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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE I N F O R MAT I O N N O T I C E
BUREAU OF INDIVIDUAL TAXES - -- AND FILE N0. 21 07-0233
DEPT. 280601 ~`~^i ACN 08004930
HARRISBURG, PA nlza-B6a1 -_ TAXPAY E R R E S P O N S E
IlIl ~~ - ~ DATE 09-11-2008
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THOMAS HUTH
115 HOLLY DRIVE
MECHANICSBURG PA 17055
TYPE OF ACCOUNT
EST. OF FRANCES BOYLE ^ savINGs
S.S. N0. 205-05-2863 ^ CHECKING
DATE OF DEATH 03-08-2007 ^ TRUST
COUNTY CUMBERLAND ^ CERTIF.
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
AMERICAN SKANDIA ANNUITY 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, vau were a point 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 C717) 787-8327.
COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
TOTAL CEnter on Line 5 of Tax Computation) #
Under penalties of perjury, I declare that the facts I have reported above are true, correct and
~omplete(t~o-the best of my knowledge and belief. HOME C ~~ ) ai~(~
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TAXPAYER S GNAT RE TELEPHONE NUMBER D TE
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
REV-1162 EX111-96)
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
HUTH THOMAS T
1 15 HOLLY DR
MECHANICSBURG, PA 17055
NO. CD 010436
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
fold
ESTATE INFORMATION: ssrv: 205-o5-28x3
FILE NUMBER: 2107-0233
DECEDENT NAME: BOYLE FRANCES
DATE OF PAYMENT: 1 O/ 21 / 2008
POSTMARK DATE: 10/15/2008
couNTY: CUMBERLAND
DATE OF DEATH: 03/08/2007
08004930 ~ 57,302.23
TOTAL AMOUNT PAID:
REMARKS:
SEAL
CHECK# 334
INITIALS: JN
RECEIVED BY:
57,302.23
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS