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Home My WebLink About04-24-07 (2) 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 NO. CD 008073 MCNAMEE CAROL W 414 E CATHERINE STREET CHAMBERSBURG, PA 17201 ACN ASSESSMENT CONTROL NUMBER AMOUNT __u_n_ fold 07116390 $1 24. 14 ESTA TE INFORMATION: SSN: 145-09-1132 FILE NUMBER: 2107-0394 DECEDENT NAME: WRIGHT GEORGE H DA TE OF PAYMENT: 04/24/2007 POSTMARK DATE: 04/23/2007 COUNTY: CUMBERLAND DATE OF DEATH: 03/13/2007 TOTAL AMOUNT PAID: $1 24.14 REMARKS: CHECK# 3208 SEAL INITIALS: OM RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE BUF~U OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 '* INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DATE NO. 21 Dl z:>ctLf 07116390 04-11-2007 REV-1543 EX AFP (09-00) EST. OF GEORGE H WRIGHT S.S. NO. 145-09-1132 DATE OF DEATH 03-13-2007 COUNTY CUMBERLAND TYPE OF ACCOUNT o SAVINGS o CHECKING o TRUST [Xl CERTIF. .. ..~ CARaL W MCNAMEE 414~e CATHERINE ST CHAM~ERSBURG PA 17201 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 FARMERS NATlr'BANK has provided the Department with the information 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 information is incorrect. please obtain written correction from the financial institution, attach a copy to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth of Penns~lvania. Questions may be answered by calling (717) 787-8327. COMPLETE PART 1 BELOW. . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 162560 Date 03-20-2003 Established To insure proper credit to your account, two (2) copies of this notice must accompany your payment 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 5,517.52 X 50.000 2,758.76 X .045 124.14 TAXPAYER RESPONSE NOTE: If tax payments are made within three (3) months of the decedent's date of death, you may deduct a 5% discount of the tax due. Any inheritance tax due will become delinquent nine (9) months after the date of death. PART [!] A. ~ The above information and tax due is correct. ~. You may choose to remit payment to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, or yoU may check box "An and return this notice to the Register of Wills and an official assessment will be issued by the PA Department of Revenue. [CHECK ] ONE BLOCK ONLY B. [] 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. [] The above information is incorrect and/or debts and deductions were paid by you. You must complete PART ~ and/or PART ~ below. PART ~ TAX RETURN - COMPUTATION If you indicate a different tax rate, please state your relationship to decedent: DEBTS AND DEDUCTIONS CLAIMED OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Date Established 2. Account Balance 2 3. Percent Taxable 3 4. Amount Subject to Tax 4 5. Debts and Deductions 5 6. Amount Taxable 6 7. Tax Rate 7 8. Tax Due 8 PART [!] DATE PAID PAYEE X X DESCRIPTION AMOUNT PAID TOTAL (Enter on Line 5 of Tax Computation) $ Under penalties of perjury, declare that the facts complete to the best of my knOWledge and belief. ~~~ ~&{I TAXPAYER SIGNATURE have reported above are true, correct and HOME (111) &(P4 - '''l"'Zd.-- ~ e"1I"1) (PS6 - IS-.s-'\ ~)()I TELEPHONE NUMBER DATE ~ ~ .... JtMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 2B0601 HARRISBURG. PA 17128-0601 .. INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DATE NO. 21 01 8qq 07116391 04-11-2007 REV-1543 EX AFP (09-00) '} , , (. :.) EST. OF GEORGE H WRIGHT S.S. NO. 145-09-1132 DATE OF DEATH 03-13-2007 COUNTY CUMBERLAND TYPE OF ACCOUNT o SAVINGS [i] CHECKING o TRUST o CERTIF. CAROL W MCNAMEE 414 E CATHERINE ST CHAMBERSBURG PA 17201 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 FARMERS NATIONAL BANK has provided the Department with the information listed below which has been used in calculating the potential tax due. Theil" records indicate that at the death of the above decedent. you were a joint owner/beneficiary of this account. If you feel this information is incorrect. please obtain written correction from the financial institution. attach a copy to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth of Pennsylvania. Questior.s ~a~ be answered ~~ c~11in9 (717) 787.8327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 188166 Date 07-08-1999 Established To insure proper credit to your account, two (2) copies of this notice must accompany your payment 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 7,190.06 X 50.000 3,595.03 X .045 161.78 TAXPAYER RESPONSE NOTE: If tax payments are made within three (3) months of the decedent's date of death. yoU may deduct a 5% discount of the tax due. Any inheritance tax due will become delinquent nine (9) months after the date of death. PART [!] A. [J The above information and tax due is correct. 1. You may choose to remit payment to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, or yoU lIay check box "AU and return this notice to the Register of Wills and an official assessment will be issued by the PA Department of Revenue. [CHECK ] ONE BLOCK ONLY 8. [J The above asset has been 01" will be reported and tax paid with the Pennsylvania Inheritance Tax return to be filed by the decedent's representative. C. ~ The above information is incorrect and/or debts and deductions were paid by you. ~ou must complete PART ~ and/or PART ~ below. PART @] TAX RETURN - COMPUTATION If yoU indicate a different tax rate, please state your relationship to decedent: LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax S. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due PART [!J DATE PAID PAYEE OF 1 2 3 4 5 6 7 X 8 X TAX ON JOINT/TRUST 1-<6- q4 II qO. {)(p ::mOot 0 ~~~~~'.~~ -()- ACCOUNTS -()- DEBTS AND DEDUCTIONS CLAIMED AMOUNT PAID Under penalties of perjury, I declare that the facts complete to the best of my knowledge and belief. &~ )yo ~-P _ Ce-t \ TAXPAYER SIGNATURE have reported above are true, correct and HOME C11,) dClY-ll<6d..- ~ (.n) {g~- 'S"~1 'i TELEPHONE NUMBER DA O:1~ '-. .! , .1 L. C' "I it ~,~" D8~ -S~U ~~ ~' -" ~' ~ ~ u a :t::> ~ P ..J' ~ C)~=- w~~ + t7" L>J ;!:? 1.j i1l 8 :.~J ~ ~ r ,t :, " ~ """:J.i ::r )~ ;tl ~ M (/l tt, C ;t. 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