIONS CLAIMED DESCR I PTI ON AMOUNT PAID TOTAL (Enter on Line 5 of Tax Computation) . Unde.. penalties of pe..ju..y, I decla..e that the com~ to the bes~..~ K knnoowwl.Leeudllgee . and belief. ~~.~ facts have ..epo..ted HOME c7n WORK C TELEPHONE above a..e t..ue, ,~o}~~nd ) d/-P3"'::- i/ '-#T L- ) NUMBER DATE __..._....._.... _"'_"I""T"lln~