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Home My WebLink About02-11-08 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 GILBERT MAE 0 505 HOGESTOWN ROAD MECHANICSBURG, PA 17050 -------- fold ESTATE INFORMATION: SSN: 186-24-7938 FILE NUMBER: 2107-0943 DECEDENT NAME: ECKERT BETTY A DA TE OF PAYMENT: 02/11/2008 POSTMARK DATE: 02/09/2008 COUNTY: CUMBERLAND DATE OF DEATH: 10/14/2007 NO. CD 009284 ACN ASSESSMENT CONTROL NUMBER AMOUNT 08104177 I $481.04 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: CHECK# 616 SEAL INITIALS: CJ RECEIVED BY: TAXPAYER $481.04 GLENDA FARNER STRASBAUGH REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-ubu'-- .oM.. )( "-" . INFORMATION NOTICE "." AND 'TAXPAYER RESPONSE FILE ACN DATE NO.21 07-0943 08104177 02-04-2008 REV-1541'.ti:iNP' <.09-'00)., MAE GILBERT C/O ROBERT SHAFFER 505 HOGESTOWN RD MECHANICSBURG Z008 FEB I I TYPE OF ACCOUNT o SAVINGS o CHECKING o TRUST [Xl CERTI F . PtJ112: I ~ST. OF BETTY A ECKERT S.S. NO. 186-24-7938 DATE OF DEATH 10-15-2007 COUNTY CUMBERLAND CLt-Q:< ;"j::: , I \, ~ '-../ I OR;:dr!M,r'(~ (~Urllr:)T I /, "\1. ~.' \..' ,,1 1 I CU\/r:, .-,~. ~ ~~. REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 PA 17055 &.. MEMBERS 1 ST FCU has provided the Departunt 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 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 0; P8nnsylvania~ QUQsticns aay be answ9rod by cellin9 (717) 787-8'27. COMPLETE PART 1 BELOW ~ ~ ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 171072-44 Date 07-27-2000 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 PART [!] 6,413.81 X 50.000 3,206.91 X .15 481.04 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. [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. 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 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: LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Dgductions 6. Amount Taxable 7. Tax Rate 8. Tax Due PART [!J DATE PAID PAYEE OF TAX ON JOINT/TRUST ACCOUNTS 1 2 3 X 4 5" ,- 6 7 X 8 DEBTS AND DEDUCTIONS CLAIMED OESCR I PTI ON AMOUNT PAID TOTAL (Enter on Line 5 of Tax Computation) * perjury, I declare that the facts I have reported above are true, correct and my"lth'owledge and belief. HOME ( WORK ( TELEPHONE ) ) NUMBER J?r~6~ DATE " ' I: i! r i: , ~ "" :.;;~ ~ ~~ 1~ :~~ ~j ~ ~~ ,;," Cl. t: ,.,J ::5 r.n ~ ~~3 ,i} ....., '."- ::; ~ -d.; (j ,:",~ 2: t::;;l> )." ....,s: .4< :~ ;r. '0 ie) .~t._.; pile ~ ;i"1- ,. i I i; t f rl .J t~.., l,,') M ( "'" " -&:~ 0.. O~ ~ 00 {:l :) Q 1;0 V Vi {\~ H ro ~ w OC U. A ,,:-cl F', Z q; K U I' I; l I , , ~ I !' r l' ~ I I l' ~ I ( . I. I: I; I ,~ I; .- , ~ _._ .-._r-~, ('0,---...- 20M FEB \ \ PI'\ \2.: \ 5 C\FF\l( (~:F 0[':::;:';:, ~.l'~ r(\: IP,T CUll ','I .,,~., ~ ,,\. ~:~' . ,; ~ ~ .~~..~ ~ s:s \' ~' ~ ,".1 ,n I:') I"" :.j.. ,";' ., .~ ''''1 ~~ I.... .~ - - - . - - - - - - -= - - - - - - - - - - - - - - "