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Home My WebLink About10-15-08COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0601 RECEIVED FROM: TUCKEY ERNESTINE L 896 BALTIMORE PIKE GARDNERS, PA 17324-9005 -------- fold PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ACN ASSESSMENT CONTROL NUMBER REV-1162 EX111-96) NO. CD 010409 AMOUNT ESTATE INFORMATION: ssN: FILE NUMBER: 2108-1031 DECEDENT NAME: LORY LAURA G DATE OF PAYMENT: 1 O/ 1 5/2008 POSTMARK DATE: 10/14/2008 COUNTY: CUMBERLAND DATE OF DEATH: 09/ 1 0/2008 REMARKS: 08148791 ~ 5321.96 TOTAL AMOUNT PAID: 5321.96 CHECK# 2946 INITIALS: CJ SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES AND FILE NO. 21 -C'~{-+();31 PD Box 2ao6B1 - ;,~ TAXPAYER RESPONSE ACN 08148791 HARRISBURG PA 17128-0601 - DATE 10-13-2008 REY-1543 E7( 9FP,(OB+08J ~ ' ' ' i~~~~~~ ~J ~i~'1~~~ ~~ C~_~._'.. I,.,i ERNESTINE L TUCKEY 896 BALTIMORE PIKE GARDNERS PA 17324-9005 EST. OF LAURA G LORY SSN DATE OF DEATH 09-10-2008 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 TYPE OF ACCOUNT SAVINGS ® CHECKING TRUST CERTIF. PNC BANK NA provided the Department with the information below, which has been used in calculating the potential tax due. Records indicate that at the death of the above-named decedent, you were a ~oirt owner/beneficiary of this account. If you feel the 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. Please call (717) 787-8327 with questions. COMPLETE PART I BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 000005140187316 Date 04-01-1963 To ensure proper credit to the account, two Established copies of i:his notice must accompany payment to the Register of Wills. Make check Account Balance $ 4,518.73 payable to "Register of Wills, Agent". Percent Taxable X 50.000 NOTE: If i:ax payments are made within three Amount Subject to Tax $ 2,259.37 months of 1:he decedent's date of death, Tax Rate ~( , 11j deduct a 5 percent discount on the tax due. Any Inheri~:ance Tax due will become delinquent Potential Tax Due $ 338.91 nine month:: after the date of death. PART TAXPAYER RESPONSE FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX AS5°ESSMEHT A. ~ The above information and tax due is correct. Remit payment to the Register of Wills with two copies of this notice to obtain C H E C K a discount or avoid interest, or 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. 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 estate representative. C. ~ The above informs ion is incorrect and/or debts and deductions were paid. Complete PART 2~ and/or PART ~ below. PART If indicating a different tax rate, please state relationship to decedent: 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 OF TAX ON JOINT/TRUST ACCOUNTS 1 2 $ 3 X 4 +fi 5 6 $ 7 X 8 +fi PAD OFFICIAL USE ONLY ~ AAF PA DEPARTMENT OF REVENUE 1 2 3 4 5 6 7 8 PART DEBTS AND DEDUCTIONS CLAIMED ^3 DATE PAID PAYEE DESCRIPTION AMOUNT PAID Under penalties of perjury, I declare that the facts I have reported a-b7ove :ire true,, correct and cgmplete to the best of my knowl~ dge and belief. HOME C / ~ ~J c.f~ ,5" k%' --lC.'~ /,L~'' ~, ..~- ,, ~, s WORK C )~__ ~L~ %j ~ ~S` AXPAYER SIGNAT RE TELEPHONE NUMBER AT TOTAL CEnter on Line 5 of Tax Computation) 8 P __ ___ _ _ _ _ __ r. 3 t Fa 4 ~}~ 7i~ /, Vii: ,! i J 1 ~~ i. '~ ~ 7 '7 .. r= .~. .~ ~. ~~ ~, :.~: .= ;:G _. `,{~~ U~VN U L1, t~ ~ ~ .-. F-" O Q ~ ;a ~ •~ ~; ~;~L ~, m ~ -~ wxt~ Cr~'~ ~' ZT ~i ~, _ ;i., PA :) ,~ ~ ~ ,~ ~ -~ _J ' '~,a `\ ^~ ~ ~ „~i- a~ \ ~ + . V '~ r'\ `~ ~ -~,.~ r °' . J ~ ~ '~ _` `J \ `~ J .~ ` ~~~ , ~ ~J i '.I ,'s: ~~i ;~t ~•t .:.s