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Home My WebLink About12-29-08COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBUI~G, PA 1 7 1 28-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 010700 NOGGLE MICHAEL E 322 S PITT STREET CARLISLE, PA 17013 ACN ASSESSMENT AMOUNT CONTROL NUMBER ---------- -------- -------- fold ESTATE IPJFORMATION: ssN: 174-05-2754 FILE NUMIBER: 2108-0745 DECEDEN-j NAME: SHEFFER PAULINE S DATE OF PAYMENT: 1 2/ 29/ 2008 POSTMARK DATE: 12/29/2008 COUNTY: CUMBERLAND DATE OF DEATH: 06/14/2008 REMARKS: SEAL CHECK# 884 08144521 ~ 584.99 08149125 ~ 584.99 TOTAL AMOUNT PAID: 5169.98 INITIALS: AJW RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES AND FILE ND. 21 08-0745 PD Box z8B6o1 TAXPAYER RESPONSE ACN HARRISBURG PA 17128-0601 08144521 REV-1543 EXgFP(OB-OB) DATE 09-29-2008 TYPE OF ACCOUNT EST. OF PAULINE S SHEFFER ~ SAVINGS SSN 174-05-2754 ~ CHECKING DATE OF DEATH 06-14-2008 ~ TRUST COUNTY CUMBERLAND ~ CERTIF. REMIT PAYMENT AND FORMS T0: ^~~ MICHAEL E NOGGLE REGISTER OF WILLS - ;i22 PITT ST CARLISLE PA ~ r-, CUMBERLAND CO COURT HOUSE~> 17013-3816 ! CARLISLE, PA 17013 --~ L ' ' -._ ; ~ - L., -z-+ SOVEREIGIJ BK potential 4ax due. Records indicate tha provided the Department with the information below, which has been used.i~ calcula~iilg the . t at the death of the b - If you feeiL the information is incorrect a ove named decedent, you were a joint owner/bene~3ciary of this account. , please obtain written correction from the fi i nanc al institution, attach a copy toffs form and return it to the above address. This account is taxable in accordance with th I h i e n er tance Tax laws of the Commonwealt of Pennsylvania. Please call C717) 787-8327 with questions. COMPLETE PART 1 BELOW ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 2895372700 Date 04-16-2003 To ensure proper credit to the account, two Established copies of this notice must accompany AccOUnt Balance $ 3, 399.44. payment to the Register of Wills. Make check Percent Taxable payable to "Register of Wills, Agent". X 16.667 Amount Subject to Tax $ 566.58 NOTE: If tax payments are made within three Tax Rate months of the decedent's date of death, X . 1 5 deduct a 5 percent discount on the tax due. Potential Tax Due $ 84.99 Any Inheritance Tax due will become delinquent nine months after the date of death. PART TAXPAYER RESPONSE FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT A. ® The above information and tax due is correct. Remit payment to the Register of Wills with two copies of this notice to obtain CHECK, a discount or avoid interest, or check box "A" a nd 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 0 N L Y g, ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance T ax retu to b e filed by the estate representative. rn C. ~ The above informs ion is incorrect and/or debts and deductions were paid Complete PART 2~ and/or PART ~ below. . PART +r inaicating a different tax rate, please state relationship to decedent: TAX RETl1RN - COMPUTATT_ON OF TAX ON :lL~ENTlTRUST ACCOUNTS LINE 1. Date Established 1 2. Account Balance 3. Percent Taxable 4. Arnount Subject to Tax 5. Debts and Deductions 6. Arnount Taxable 7. T.~x Rate 8. Tarx Due 2 +~' 3 X 4 +fi 5 6 7 X 8 $ PART 0 OFFICIAL USE ONLY ~ AAF PA DEPARTMENT OE REVENUE PAn ~_~~._.._._~,_ i 2 3 4 5 6 7 8 DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION AMll11A1T o„r., Under penalties of perjury, I declare that the facts I have reported above ar/e~ true, correct and comple/te to t e best f my knowledge and belief. HOME C 1 ) ,!-~~ ~~21 TAXPAYER SIGNATUR TCI C~Llllar .~~~..,,.-., _ ~~~~.~~ ~~~ ~Ine ~ ur 1 ax computation) S PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES AND FILE ND. 21 08-0745 Po Box zeioeol TAXPAYER RESPONSE ACN HARRISBUF;G PA 17128-0601 08149125 REV-1543 E% AFP (0e-OB) DATE l U - 21 - 2 U U 8 TYPE OF LAVON M NOGGLE 322 PITT ST CARLISLE PA 17013 EST. OF PAULINE S SHEFFER SSN 174-05-2754 DATE OF DEATH 06-14-20E.~ COUNTY CUMBERLAND "`~ REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE_ CARLISLE, PA 17013 ~-.~ r ,-~ L°,~ ~ ~"7 t rv ACCOUNT SAVINGS CHECKING TRUST CERTIF. _ . -~ _,~. ~`, tV SDVEREIGNI BK provided the Department with the information below, which has been used in calcul~ ng the potential tax due. Records indicate that at the death of the above-named decedent, you were a point 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 (7173 787-8327 with gc:estioris. COMPLETE PART 1 BELOW ~F SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 28 953727 0 0 Date 04-16-2003 To ensure proper credit to the account, two Established copies of this notice must accompany Account Balance $ 3, 399.44 payment to the Register of Wills. Make check Day able to "Register of Wills, Agent". Percent Taxable X 16.667 Amount Subject to Tax $ 566.58 NOTE: If tax payments are made within three months of the decedent's date of death, Tax Rate X ~ 15 deduct a 5 percent discount on the tax due. Any Inheritance Tax due will become delinquent Potential TaX Due $ 84.99 nine months after the date of death. PART TAXPAYER RESPONSE FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT.' A.~~Fhe above information and tax due is correct. ee~~(( 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 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 estate representative. C. ~ The above information is incorrect and/or debts and deductions were paid. Complete PART 2~ and/or PART LJ below. PART It 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 $ 5 6 7 X 8 $ PAD OFFICIAL USE ONLY ~ AAF PA DEPARTMENT OF REVENUE 1 2 3 4 5 6 7 8 PART DEBTS AND DEDUCTIONS CLAIMED 3^ DATE PA]:D PAYEE DESCRIPTION AMOUNT PAID iuiN~ itncer on pine 5 of Tax Computation) S Under penalties of perjury, I declare that the facts I have reporteda7blove are true, cor/rect and complete to the be/sft of knowledge and belief. HOME C !l ) ~ -~b ~L ~~'/ ~.~~ ~ WORK (7~7 J as~~_ ~~. ---~•R ST(~NL1T1 F= L r/ // TCI rounur ~n,unrn ... ,_