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08-28-08
COMMONWEALTH OF PENNSYLVANIA ~G[ ~((y~' DEPARTMENT OF REVENUE INFORMATION NOTICE FILE ND. 21 by ~~`-~V~ BUREAU OF INDIVIDUAL TAXES AN D DEPT. 280601 TAXPAYER RESPONSE ACN 08134015 HARRISBURG, PA 17128-0601 DATE 07-28-2008 REY-1543 E% AFP (09-DO) TYPE OF ACCOUNT EST. OF CHARLES FRAKER ®SAVINGS $.S. ND. 208-38-5597 ^ CHECKING DATE OF DEATH 07-16-2008 ^ TRUST COi1NTY CUMBERLAND ^ CERTIF. REMIT PAYMENT AND FORMS T0: CHRISTOPH FRAKER REGISTER OF WILLS 961 ENOLA ROAD CUMBERLAND CO COURT;k1DUSE CARLISLE PA 17013 CARLISLE, P~k-~ 17013 `=~' ~_=_ ~ ~" = c~~ - - - G"? ,:.:- ; G7 MEMBERS 1ST FCU has provided the Department with the information listed below which:h~LS-¢eeri used in ~_ calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a idint_~ner/b~{eficiary of this account. If you feel this information is incorrect, please obtain written correction from the financial igqst#'tution, eEtach a:copy-- to this form and return it to the above address. This account is taxable in accordance with the Inheritance TaSc`Zaws of tI~pVCommobwealth of Pennsylvania. Questions may be answered by calling C717) 787-8327. --"~ 1 COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT -ENSTRUCTI~I~IS Account No. 111045-00 Date 10-05-1989 To insure proper credit to your account, two Established (2) copies of this notice must accompany your payment to the Register of Wills. Make check Account Balance 1 , 979.27 payable to: "Register of Wills, Agent". Percent Taxable X 16.667 NOTE: If tax payments are made within three Amount Subject to Tax 329.88 (3) months of the decedent's date of death, Tax Rate X .045 you may deduct a 5Y. discount of the tax due. -" Any inheritance tax due will become delinquent Potential Tax Due 14 • 8~ nine C9) months after the date of death. ~~- PART TAXPAYER RESPONSE -~:: ~ ~:.:: ::::: :.:::::::: :.. ..... _~ ~ ~• :~ :... ~.: ~:.:::;:::~ :~ ~~E~~~:EN::.BA~ E3~ D~ fiN I S ~flfit€E;;:;: .....~kIIrD ...................................................... 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 CHECK Wills and an official assessment will be issued by the PA Department of Revenue. C ONE 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. Yau must complete PART ~ and/or PART ~ below. PART ate a different tax rate, please state your f o u I n d i c I y ::~::::::s::s:~::~:::~:~:: ;i`i~i~ ~si~i~i~'i'i;;iiii~~~€;°i;i;i €i~ ~i~ iiF `. ° :: ent: dece to shi tion ela r P TAX RE - OF TAX ON JOINT/TRUST TURN COMPUTATION ::::: .: ~~€=::~ ::::....:.:::::~::,::::-:-:-:-:-:::~:::,::::::::::::::::~:::~:::::-:-:-:-:::::::::: NE 1. Date Established 1 ~:::::: 2. Account Balance 2 ~~~`~"' - - - 3. X 3 cent T Per ~~:::~::~:: ,:::.:::- :::::.:.:::::::::::..::::::::::::::::::::.:::::::::.:.:...::::::: 4. Amount Subject to Tax 4 5. Debts and Deductions 5 - ~~~~~~° :::: ~ 6. Amount Taxable 6 ::: ~::::: """ 7. Tax Rate 7 X 8. Tax Due 8 PART DEBTS AND DEDUCTIONS CLAIMED a naTE PAID PAYEE DESCRIPTION AMOUNT PAID IUTAL ~tncer on Line ~ ur iaa VVIIq,Y LO ~1vn/ Under penalties of perjury, I declare that the facts I have reported above are true, correct and c lets to the best of my knowledge and belief. HOME C ~ ) - ~, WORK C ) ~ ~~`:., o [•rruwTllDC TELEPHONE NUMBER A COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 010206 FRAKER CHRISTOPHER 961 ENOLA ROAD CARLISLE, PA 17013 fold ESTATE INFORMATION: SSN: 2o8-3s-5597 FILE NUMBER: 2108-0885 DECEDENT NAME: FRAKER CHARLES DATE OF PAYMENT: 08/28/2008 POSTMARK DATE: 08/14/2008 couNTY: CUMBERLAND DATE OF DEATH: 07/16/2008 REMARKS: CHECK# 8968 SEAL ACN ASSESSMENT AMOUNT CONTROL NUMBER 08134015 ~ $14.84 TOTAL AMOUNT PAID: INITIALS: AJW REV-1162 EX(11-961 $14.84 GLENDA EARNER STRASBAUGH RECEIVED BY: REGISTER OF WILLS REGISTER OF WILLS s m - ~ ~ ~ m ~ T+ s ~ ~ . x ~ n far ~ ~. ~ ~~ n o ''d 4 ~ ~~ © ~ :i O+ W n t~ ~_ ~+ J r r ~ ~ 9oi~o ~ w p "` b ~so~~q ~~mz~ ~~ q0 i ~ 9, m o Oam °' ~ m m N t'U , a~ f1 ~,..5~ ia~' ., ~~.., S ~ ' ~/f .;,~j ,;~~ ~ ,4 n~. ;~,:: •.y '~~, .ttp : ~` ,4 t j %~ 7'~ t , 1:y t;r*. r~; R: 'i.]Y ~ sC tk •.i t .~, ~_~ ~`, t~