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Home My WebLink About04-03-07 ,- COMMONWEALTH OF PENNSYLVANIA DEPAJ!IMENT OF REVENUE BUREAU c\~ lm:mllDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT LEON ELLEN J 1716 MAPLE STREET NEW CUMBERLAND, PA 17070 -------- fold ESTATE INFORMATION: SSN: 067-26-6854 FILE NUMBER: 2107-0323 DECEDENT NAME: LEON DONALD C DATE OF PAYMENT: 04/03/2007 POSTMARK DATE: 04/02/2007 COUNTY: CUMBERLAND DA TE OF DEATH:. 01/14/2007 . .. . NO. CD 007964 ACN ASSESSMENT CONTROL NUMBER AMOUNT 07110122 I $9.55 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: CHECK# 3127 ,. INITIALS: WZ RECEIVED BY: SEAL , REGISTER OF WILLS $9.55 GLENDA FARNER STRASBAUGH REGISTER OF WILLS .- C()IIIIONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280nl HARRISBURG, PA 17128-0'01 .- INFORMATION NOTICE - AND TAXPAYER RESPONSE FILE ACN DATE NO.21 -01-- &;>0 07110122 03-12-2007 1lEY.lau IX /lFP 'U9.nl 7110,7 ~ cR r'\ ~.u , hi '\ - J EST. OF DONALD C LEON S.S. NO. 067~26-6854 DATE OF DEATH 01-14-2007 CO~ , . . ,C4MBI;RLA~D , TYPE OF ACCOUNT o SAVINGS [i] CHECKING o TRUST o CERTIF. Mi 11: 33 CLEI1i( or: ORPHr\i'lc,' ('.h, 'RT . GIll' ,-. ,",,~" "-. ,-".I,. " I -, ~..JI\/ ;--i':: "'! I,"', (;"r':"~ "r:)~ REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 DONNA J WRIGHTSTONE 1716 MAPLE ST NEW CUMBERLAND PA 17070 FUL TON BANK has provided the Departaent vith the infoNation listed below vhich has bun used in calculeting the potential tax due. Their records indicete that at the death of the above decedent, YDU vere a jDint owner/beneficiery of this accDunt. If you feel this infDNation is incorrect, please Dbtain vritten cDrrection fr~ the financial institution, attach a CDPY to this fD'" and return it to the above address. This account is taxable in accDrdance vith the Inheritance Tax Laws Df the Co..ontlealth Df Pennsylvania. Qwastions eey be answ.red by calling (717) 7'7~'127. COMPLETE PART 1 BELOW Account No. 3622-23389 . . . SEE REVERSE SIDE FOR FILIN~ AND PAYMENT INSTRUCTIONS Date 09-23-2003 Account Balanca Percent Taxable AMount Subject to Tax Tax Rate Potentlal Tax Due x 1,339.71 16.667 223.29 .045 10.05 TAXPAYER RESPONSE TD insure proper credit to your account, tvo (2) copies of this notice aust accoapany your payaent to the Register Df Wills. Make check payable tD' "Register of Wills, Agent"~ Established x NOTE. If tax payaents are aade vithin three (3) aDnths of the decedent's date Df death, YOU aay deduct a 5X discount Df the tax due. Any inheritance tax due viII becDae delinquent nine (9) aonths after the date of death. PART II] he abDve infoNatron and tax due is correct. 1. YDU aay choDse .to r..it payaent to the Register Df Wills vith tVD cDPies Df this nDtice tD obtein a discount or avoid interest, or you aay check box "A" and return this nDtice to the Register of Wills and an Dfficial assessaent viII be issued by the PA Departaent Df Revenue. [CHECK ] ONE BLOCK ONLY B. c=J The above asset has been or viII be reported and tax paid vith the Pennsylvania Inheritance Tax return tD be filed by the decedent's representative. C. c=J The above infoNation is incDrrect andlor debts and deductions vere paid by YDU. You aust cDaplete PART ~ andlor PART ~ belov. TAX ON JOINT/TRUST ACCOUNTS It you lndlcate a dltterent tax rate, please state your relatlonshlp to decedent: PART [!] TAX RETURN - COMPUTATION LINE 1. Date Establl$hed 2. Account Balance 3. Percent Taxable 4. AMount Subject to Tax 5. Debts and Deductlons ,. AMount Taxable 7. Tax Rate 8. Tax Due OF 1 2 3 4 5 6 7 8 x x PART ~ DATE PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL (Enter on Llne 5 ot Tax COMPutatlon) . Under penaltles ot perjury, I declare that the tacts I have reported above are true, correct and COMPlete to the best ot MY knowledge and bellet. HOME ( WORK ( TELEPHONE ) ) NUHBER TAXPAYER SIGNATURE DATE .,...~. " ~.~,.,~:r"" ~ ..,. -~" CO""lIHNEAL TH OF PIiNNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 210'01 HARRISBURG, PA 17121-0'01 - IEV.._ EX IFPc.,'"'] INFORMATION NOTICE i~~~E:NRESPONSE I' ,,": FILE ACN DATE NO. 21- 01- B~~ 07110121 03-12-2007 ELLEN J LEON 1716 MAPLE ST NEW CUMBERLAND PA 17070 20U7 A,PR - 3 At; Y~T~ 3 OF DONALD C LEON S.S. NO. 067-26-6854 , q~pf!~J\~s,8?\J~FF DEA~UM:~;~:~~007 CLiJ, ' 1 " REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 TYPE OF ACCO~NT o SAVINGS Ii] CHECKING o TRUST o CERTIF. FUL TON BANK has provided tha Depart.ent with tha info~ation listed below which has been used in calculating the potential tax due. Their records indicete thet at the death of the ebove decedent, you were a joint owner/beneficiary of this account. If YOU feel this info~etion is incorrect, please obtain written correction fru. the financial institution, attach a cOPY to this fo~ and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Cu..onwealth of Pennsylvania. Qvestlons aev be enswered by calling (717) 717-1527. COMPLETE PART 1 BELOW . . . SEE REVERIE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 3622-23389 Date 09-23-2003 Account Balance Percent Taxable A.ount Subject to Tax Tax Rate Potential Tax Due x 1,339.71 16.667 223.29 .00 .00 TAXPAYER RESPONSE To insure proper credit to your account, two (2) copies of this notice aust accoapany your pay.ent to the Register of Wills. Make check payable to. "Register of Wills, Agent". Established x NOTE. If tax pay.ents are .ade within three (5) .onths of the decedent's date of death, you .ay deduct a SX discount of the tax due. Any inheritance tax due will becoae delinquent nine (9) .onths after the date of death. PART ill The above inforaation 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 evoid 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 reportad and tax paid with the PennSYlvania Inheritanca Tax return to be filed by the decedent's representative. C. c:l The above inforaation i~ncorrect and/or debts and deductions were paid by you. You .ust co.plete PART ~ and/or PART ~ below. TAX ON JOINT/TRUST ACCOUNTS If you indicate a different tax rate, please state your relationship to decedent: PART ~ TAX RETURN - COMPUTATION LINE 1. Date Established 2. Account aalance 3. Percent Taxable 4. A.ount Subject to Tax 5. Debts and Deductions 6. A.ount Taxable 7. Tax Rate 8. Tax Due OF 1 2 3 4 5 6 7 8 x x PART I!I DATE PAID ,PAYEE DESCRIPTION AMOUNT PAID I TOTAL " (Enter on Line 5 of Tax Co.putatlon) . perjury, I declare that the facts I have reported above are true, correct and knowledge and belief. HOME ( WORK ( TELEPHON ) ) NUMBER 'o1l{4? TAX i t ;; I" ~ ~ l-.! ;... d. IO/!' 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