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Home My WebLink About02-17-09COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE SURE INDI VIDUAL TA%ES DEPT. 280601 HARRISBURG, PA 1]1280601 RECEIVED FROM: GASTROCK DEBRA M 601 BRAD STREET SHIPPENSBURG, PA 17257 PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX111-961 NO. CD 01091 1 ACN ASSESSMENT AMOUNT CONTROL NUMBER ~ol~ ESTATE INFORMATION: ssN: 77a-20-azas FILE NUMBER: 2109-0163 DECEDENT NAME: GASTROCK KENNETH R DATE OF PAYMENT: 02/17/2009 POSTMARK DATE: 02/17/2009 couNTV: CUMBERLAND DATE OF DEATH: 11/29/2008 REMARKS: DEBRA GASTROCK SEAL CHECK# 4140 09104519 ~ 535.30 09104520 535.30 TOTAL AMOUNT PAID: INITIALS: WZ RECEIVED BY: 570.60 GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS NnoNmi ~ ~~~ OAPH~°~'S''()URT ' Cl~ ~ , .,, ,~ .-).. PA ~° ,., ~{ q ' .~ ~ 1 °~ BUREAU OF INDIVIDUAL TAXES PD BOX 280601 HARRISBURG PA 1]128-0601 REV-ISGy E% qFp (OB-00) (PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE 7AXPAYERNRESPONSE ACNE N0. z1.-O~~- ~~~ -- '_ 09104519 '. DATE 01-19-2009 '~''='t~~EST. OF KENNETH R GASTROCK SSN 174-20-3249 C~FPK L'' DATE OF DEATH 11-29-2008 OPPHA": !''OURT COUNTY CUMBERLAND CU CO, j REMIT PgyMENT AND FORMS T0: B R GASTROCK REGISTER OF WILLS 601 BRAD ST CUMBERLAND CO COURT HOUSE SHIPPENSBURG PA 17257 CARLISLE, PA 17013 TYPE OF ACCOUNT SAVINGS ® CHECKING TRUST CERTIF. ORRSTOWN BANK providetl the Oepa rtnent with the information below, which has bean used in calculating the Ootential taz due. Records indicate that at the tleath of khe above-n am etl decedent, you were a joint owner/beneficiary of this account. If you feel the information is incorrect, nl ease obtain written correction from the financial institution, atkach a copy to this form antl return it to the above address. This account is taxable in acco rtlance with the Inheritance Tax laws of khe Commonwealth of Pennsylvania. Please call V1N ]e]-tl32] with questions. COMPLETE PART 1 BELOW ^ SEE REVERSE SIDE FOR FILING AND PAYM Account No. 103 001026 ENT INSTRUCTIONS Date 01-30-2001 Establishetl To ensure proper cretlit to the accmunt, two Account Balanee capi es of this notice must accom pam $ 1,486.45 pave ent to the Register of Wills. Make check Percent Taxable X parable to "Register of Wills, Agent'•. 16.667 Amount Subject to Tax yE 247 75 NOTE: If tax payments are matle within three Tax Rate X months of the de cetlenk's date of death, P otanilal Tax Due . 1 5 detluct a 5 percent discount on the tax due. $ 37.16 Anv Inheritance Tax due will become delinquent PART nine months after the tlate of death. TAXPAYER RESPONSE ~ d A. he above information and tax due is co rreck. Remit payment to the Register of Wills with two c i CHEC K o a discount ar avoid interests or check box "A" p es of this notice to obtain ONE antl Wills antl an gffici al assessment will be i return this noki ce tq the Register of ~ BLOCK ssuetl by the Pq Department of Revenue. DNL Y B. ~ The above asset has been or will be reported and tax paid with th t b o e filed by the estate reo resent ativ e. e Pennsylvania Inheritance Tax return C. ~ The above inf orma amn is incorrect antl/or debts and tletlucti ons were paid. Compl eta PART 2~ and/or PART 3 ^ below. PART If indicating a dif Parent tax rate, please state relationship to tlecetlant: TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Date Established 3 2. Account Balanee 2 $ 3. Percent Taxable 3 X 4. Amount Subject to Tax 4 $ 5. Debts and Deductions 5 6. Amount Taxable 6 $ 7. Tax Rate ] X e. Tax Due e S PART 0 DATE PAID PAYEE Under penal tf~ of pa DEBTS AND DEDUCTIONS CLAIMED DESCRIPTION AMOUNT PAID u:w~ ttnter on Line 5 of Tax Computation] R ry, I declare that the facts I have reported above are true, correct antl my knowletlge and belief. ~y HOME ( ~ ~~ ) 53 p. VZcX~ ~ WORK C -7fZ1 S°j~ S'S ,~ 02~ g~,1+N~~/y TELEPHONE NUMBER DAT~~ U PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE / _ BDREAD OF INDIVIDUAL TAXES _ AND FILE ND. 21 -U~' ~w'~ PD Box zegsal TAXPAYER RESPONSE ACN 09104520 HARRIS BDRG PA 17128-0601 - ~~ DATE 01-19-2009 x[v-154A A~1.1Fd Col-oei GLtHI~ Vr ORPHA,N'S CCURT CU1 "~ _ ~~ ~ ~ ,,n., PA DEBRA M GASTROCK 601 BRAD ST SHIPPENSBURG PA 17257 EST. OF KENNETH R GASTROCK SSN 174-20-3249 DATE OF DEATH 11-29-2008 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS CUMBERLAND CO COURT HDUSE CARLISLE, PA 17013 TYPE OF ACCOUNT SAVINGS ® CHECKING TRUST CERTIF. ORRSTDWN BANK provitletl the Department with the information below, which has been usetl in calculating the potential tax due. Recortls intli cote that at the tle ath of the above-nom etl tlecedenk, you were a ioint owner/benef icia rv of this account. If vpu feel the information is incorrect, please obtain written correction from the financial institution, attach a copy to this form antl return ii to The above address. This accpunt is taxable in accordance with the Inheritance Tax laws of the Commonwealth of Pennsylvania. Please call Vi%) ]87-832] with puesti ons. COMPLETE PART 1 BELOW ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 103001026 Account Balance P arcent Taxable Amount Subject to Tax Tax Rate Potential Tax Due 37.16 To ensure proper credit to the account, Two copies of this optics must accompanv pavm ent to The Resister of Wills. Make check payable to "Register of Wills. Agent". NOTE: If tax payments are made wikhin three nonths of the tlecetlent's date of death, deduct a 5 percent discounk on the tax due. Any Inha H Lance Tax due will become delinquent nine months after the date of death. PART TAXPAYER RESPONSE ^ s aa_ ~~~a a~ ~, e ..~~.,,~ A. I Ylhe above LI information antl tax due is correct. Remit payment ko the Register of Wills with Two co pies of this notice to obtain CHECK a discount or avoid interest, or check box "A" and return This notice to the Resister of ONE Wills and an official assessment will be issued by the PA Dep artm ant of Revenue. BLOC K B. ~ The above asset has been or will be reported antl tax paid with the Pennsylvania Inheatance Tax return ONL Y to be filed by the estate rep resent alive. C. ~ The above inf orma ,on is incorrect antl/or debts and deductions were paid. Con plete PART 2~ antl/or PART 3^ below. PART If indicating a different relationship to decedent: tax rate, please state c ~ ~j~ sa ~ - ~ ~ Phi 'W ° ~ ~ ~ ~d ~ ~ : ~~ ~ ~~ ~ ~~~ TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS ~ r~i ~` ~ a ~Y e ~ri ~` `d ha IINC 1. Dace dsteb115nep t ~ 6 ~ My e5? ~ i,. x%'pa®9ga ~& 2. Accpunt Balance 2 ~ ~¢a~P ~•~°~ € ® ~ ~ 9 v~~~' ~~~MPii~ p~ ~ ~ 3. Percent Taxable 3 X ,¢ ,y'~~a' ~~''. s~e~e~d,~®~eea~;66'. ~~+ ~~ i 4. Amount Subject to Tax 4 $ @ , g a§:Y $aen~ g`' ` 0 } {1Y! r~ ~ Y ~1 Y ~.i4 ~Y~~t r ~ e 5. Debts and Deductions 5 - :d}~iTS 7~3jm~'a ~/F ~~ ~a~ ~'e ~a 6 Amount Taxabl $ . se~ y~ ~ a ~ 1 ` 9~ n~~~ ~~ P~ 3' i . e 6 ~ e a ~ ¢ a r .,,6, lg ~ ~ N i 7. Tax Rate 7 X t j ~ ~ P'E~~~~~ro~d P~gPre~e ~, kl~~yi, i',~X ~8 8. Tax Due a $ ~ a,~,a ~~m~ r~ ~ e __ PART DEBTS AND DEDUCTIONS CLAIMED 0 DATE PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL (Enter on Line 5 of Tax Computation) b Under penalties of perjur~y, I tleelare that the facts I have re portetl ab~~o//ve are true, co/yr rest and ca le (1a t//oJJ the bes7t)of//yy~g//--y//AAknowl~dge and belief. HOME ( -//7 JiS~~-PpaOU ]~ //,eI/lQ_~//- ldj)n~ WORK (~~ ) ~ ~ ~ _y ,X SIGN T RE TELEPHONE NUMBER DAT.t E D ~ ~T~ Date OL-30-2001 Established $ 1,486.45 X 16.667 $ 247.75 X .15