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COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
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03-02-2007
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE NO.
ACN
DATE
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REV-1S4a EX AFP (09-00>
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TYPE OF ACCOUNT
o SAVIHGS
[i] CHECKING
D TRUST
o CERTIF.
EST. OF GRACE I HEPFORD
5.5. NO. 174-20-2902
DATE OF DEATH 06-21-2005
COUNTY CUMBERLAND
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REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
DIANNE G DILGER
4 CEDARVIEW DR
LEBANON PA 17042
PNC 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 ioint 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 fo,.. and return it to the above address. This .account is taxable in accordance with the Inheritance Tax Laws of the Co..onwealth
of Pennsylvania. questicos. .ay be answerod by calling (7171 787-S!27_
COMPLETE PART 1 BELOW ~ ~,~~EE REVERSE SIDE FOR FILING ~ND PAYMENT INSTRUCTIONS
Account No. 5140113368
Date 02-01-1970
Established
To insure proper credit to your account, two
(2) copies of this notice .ust acco.panv your
pay_ent to the Register of Wills. Make check
payable tOt "Register of Wills, Agent"_
Account Balance
Percent Taxable
Amount SUbject to Tax
Tax Rate
Potential Tax Due
PART
[!]
26,658.53
X 50.000
13,329.27
X .045
599.82
TAXPAYER RESPONSE
NOTE I If tax pay.ents are .ade within three
(3) .onths of the decedent's date of death,
yOU .ay deduct a 6X discount of the tax due.
Any inheritance tax due will beco.e delinquent
nine (9) months after the date of death.
A. 0 The above informat10n and tax due is correct.
. 1. You may choose to remit 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 Department of Revenue.
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. 0 The above infor.ation is incorrect and/or debts and deductions were paid by you.
You .ust co.plete PART ~ and/or PART ~ below.
If you indicate a different tax rate, please state your
relationship to decedent:
[CHECK ]
ONE
BLOCK
ONLY
PART
~
TAX
LINE
RETURN - COMPUTATION
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
4
5
6
7
8
X
X
SEE ATTACHED LK'r.r&(
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 have reported above are true, correct and
complete to the best of my knowledge and belief. HOME (I' 7 ) "'27'5- '2.2.. J t;:,
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TAXPAYER SIGNATURE ~ TELEPHONE NUMBER -,rA~- .
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KEITH L. KILGORE
PAUL W. KILGORE
JOHN D. ENCK
Law Offices
SPITLER, KILGORE & ENCK, PC
522 South Eighth Street
P.O. Box 1188
LEBANON, PENNSYLVANIA 17042
(717) 273-7621 (VOICE)
(717) 273-1693 (FAX)
ske@skelawfirm.com
CALVIN D. SPITLER
(1942-2003 )
THOMAS A. EHRGOOD
(1952-2006)
April 10, 2007
Register of Wills
Cumberland County Courthouse
1 Courthouse Square
Carlisle, PA 17013
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RE: Estate of Grace I. Hepford
S.S. No. 174-20-2902
DOD: 06/21/2005
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Dear Sir or Madam:
Enclosed please find correspondence sent to the Department of Revenue as to
the above estate. In addition, please find enclosed payment of tax due with respect
to said notice as corrected in the amount of $199.94. If you have any questions,
please give me a call.
PWK/lms
Enclosure
cc: Dianne G. Dilger
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KEITH L. KILGORE
PAUL W. KILGORE
JOHN D. ENCK
Law Offices
SPITLER, KILGORE & ENCK, PC
522 South Eighth Street
P.O. Box 1188
LEBANON, PENNSYLVANIA 17042
(717) 273-7621 (VOICE)
(717) 273-1693 (FAX)
ske@skelawfmn.com
CALVIN D. SPITLER
(1942-2003)
THOMAS A. EHRGOOD
(1952-2006)
April 10, 2007
Commonwealth of Pennsylvania
Department of Revenue
Bureau of Individual Taxes
Department 280601
Harrisburg, P...o\ 17128
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RE: Estate of Grace I. Hepford
S.S. No. 174-20-2902
DOD: 06/21/2005
County: Cumberland
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Dear Sir or Madam:
Please be advised our office represents Dianne G. Dilger, who received the Tax
Important Notice and Taxpayer Response form from the Department of Revenue
regarding the above estate. Please be advised the matter referenced in the notice, PNC
account number 5140113368 was held by Grace I. Hepford, her husband, Samuel P.
Hepford and their daughter Dianne G. Hepford at the time of Grace 1. Hepford's date of
death on June 21, 2005 (see death certificate enclosed). Enclosed please find a copy of
the account statement pertaining to said date which is submitted in support of the
computation of the tax due. Upon the death of Grace I. Hepford, the property passed
equally to Samuel P. Hepford and Dianne G. Dilger. The amount going to Samuel P.
Hepford is not subject to tax in that Samuel P. Hepford was the spouse of Grace 1.
Hepford. The amount subject to tax for Dianne G. Dilger would be one-sixth (116) of the
value of Grace 1. Hepford's interest as of the time of death, $26,658.53, or $4,443.00.
The tax rate would be .045 and the amount of tax due would be $199.94. Enclosed you
will find a marked up notice for your records. If you have any questions, please give me
a call.
Very truly yours,
PAUL W. KILGORE
PWKIlms
Enclosure
cc: Dianne G. Dilger
Register of Wills of Cumberland County j
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