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Home My WebLink About08-19-08COMMONWEALTH OF PENNS`(LVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 2 8-060 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX111-96) N0. CD 010169 GEORGE WILLIAM M 2603 N ROSEGARDEN BLVD MECHANICSBURG, PA 17055 -------- fold ACN ASSESSMENT AMOUNT CONT130L NUMBER 081 16930 ~ S 135.24 ESTATE INFORMATION: ssrv: FILE NUMBER: 2108-0194 DECEDENT NAME: GEORGE JUDITH L DATE OF PAYMENT: 08/ 1 9/2008 POSTMARK DATE: 08/18/2008 COUNTY: CUMBERLAND DATE OF DEATH: 01 /05/2008 REMARKS: TOTAL AMOUNT PAID: S 135.24 CHECK#257 INITIALS: CJ SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTIER OF WILLS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 INFORMATION NOTICE AND TAXPAYER RESPONSE REVISED NOTICE * ~ FILE N0. 21 08-0194 ACN 08116930 DATE 05-27-2008 Lt:,-~,~ f,. TYPE OF ACCOUNT EST. OF JUDITH L GEORGE ® SAVINGS -; ~ S.S. N0. ~ CHECKING ^r •''~ DATE OF DE~4TH 01-05-2008 ~ TRUST ,COUNTY CUMBERLAND ~ CERTIF. ~n WILLIAM M GEORGE JR REMIT PAYMENT AND FORMS T0: 2603 N ROSEGARDEN BLVD REGISTER OF WILLS MECHANICSBURG PA 17055 CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 PNC BANK calculating the potential tax due. Their records vindicate tDhatratethewdeathhofltherabovendclcedentbelow which has been used in this account. If you feel this information is incorrect, please obtain written correction from the financialainstitution,~/attachcaacopyf to this form and return it to the above address. This account is taxable in accordance with the Inheritance iax Laws of the Commonwealth of Pennsylvania. Questions may be answered by calling (717) 787-8327. COMPLETE PART 1 BELOW * * * SEE REVERSE SIDe FOR FILING AND PAYME!vT I"STP,UCTIONS Account No. 5003800663 Date 07-06-2001 To insure proper credit to your account, two Established (2) copies of this notice must accompany your Account Balance 6, 010 .54 payment to the Register of Wills. Make check Percent Taxable X payable to: "Register of Wills, Agent". 50.000 Amount Subject to Tax 3, 005.27 NOTE: If tax payments are made within three Tax Rate (3) months of the decedent's date of death, X . 0 4 5 you may deduct a 5% discount of the tax due. Potential TaX Due 135.24 AnY inheritance tax due will become delinquent nine (9) months after the date of death. PART TAXPAYER RESPONSE ,_. 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 C C H E C K a discount or avoid interest, or you may check box "A" and return this notice to the Register of 0 N E ~ Wills 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 0 N L Y paid with the Pennsylvania Inheritance lax return to be filed by the decedent's representative. REV-1543 EX AFP (09-00) C. ~ The above information is incorrect and/or debts and deductions were paid by you. You must complete PART 2^ and/or PART 3^ below. PART TAX LINE If you indicate a different tax rate, please state your relationship to decedent: _ RETURN - COMPUTATION 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 PART DATE PAID PAYEE 1 2 3__X 4 5 6 7 X 8 DEBTS AND DEDUCTIONS CLAIMED DESCRIPTION AMOUNT PAID TOTAL CEnter on Line 5 of Tax Computation) S Under penalties of perjury, I declare that the facts I have reported above are true, correct and co p ete to the best of m kno - y ~ ge and belief. ~i~VVViii(((777JJJ HOME (~"~~'J ~ISg'g~ (- TAXPAYER SIG ATURE WORK ( ~ 's ~~ TELEPHONE NUMBER DA E COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1543 EX AFP (09-On) INFORMATION NOTICE AND TAXPAYER RESPONSE REVISED NOTICE. ~ FILE N0. 21 D8-0194 ACN 08116930 DATE 05-27-2008 rtF , n ~, ..... _ TYPE OF ACCOUNT EST. OF JUIJITH L GEORGE ® savlNGs ~;' F -' S•S• NO• ~ CHECKING - -= DATE OF DEATH O1-o5-2008 ~ rRUSr ,':, COUNTY CUMBERLAND ~ CERTIF. WILLIAM M GEORGE JR REMIT PAYMENT AND FORMS T0: 2603 N ROSEGARDEN BLVD REGISTER OF WILLS MECHANICSBURG PA 17055 CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 PNC BANK has provided the Department 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 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 of Pennsylvania. puestions may be answered by calling (717) 7B7-8327. COMPLETE PART I BELOW * * ~ ScE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 5003800663 Date 07-06-2001 To :insure proper credit to your account, two Established (2) copies of this notice must accompany your Account Balance 6 ~ D 1 D . 54 payment to the Register of Wills. Make check Percent Taxable payeible to: "Register of Wills, Agent". X 50.000 Amount Subject to TaX NOTE:: If tax payments are made within three 3 ~ D D5 . 27 (3) months of the decedent's date of death, Tax Rate X . 0 4 5 You may deduct a 5% discount of the tax due. Potential Tax DUe 135.24 Any inheritance tax due will become delinquent nine (9) months after the date of death. PART TAXPAYER RESPONSE A• ~)q,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 C C H E C K a discount or avoid interest, or you may check box "A" and return this notice to the Register of 0 N E ~ Wills 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 re orted and tax 0 N L Y p paid with the Pennsylvania Inheritance Tax return 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 2^ and/or PART 3^ below. PART If you indicate a different tax rate, please state your relationship to decedent: CIFFif'TA 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 PART 0 DATE PAID PAYEE OF TAX ON JOINT/TRUST ACCOUNTS 1 2 3 X 4 5 6 7__ ?( 8 DEBTS AND DEDUCTIONS CLAIMEiD DESCRIPTION AMOUNT PAID TOTAL (Enter on Line 5 of Tax Computation) ~ S Under penalties of perjury, I declare that the facts I have reporte above are true, correct and complete to the best of my kROwledge and belief. HOME C~( i~ )~{~ _ y3 iHxrAYtK SIGNATURES WORK ( ~ TELEPHONE NUMBER A.S d usr r~sr-o afs 1 i I S ''i .- .~ ~' .- ,~: k J hi ~~ f~~ ~/ 5...2 (~ ~~ ! / ---111 ~ C tom, ~~ ~~ ~, ~~ ( -,- ~ ' L ~+./ ~-^ l 1~~ ~ t_` ~ /y ~( ;\ ` ~ ~J ~ `~ ~ y ~~ F ~ ~`. t \ ~ = ~ ~, ~ ~ _ e~ ~ ~ r • ~ ~~ i