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Home My WebLink About09-17-07 (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 KARL EDWARD J 321 WOODRUFF WAY HARRISBURG, PA 17112 -------- fold ESTATE INFORMATION: SSN: 175-16-9291 FILE NUMBER: 2107-0846 DECEDENT NAME: KARL BENJAMIN DATE OF PAYMENT: 09/17/2007 POSTMARK DATE: 09/15/2007 COUNTY: CUMBERLAND DATE OF DEATH: 05/11/2007 NO. CD 008688 ACN ASSESSMENT CONTROL NUMBER AMOUNT 07127691 I $18.53 I I I I I I . . I I TOTAL AMOUNT PAID: $18:53 REMARKS: EDWARD JKARL CHECK# 4266 SEAL INITIALS: DM RECEIVED BY: REGISTER OF WILLS GLENDA FARNER STRASBAUGH, REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0'01 ,. INFORMATION NOTICE AND TAXPAYER RESPONSE FILE NO. 21 - Of - og-y(P ACN 07127691 DATE 06-20-2007 REV-154~ EX AFP <09-00> 2007 SEP I 7 jU'/ 11: 4 7 EST. OF BENJAMIN KARL S.S. NO. 175-16-9291 DATE OF DEATH 05-11-2007 COUNTY CUMBERLAND TYPE OF ACCOUNT [i] SAVINGS o CHECK I NG D TRUST D CERTIF. CLERr< OF OPD1-.l!';'. 11(' r'f~1 'OT CU,,:/' .J. '; '::) '.I ,~~ ~l,,1 1 i 8'\ EDWARD J KARL 321 WOODRUFF WAY HBG PA 17112-9034 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 PSECU has provided the Depart.ent with the infoNlation 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 forti and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Co..onwealth of Pennsylvania. Questiuns.BY be answered by calling (717) 787-8327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 0175169291-7 Date Established 06-15-1974 To insure proper credit to your account, two (2) copies of this notice .ust acco.pany your pay.ent to the Register of Wills. Make check payable to: "Register of Wills, Agent". Account Balance Percent Taxable X A.ount SUbject to Tax Tax Rate X Potential Tax Due 2,470.47 16.667 411.75 .045 18.53 TAXPAYER RESPONSE NOTE: If tax pay.ents are .ade within three (3) .onths of the decedent's date of death, you .ay deduct a 5X discount of the tax due. Any inheritance tax due will beco.e delinquent nine (9) .onths after the date of death. PART [!] [CHECK ] ONE BLOCK ONLY A. lt7( 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. B. c=J 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=J The above infor.ation is incorrect and/or debts and deductions were paid by you. You .ust co.plete PART ~ and/or 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 , 7 8 x If you indicate a different tax rate, please state your relationship to decedent: x PART [!J DATE PAID DEBTS AND DEDUCTIONS CLAIMED PAYEE DESCRIPTION AMOUNT PAID TOTAL (Enter on Line 5 of Tax Computation) . perjury, I declare that the facts my know edge and belief. and