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Home My WebLink About03-14-08 (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 NEUMYER WILLIAM H 405 MOUNTAIN ROAD SUMMERDALE, PA 17093 ______n ~o\rl ESTATE INFORMATION: SSN: FILE NUMBER: 2108-0289 DECEDENT NAME: NEUMYER LILLIAN L DATE OF PAYMENT: 03/14/2008 POSTMARK DATE: 03/13/2008 COUNTY: CUMBERLAND DATE OF DEATH: 12/06/2007 NO. CD 009412 ACN ASSESSMENT CONTROL NUMBER AMOUNT 08111278 I $205.20 I I I I I I I I TOTAL AMOUNT PAID: $205.20 REMARKS: CHECK# 3119 SEAL INITIALS: AJW 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 1712B-0601 '* INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DATE NO. 21 U6 ISJ..~q, 08111278 03-12-2008 REY-1543 EX AFP (09-00> EST. OF LILLIAN L NEUMYER S.S. NO. DATE OF DEATH 12-06-2007 COUNTY CUMBERLAND TYPE OF ACCOUNT o SAVINGS o CHECKING o TRUST [X] CERTIF. WILLIAM H NEUMYER 5255 WERTZVILLE RD ENOLA PA 17025-1260 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 PSECU has p~ovided the Depa~tment with the info~mation listed below which has been used in calculating the potential tax due. Thei~ ~eco~ds indicate that at the death of the above decedent, YOU we~e a joint owne~/beneficia~y of this account. If you feel this info~mation is inco~~ect, please obtain w~itten co~~ection f~om the financial institution, attach a copy to this fo~m and ~etu~n it to the above add~ess. This account is taxable in acco~dance with the Inhe~itance Tax Laws of the Commonwealth ur P~nnsylvaoia. Questions may he aio3ftar~d by calling (717) 787-3327~ COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 0207077491 Date 11-19-2004 Established To insure proper credit to your account, two (2) copies of this notice must accompany you~ payment to the Registe~ of Wills. Make check payable to: "Registe~ of Wills, Agent". Account Balance Pe~cent Taxable Amount Subject to Tax Tax Rate Potential Tax Due 3,420.01 X 50.000 1,710.01 X .12 205.20 TAXPAYER RESPONSE NOTE: If tax payments a~e made within th~ee (3) months of the decedent's date of death, you may deduct a 5% discount of the tax due. Any inhe~itance tax due will become delinquent nine (9) months afte~ the date of death. PART [!] A. ~ The above info~mation and tax due is co~~ect. 1. You may choose to ~emit payment to the Registe~ of Wills with two copies of this notice to obtain a discount o~ avoid inte~est, o~ you may check box "A" and ~etu~n this notice to the Registe~ of Wills and an official assessment will be issued by the PA Depa~tment 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 ~ep~esentative. C. [] The above info~mation is inco~~ect and/o~ debts and deductions we~e paid by you. You must complete PART ~ and/o~ PART ~ below. DEBTS AND DEDUCTIONS CLAIMED PART ~ TAX If you indicate a diffe~ent tax ~ate, please state you~ ~elationship to decedent: RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS LINE 1- Dat.. EstaiJ..1siled 2. Account Balance 2 3. Pe~cent 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 DESCR I PTI ON AMOUNT PAID TOTAL (Ente~ on Line 5 of Tax Computation) $ Unde~ penalties of pe~ju~y, I decla~e that the facts complete to the best of my knowledge and belief. m~~ N d~.<.~..i~ TAXPAYER SIGNATURE I have ~epo~ted above a~e t~ue, co~~ect and HOME (7/7) 732. -2'+0.3 WORK ( ) TELEPHONF NIIMRF~ n^T~ \ - "! iJrI< ~~, "~i u..) ',.... ~ '% Q~ ,.,.,. ~r ,r,(l ,,1: :r,o, ;~ ,;.. 4, :_~ "" -;.c:. ",,, '''if: .~1it. :~~~ ~.... . ~ ':'~ .~t.~ ~~..:r.' " ~,'TIt """, ~~ ~i ~.;'r.. ".. . of" t"~,~ '1'>1 . <~; ~ t) ti a;..~ <<, ~1' \(0', 0';, r' .Y.. 'It "'~ ,J....'; , .-' ;'1 .".. ? w.. .'. l3 "" 'F~ t1. ti~ - .... 4f.!t': ~ ~ ~ ~ (.) en ~ ~O ~~ :!A 0 ~ (.) ~ ~~~ ~ ~ ~ ~ ~ l1) r.n a) ~ ~ ~ ~ \o0oi 'bh ~ ~ ~(.) ..- - - - - - - - - - - .. - - - f'1 ~~A *----.'".....,. .... . ,Ii (I) . ." ~ii~ !~'.;: :t: .~ 4- i~Q-.. ~~% ~~& '11, .. - - - - l',\ 'in b to'\ \ . l,A 1.'\ \ . ...-1 () ,'. :..-1