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Home My WebLink About08-08-07 COMMONWEALTH OF PENNSYl'JANIA OEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT HOFFMAN BARBARAJ 85 FREDRICK Pl MOUNT VERNON, NY 10552 ------ H fold ESTATE INFORMATION: SSN: 057-05-6057 FILE NUMBER: 2107-0750 DECEDENT NAME: CRUMLEY ROSE F DA TE OF PAYMENT: 08/08/2007 POSTMARK DATE: 08/06/2007 COUNTY: CUMBERLAND DATE OF DEATH: 11/12/2006 REMARKS: BARBARA J HOFFMAN CHECK# 4198 SEAL ACN ASSESSMENT CONTROL NUMBER 07123120 TOTAL AMOUNT PAID: INITIALS: OM RECEIVED BY: REGISTER OF WILLS REV-1162 EX(11-96) NO. CD 008516 AMOUNT $946.35 $946.35 GLENDA FARNER STRASBAUGH REGISTER OF WillS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INIHVIDUAL'TAXES DEPT. 2B0601 HARRISBURG, PA 1712B-0601 *' INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DATE NO.21 0""1 16C 07123120 05-31-2007 REV-1543 EX AFP (09-00) ". j ".,~ ...- ,) --;) , ; Or 1. 0 TYPE OF ACCOUNT o SAVINGS [X] CHECKING o TRUST o CERTIF. (, EST. OF ROSE F CRUMLEY S.S. NO. 057-05-6057 DATE OF DEATH 11-12-2006 COUNTY CUMBERLAND r.r ~ ,_.>; ** BARBARA J HOFFMAN 85 FREDERICK PL MOUNT VERNON NY 10552 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 PNC 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 ot Pennsylvania. ~uestions may be answered by calling (717) 7a7-8527. COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 5004894024 Date 08-22-2006 Established To insure proper credit to your account, two C2l 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 42,059.94 X 50.000 21,029.97 X .045 946.35 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 [!] [CHECK ] ONE BLOCK ONLY A. [] 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 may check box "A" and return this notice to the Register of Wills and an official assessment will be issued by the PA Department of Revenue. 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. X PART ~ TAX If you indicate a different tax rate, please state your relationship to decedent: RETURN - COMPUTATION 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 DEBTS AND DEDUCTIONS CLAIMED DESCRIPTION AMOUNT PAID TOTAL (Enter on Line 5 of Tax Computation) $ ~ have reported above ( q II.} WORK ( TELEPHONE are true, correct and rt7~1 0 '7 of perjury, I declare that the facts of my knowledge and belief. HOME ) ~!{;'I- /.Ll.f~ ) NUMBER DATE COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-961 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 008517 CRUMLEY JOHN T 85 FREDRICK PL MOUNT VERNON, NY 10552 ACN ASSESSMENT CONTROL NUMBER AMOUNT ~_____u fold 07123119 $946.35 ESTATE INFORMATION: SSN: 057-05-6057 FILE NUMBER: 2107-0750 DECEDENT NAME: CRUMLEY ROSE F DATE OF PAYMENT: 08/08/2007 POSTMARK DATE: 08/06/2007 COUNTY: CUMBERLAND DATE OF DEATH: 11/12/2006 TOTAL AMOUNT PAID: $946.35 REMARKS: JOHN CRUMLEY CHECK# 4197 SEAL INITIALS: DM RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 2B0601 HARRISBURG, PA 1712B-0601 *' INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DATE '7" tr 6 NO. 21 07 . ...) 07123119 05-31-2007 REV.1S43 EX AFP (09-00) -8 r.'. j ~ I /: 06 EST. OF ROSE F CRUMLEY S.S. NO. 057-05-6057 DATE OF DEATH 11-12-2006 COUNTY CUMBERLAND TYPE OF ACCOUNT D SAVINGS [Xl CHECKING D TRUST D CERTIF. ** JOHN T CRUMLEY 85 FREDERICK PL MOUNT VERNON NY 10552 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 PNC 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 Pennsylvania. Quest10ns may be answered by call1ng (717) 787-8327. COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 5004894024 Date 08-22-2006 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 42,059.94 X 50.000 21,029.97 X .045 946.35 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 [!] [CHECK ] ONE BLOCK ONLY A. [] 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 may check box "A" and return this notice to the Register of Wills and an official assessment will be issued by the PA Department of Revenue. 8. [] 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. 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 PART [3J TAX If you indicate a different tax rate, please state your relationship to decedent: RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS X DEBTS AND DEDUCTIONS CLAIMED DESCRIPTION AMOUNT PAID TOTAL CEnter on Line 5 of Tax Computation) $ perjury, I declare that the facts y knowledge and belief. have reported HOME I and ..... ~ .... ...:: - ...:: ,~,~ i ~",,' ...:: :::: .,...", I ''0 ,wi ~ .~ \(- ~ ~\j -:) ~ i~0 ~ ~ ~ ~ ~ ~ ~ tt ~ ~ ~ ') ~ ~ ~ ~ ...:: - ..::: - -- .... -- - "~ ~,-;::"'" ;41;: >- ".;;;.. - - ,;' ""'.:.<if ~~~ .....~... ...:: ..... - '1.; (-... ...:: - - ".-1 n fl (I ~:i .,../ [) 't-. .....; \-/ I ' \(1 (' it..'