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Home My WebLink About03-24-08 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 2.80601 HARRISElURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT DEITCH BARBARA A 10 BEARS SCHOOL LANE CARLISLE, PA 17015 u______ fold ESTATE INFORMATION: SSN: 226-32-2626 FILE NUMBER: 2108-0262 DECEDENT NAME: MCKINNEY MARY J DATE OF PAYMENT: 03/24/2008 POSTMARK DATE: 03/03/2008 COUNTY: CUMBERLAND DATE OF DEATH: 12/09/2007 NO. CD 009448 ACN ASSESSMENT CONTROL NUMBER AMOUNT 08107786 I $16.00 I I I I I I I I TOTAL AMOUNT PAID: $16.00 REMARKS: CHECK# 995 SEAL INITIALS: AJW RECEIVED BY: REGISTER OF WILLS GLENDA FARNER STRASBAUGH REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 2B0601 HARRISBURG. PA 1712B-0601 '* INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DATE NO. 21 O~ O~\o^ 08107786 03-04-2008 REV-1543 EX AFP (09-00) EST. OF MARY J MCKINNEY S.S. NO. 226-32-2626 DATE OF DEATH 12-09-2007 COUNTY CUMBERLAND TYPE OF ACCOUNT Ii] SAVINGS o CHECKING o TRUST o CERTIF. BARBARA DEITCH 10 BEAR SCHOOL LN CARLISLE PA 17015 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 MEMBERS 1ST FCU has provided the Deparbent with the information listed below which has been used .in calculating the potential tax due. Their records indicate that at the death of the above decedent. you were a join~<ownerjbeneficiary of this account. If you feel this information is incorrect. please obtain written correction from the financial institution. attach a copy to this farm and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth of Pennsylvania. Questions may be answer~d by caIJ.ing (71 n 787-B327. COMPLETE PART 1 BELOW lE lE lE SEE REVERSE SIDE FOR FILING AND PAYMENTIN$TRUCT~ONS Account No. 51719-00 Date 03-02-1976 Established I To insure proper credit to your a~count, two (2) copies of this notice must ac~~~panY 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 [!] 2,133.89 X 16.667 355.66 X .045 16.00 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. [] The above information is incorrect andlor debts and deductions were paid by you. You must complete PART ~ andlor PART ~ below. PART ~ TAX RETURN - COMPUTATION If you indicate a different tax rate. please state your relationship to decedent: OF TAX ON JOINT/TRUST ACCOUNTS 1 2 3 X 4 5 6 7 X 8 PART DEBTS AND DEDUCTIONS CLAIMED [!) l.INE 1. Date EstablisheJ 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due DATE PAID ~ PAYEE DESCR I PTI ON AMOUNT PAID TOTAL CEnter on Line 5 of Tax Computation} * Under penalties of perjury, I declare that the facts I complete to the best of my knowledge and belief. - have reported above are true. correct and HOME ( ) WORK ( ) ?~,,/Or TJ:I J:punl.lI: "IIIUD~O - - - - - - - - - - - - - - - - - - - - - - - i I 1)1 ,... """II1II ti tt:J m :;:, x == 9> 0 .....oIIl 0 ? $ ::::! ~"'= 0 ~I>> Co) l!.' .. .s:. Jt 10- Q ~1Il1>> n .. "'11>> ck '=' "'l1ft t,;~ _. I ~ I "0 ~ lI> %"UzmJ ~ ~O%~O :Dmmmm :!! 0 :!! ):. "U _ cn><;C):' m"'ZO:D ~!O..,-I G')~mZ~ J....;2~ ..... ><So ~ CO.., ..... <c:D '" -):.m CP cnr-"< o - 0') O~~m o z z ..... c I>>m ('-:-; 0 'Jt" ~~. Iii '", ,l:.J: ~ ;~ " '''II'': 1:> ~, .' ~... ~ It N \':\ ""'\ C ~ ;~ ~ C\ fo...') .:0 ( -"," i"J 1< :t~ ~ "'"', .~ .t. I"> :--.J .,~ 'v -r' l....SO .;;;- ....:, ~,'. ~m=" ;<<Z S ':t) ~ ~ ',.. ~., 'I'~" i :;f; ..... 1.-" i.',' . ~~ . ~l .lili\ 'FI' ..;' ,i) ~.~. 11l', "ill ~'..J ~~ ' ;M"r.