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Home My WebLink About06-24-08COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF flEVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX~11-96) NO. CD 009924 HILES KIMBERLY L 19 SILVER MAPLE DRIVE BOILING SPRINGS, PA 17007 fold ESTATE INFORMATION: SsN: 1s2-22-o~4s FILE NUMBER: 2108-0676 DECEDENT NAME: STUCK GEORGE E DATE OF PAYMENT: 06/24/2008 POSTMARK DATE: 06/24/2008 couNTY: CUMBERLAND DATE OF DEATH: 04/03/2008 REMARKS: CHECK# 2354 ACN ASSESSMENT AMOUNT CONTROL NUMBER 08120769 ~ 53.93 TOTAL AMOUNT PAID: 53.93 INITIALS: AJW SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA '' AA DEPARTMENT OF REVENUE INFORMATION NOTICE ~^~W~~ BUREAU OF INDIVIDUAL TAXES FILE ND. 21 ~ V t/ DEPT. 280601 AN D HARRISBURG, Pa 17128-0601 TAXPAYER RESPONSE ACN 08120769 * * REVISED NOTICE * * * DATE 06-19-2008 REV-1543 EX 11FP (09-007 TYPE OF ACCOUNT EST. OF GEORGE E STUCK ~ SAVINGS S.S. NO. 182-22-0748 ~ CHECKING DATE OF DEATH o4-03-2008 ~ TRUST COUNTY CUMBERLAND ~ CERTIF. REMIT PAYMENT AND FFIRMS T0: KIMBERLY L HILES REGISTER OFr-IILLS ~: 19 SILVER MAPLE DRIVE CUMBERLAND~~CIIOURT ~bUSE- BOILING SPRINGS PA 17007 CARLISLE, P1~"-.7013 ~A - : Z ~~ ~._ .~j~ ~_ _ . -J ,--7 L) T ~ ) ~.~ t 7 MEMBERS 1ST FCU has provided the Department with the information listed below whichc_~i~i.been used~~"~ 7 calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a jet owner/Rl~leficiaryof this account. If you feel this information is incorrect, please obtain written correction from the financial ~stitution, La~t~tach a copy to this form and return it to the above address. This account is taxable in accordance with the Inheritance ax Laws of tge-Commonwealth of Pennsylvania. Questions may be answered by calling C717) 787-8327. W COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 239376-44 Date 04-13-2007 To insure proper credit to your account, two Established C2) copies of this notice must accompany your Account Balance 523.94 payment to the Register of Wills. Make check payable to: "Register of Wills, Agent". Percent Taxable X 16.667 NOTE: If tax payments are made within three Amount Subject to TaX 87 • 33 (3) months of the decedent's date of death, Tax Rate X .045 you may deduct a 5i discount of the tax due. Any inheritance tax due will become delinquent Potential Tax Due 3 • 93 nine (9) months after the date of death. PART TAXPAYER RESPONSE 1 :::::::::::::::::::~; :::::: ~:::::::::::::::~ ~ ::::::::::::::::::::::::: ~ ~::::::::::::::::::::::::::::,:::::::::::::::::::::::::::-:::::::::::::::-:...................................................................................................... ..................._~.:.::'f~.:.:.R~~#?!D~1D.....~l.I~.~:.....H.E~.~1.E:fi.....I~:::::::: : ~::: ....... :.:....:....;...:::::: ................................................................ ~~.~~T.....~AS:EI#::::#~N..... ... ...... ~........ ......:.:..................................................................................................................._:._:::::::::::::.................................... .............. I S:: ~~fiI~.E..... 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 CHECK a discount ar avoid interest, or you may check box "A" and return this notice to the Register of 0 N E Nills and an official assessment will be issued by the PA Department of Revenue. B L 0 C K ~ B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return 0 N L Y 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. PART y indicate a different tax rate, Please state Your ::~:~:::-::- :::::.:....::-,:,:,-.;......;..,,...,..::•::.:.:.:::...;...::.:..;....~:•~°::::::::;::-.::-,.:.:,:.:,:::. ::;:::_::~ ~ ~ ;:;:;: €;`_~ i€si~i~is~i~t€ ~. ~ ~ :~ iii ~ :::.::: ~::it: t::`i:~ ~:::, ....;:; relationship to decedent: .. . :;;`~f~ €ii~ €;€3si€~ =i_:;i..:..€€'€_:.. _`..::i..:._: €~:::-:~~~•~l~si' i`i°iiiiiiifiE TAX R AT I O N O F TAX O N JOINT/TRUST ACCOUNTS P~4D€~ €€€~':':'~ ;:_ ::::::::::::::: . ::::::::~ :;~::;:;:::;:; ~_:;:;:;:;:;:;:_:;:;:;:;:;,,: ~:::;:;:;:;:::~ ~;:;:;:;:;:;:; :;::::~ :_ LINE 1. Date Established ~:::::::~:~:::::~'~::~:<s~:::::::~::::::~:!:::€::~s:~:€::~:€::s::;:;:~ ::::.:.:::::::::::-::::::::::~:::::~:::::::::::~::::::::::::::~:::::-::::: 1 :~ :::~ ~::::::::::~::::~ ........................::::::::::~:~:~:::::.,.,.,.,.,.:.,.:.,.,.:::-::::~::::::.,:,:,:.:, ?'~ ~ ~~ f 2. c A count B glance 2 3 . Percent T :: ~:::::::::~ ::::::::::::::::::::::::::::::::::-::c::::::::::::-:::::~ :::::::: ~:::::::::::::::::::::::-::::::::::~::::: ~ =..,:,:,:,:,:,:,:.::::: 3 X [t[;:~ s[s[: a:: 4. Am ount Sub'e ct to T ax 4 7 5. Debts and Deductions 5 - ''~"°~~°~'~~'~ :::•::':':::ii'.:::.... ~ .... :: . .. .. ... ............. ~__€ ii€~ ~ ~ ~ ~ ~ iiii~ 3 ~ ~~ iii i€€~ ~ ~ iii€~ ;€~ €~ i~ ??~ ~ ~ ~ i~ ~ i~i~€i`if E~~ i~i':;s;~_€_ ~ ; €=iii i i 6. Amount Taxable 6 ~ : .... _ .:.:.: ::.:: :,,: .... .. 7 . Tax Rate :;:€:€:~;_ ~€:i .:.:.~ ::~ ::::::::::.:.:.:.:.:. :.:.:::. :.:.:.:.:.:.:.:::::.:.:.:.:.:.:::.:.:.:.:.:.:.:.:.:.::::::::::::::~_ ::: ~::::,:,:.:_:.:_..:.:.:,:,: 8. Tax Due :::::::::::::::::~;::::::::::::::~::::s::::::::::::::~::::~~:::::::-::::::::::::::~:::::~:::::-~:~ :::::::::::::~ ::::::::::::::::::::::;.:;:; iii ?€?i€€ii~ ii':°~:~:~::':~:~:~:-:-:-:-:-:~:,~:~:~:~:~:~:~:,~:~ :...:.......:.._ :,:.:.:.:.:...::.:.:.:.:.:.:.:...:.:.:.:::.::..............,...::: . -- PART DEBTS AND DEDUCTIONS CLAIMED 3^ DATE PAID PAYEE DESCRIPTION AMOUNT PAID IUTAL ctnLer on Line 5 of Tax Computation) $ Under penalties of perjury, I declare that the facts I have reported above are true, correct and c late to the bet any knowledge and belief. HOME C ~~~ ) ~~q -a a-~ ' WORK ( ) TA PAYER SI ATURE TFI FPNfINF NIIMRFR wTr COMMDNWEALTH OF PENNSYLVANIA ~"1 DEPARTMENT OF REVENUE INFORMATION NOTICE ~:? ~ l~ BUREAU OF INDIVIDUAL TAXES FILE NG . 21 DEPT. 280601 AND ACN Q$1207C8 HARRISBURG, PA 1~1za-o6ol TAXPAYER R E S P O N S E REV-1543 EXI1FPC09-00) * REVISED NOTICE * ~ * DATE 06-19-2008 TYPE OF ACCOUNT EST. OF GEORGE E STUCK ~ SAVINGS S.S. NO. 182-22-0748 ~ CHECKING DATE OF DEATH 04-03-2008 ~ TRUST COUNTY CUMBERLAND ~ CERTIF. IUTAL ctnter On Line 5 Of TaX COmpUtatlOn) $ Under penalties of perjury, I declare that the facts I have reported above are true, correct and complete to the/best of ma~y knowledge and belief. HOME C ~ ~~ ) I ~J~ "I"f~r1 [ " . .t/~ .(~2G/~ WORK C ) 3o G~ TAXP ER SIGNATURE TFI FPUf1NF NIIMRGR nwrr f ~~ Q~ ~2 ~'c~ ~m~, q 3~ ~+ "a O q p0 ~~ i' _ ..~ ~~~~ e..s• ..tt ~ ~ ''`'; ~ t ~: /, ~: ,~ :~,: ~('+f '~~' i +, r ~ , '~! ~t'' '-~'; ~~~~ t"~~ i W. -y~ Ct"j" /~ ~;i. ~~~ • ~ . ~+~. ~,» tJ ~ ~ C;~! v ~- ~, :~ .+ay ~: ,Yip .~ ` ` ~ ~, ..^~ r' .~ ~_ ..~`aC~`~ ,_ `,~`~~t '~ ax ,4 ~ i \ a ~~ a~~ -,~ .