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Home My WebLink About10-17-08COMMONWEALTH 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 REV-1162 EX111-96) NO. CD 010422 HENSHEL FRANKIE L 18 E KELLER STREET MECHANICSBURG, PA 17055 fold ESTATE INFORMATION: ssrv: FILE NUMBER: 2108- 1044 DECEDENT NAME: DOBBS MARY KATHRYN DATE OF PAYMENT: 10/17/2008 POSTMARK DATE: 10/ 1 7/2008 COUNTY: CUMBERLAND DATE OF DEATH: 09/03/2008 REMARKS: ACN ASSESSMENT AMOUNT CONTROL NUMBER 08141921 ~ 569.51 08141920 ~ 583.56 TOTAL AMOUNT PAID: 5153.07 CHECK# 2910 INITIALS: CJ SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS COMMDNWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INFORMATION NOTICE r, BUREAU DF INDIVIDUAL TAXES FILE N0. 21 '~ls ~~~ HARRISBURG0IPA n12s-o6o1 TAXWAYERNRESPONSE ACN 08141920 DATE 09-16-2008 REY-1543 E% AFN (09-00)~. ,_ _ TYPE OF ACCOUNT :r;~='~ ~~~' ~ ~ ~ '~ ~~E3~. OF MARY K DOBBS ® SAVINGS S.S. N0. ~ CHECKING ,-- DATE OF DEATH 09-03-2008 ~ TRUST (~ ' ,'` ;.:';COUNTY CUMBERLAND ~ CERTIF. (~~'~-~ ~ ~~~~ REMIT PAYMENT AND FDRMS T0: FRANKIE HENSEL REGISTER OF WILLS 18 E KELLER STREET CUMBERLAND CO COURT HOUSE MECHANICSBURG PA 17055 CARLISLE, PA 17013 MEMBERS 1ST FCU 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 sere 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. Questions may be answered by calling C717) 787-8327. COMPLETE PART 1 BELOW * ~ * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 40328-00 Date 07-23-1984 To insure proper credit to your account, two Established (2) copies of this notice must accompany your Account Balance 3, 891.68 payment to the Register of Wills. Make check payable to: "Register of Wills, Agent". Percent Taxable X 50.000 Amount Subject to Tax 1 , 945.84 NOTE: If tax payments are made within three C3) months of the decedent's date of death, Tax Rate X .045 you may deduct a 5i discount of the tax due. Potential Tax Due 87.56 Any inheritance tax due will become delinquent nine C9) months after the date of death. P T TAXPAYER RESPONSE ~ 1 FAILURE TO RESPOND WILL RESULT IN AN dFFICIAL TAX ASSESSMENT BASED ON THIS NOTICE 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 or avoid interest, or you may check box "A" and return this notice to the Register of C 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 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 2^ and/or PART ~ below. PART If you indicate a different tax rate, please state your 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 Rte/ ~ • ~!J ~ - 3 ,, JU - Dpu 5 6~L! ~ ' 7 ~ D 8 0 ~ ~ S ~O -- ~~e !f ~' PAD OFFICIAL USE ONLY ~ AAF PA DEPARTMENT OF REVENUE 1 2 3 4 5 6 7 8 PART DEBTS AND DEDUCTIONS CLAIMED 0 DATE PAID PAYEE DESCRIPTION entniiur aArn 1C111C1~ On une s or i ax computation) S Under penalties of perjury, I declare that the facts I have reported abov/e are true, corre7ct and comp ete t~ e~t of nowled9e and belief. HOME C ~ ) ~ ~ O ~i~~JU~ WORK ( ) D ~~ TAXPAYER SIGNATURE TELEPHONE NUMBER D TE COMMONWEALTH OF PENNSYLVANIA DEPARTMENT DF REVENUE DIVIDUAL TAXES U INFORMATION NOTICE FILE N0. 21 -o~ ' ~~yy DEPTA 280681 ~ AND HARRISBURG, PA 17128-0601 TAXPAYER RESPONSE ACN 08141921,- - - DATE 09-16-2008 REV-1543 EX AFP i09-01~) -7 ~} t TYPE OF ACCOUNT EST. OF MARY K DOBBS ^ SAVINGS $.$. N0. ® CHECKING ~., ._, - ~ DATE OF DEATH 09-03-2008 ^ rRUST r ~ i _, L~ COUNTY CUMBERLAND ^ CERTIF. ~ i ~ - - ~„~ REMIT PAYMENT AND FORMS T0: FRANKIE HENSEL REGISTER OF WILLS 18 E KELLER STREET CUMBERLAND CO COURT HOUSE MECHANICSBURG PA 17055 CARLISLE, PA 17013 MEMBERS 1ST F CU 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 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 I BELOW * ~ * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 40328-11 Date 07-23-1984 To insure proper credit to your account, two Established (2) copies of this notice must accompany your 3, 761.53 payment to the Register of Wills. Make check Account Balance payable to: "Register of Wills, Agent". Percent Taxable X 50.000 AIIIO Unt Subject to TaX 1,880.77 NOTE: If tax payments are made within three C3) 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 84.63 nine (9) months after the date of death. P~T TAXPAYER RESPONSE 1 FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT RASED ON THIS NOTICE 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 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 ~ g. ^ 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 2^ and/or PART ~ below. PART If You indicate a different tax rate, please state your 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 PAD 1 2 3 4 6 7 8 OFFICIAL USE ONLY ^ AAF PA DEPARTMENT OF REVENUE PaRT DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION eMniiur aArn Under penalties of perjury, I declare that the facts I have reported abo/vJ__e are true, correct and omplete to the bye t o y knowledge and belief. HOME C~ ) W' r - WORK C ) ~ TAXPAYER SIGNATUR TELEPHONE NUMBER DATE 1 2 3 `~ (a C . 3 ~~..+~ ic„~er vn a ne ~ or iax computation) 8