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Home My WebLink About03-26-07 (2) COMMOIl>lEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 2B0601 HARRISBURG, PA 17128-0601 oM.- 'GIIM' J"FORMATION NOTICE .1.. '.. AND T.~pAYER RESPONSE FILE ACN DATE NO. 21 06-1086 071 08369 03-01-2007 1lEV-1545 EX MP (09.001 2GOl t'L~R 26 Pi'112: 3: EST. OF LENORA HAWKINS CL.ER\tOF. S.S. NO. 499-24-3633 ORPHf\frs COURTD.n OF DEATH 10 -12 - ?,00.6 'C. .\ \~:irro: I:)',; ('r:) ~UNTYCUMBERLAND ''J t \ "- "'~, ,', TYPE OF ACCOUNT [i] SAVINGS o CHECKING o ,.RUST .0 CERTIF. . KAREN L HAWKINS- 263 LINCOLN ST CARLISLE PA 17013 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS' CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 MEMBERS 1ST FCU 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. Qu.~tiens'-.y be answered by Gallinwf11~~-J81-&&27. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS . Account No. 251147-00 Date 09-17-2004 Established Account Balance Percent Taxable Amount Subject to Tax Tax Rate Potential Tax Due x 305.08 50.000 152.54 .045 6.86 TAXPAYER RESPONSE To insure proper credit to your account, two (2) copies of this notice .ust accoapany your pay.ent to the Register of Wills. Make check payable to. "Register of Wills, Agent". x 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 ill m;~~:~:::::~~~:~:~t::;:~,_~:~-~:-:::f;~;;~I;:;!jft:t~:1:t~~;il~:_:fG~:_;~~,J;~:t;~I:;;:_l~~:~-~;;:~~f::t;;;tr;k~:::~~~]ir~:~::]::;;~~Z;:ii;:~~::Ir;ri"t~~~~::1 A. l\J ~ above inforaation and tax due is correct. ~. 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 .~ 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. [CHECK ] ONE BLOCK ONLY B. [:] The above asset has been or will be reported end tax paid with the PennSYlvania Inheritance T.x return to be filed by the decedent's representative. C. [:] The above infor.atioft is incorrect andlor debts and deductions were paid by you. You .ust co.plete PART ~ andlor PART ~ below. 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 If you indicate a different tax rate, please state your relationship to decedent: x PART ~ DATE PAID DEBTS AND DEDUCTIONS CLAIMED PAYEE DESCRIPTION AMOUNT PAID I TOTAL (Enter on line 5 of Tax Computation) . Under penalties of perjury, I declare that the facts I complete to the best of my knowledge and belief. r 'i.~ TAXPA~IGNATURE DATE Y~.I ...- ._,....,~.. - .~_.,..._._~..-~.,~'""'"7>l"!':'.'f~J?~'::' ~,..-....._--"'. - COMMOII>IEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG. PA 1712B-0601 '* -1 ' ;tNF~Mi~TION NOTICE ',j' AND TAX~~~ER RESPONSE FILE ACN DATE NO. 21 06-1086 071 08444 03-02-2007 REV-1S4S EX AFP (89-00> . . )cl ,',~. 20J71'1~\R 25 Pr112: 31 EST. OF LENORA HAWKINS CLERK OF S.S. NO. . 499-24-3633. " ORPb\/~J'{S CO\J~TE OF DEATH 1 0 - 12 - 2.0 0 6 CUt<:F~'-'<r:!'<~'I"'{. ('r'F.~ CUMBERLAND REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 TYPE OF ACCOUNT [i] SAVINGS o CHECKING o TRUST OCERTIF. ** KAREN L HAWKINS 263 LINCOLN ST CARLISLE PA 17013 MEMBERS 1ST FCU has provided the Depart.ent with the infor.ation lishd 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 inforaation is incorrect, please obtain written correction fru. the financial institution, attach a cOPY to this fora and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Co..onwealth of PennCl/lvania. Question" IIaY be answered by c;alling Gll)- 787-&327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 251147-01 Date Established 12-16-2005 To insure proper credit to your account, two (2) copies of this notice .ust accoapany 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 x .00 100.00 .00 .045 .00 TAXPAYER RESPONSE NOTE. If tax pay.ents are .ade within three (3) .onths of the decedent's date of de.th. you .ay deduct e 5X discount of the tax due. Any inheritance tax due will beco.e delinquent nine (9) .onths after the date of death. x PART ill 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. [CHECK ] ONE BLOCK ONLY B. c=l 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. c=l The ebove infor.ation is incorrect and/or debts and deductions were paid by you. You .ust co.plate PART 0 and/or PART 0 below. PART [!] DATE PAID DEBTS AND DEDUCTIONS CLAIMED If yoU indicate a d1fferent 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 x PAYEE DESCRIPTION AMOUNT PAID TOTAL CEnter on Line 5 of Tax Co.putation) . Under penalties of perjury, I declare that the facts i=~~noWledlle and belief. TAXPAYER SIGNATURE have reported above are true~rect HOME ( 7 1"2 > 2~ ~J >: / WORK ( > TELEPHONE NUMBER and In ~}1, 7 DATE