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Home My WebLink About02-24-10COMMONVC EALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280h01 NARRISBUFG, PA ~ 71 28-OG01 RECEIVED FROM: SHAMBAUGH DIXIE D 430 ROLLING ROAD YORK SPRINGS, PA 17372 PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX(11-96) NO. CD 012383 ACN ASSESSMENT AMOUNT CONTROL NUMBER ------- fold ESTATE INFORMATION: Ssty: ~ 95-i 6-4672 FILE NUMBER: 2110-0045 DECEDENT NAME: SLAYBAUGH FAYE L DATE OF PAYMENT: 02/24/2010 POSTMARK DATE: 02/24/2010 couNTY: CUMBERLAND DATE OF DEATH: 12/04/2009 101 ~ S 1 5,000.00 TOTAL AMOUNT PAID: REMARKS: SEAL CHECK#114 S 15,000.00 INITIALS: CJ RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS BUREAU OF INDIVIDUAL TAXES PO BOX 280601 HARRISBURG PA 17128-0601 :~ _ .. r, ~,jir~~ a -~w~v-'ism ¢x~_>~ to'e`-8§i PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE AND FILE N0. 21 -~(~"~),Z~~~, ~~~~ TAXPAYER RESPONSE ACN 10109083 ~ DATE 02-17-2010 2010 MAR -2 AN 8= 37 CLE'~K a~ aa~s couRz JUDY K SOULERET 313 W GREEN ST SHIREMANSTOWN PA 17011-6522 EST. OF EDNA L SOULERET SSN 182-12-3912 DATE OF DEATH 01-22-2010 COUNTY CUMBERLAND REMIT PAYMENT AND FDRMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS ® CHECKING TRUST CERTIF. PSECU 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 joint 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. r'lease tali t7I7) 767-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 8312932679-S4 Date 03-02-2007 To ensure prover credit to the account, two Established copies of this notice must accompany payment to the Register of Wills. Make check Account Balance $ 2 ~ 201.95 payable to "Register of Wills, Agent". Percent Taxable X 50.000 NOTE: If tax payments are made within three Amount Subject to Tax ~{` 1 ~ 100.9$ months of the decedent's date of death, Tax Rate X .045 deduct a 5 percent discount on the tax due. Any Inheritance Tax due will become delinquent Potential Tax Due $ 49.54 nine months after the date of death. PART TAXPAYER RESPONSE FAILURE TO RESPQND WILL RESULT IN AN aFEICIAL TAX'ASSE55MENT 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 BLOC 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 ~Z and/or PART ~ below. PART If indicating a different tax rate, please state OFF=-ICIAL-USE_ONLY- ~ AAF relationship to decedent: PA DEPARTMENT OF 'REVENUE TAX RE TURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS PAD LINE 1. Date Established 1 1 2. Account Balance 2 $ 2 3. Percent Taxable 3 X 3 4. Amount Subject to Tax 4 +fi 4 5. Debts and Deductions 5 - 5 6. Amount Taxable 6 $ 6 7. Tax Rate 7 X 7 8. Tax Due 8 $ 8 PART DEBTS AND DEDUCTIONS CLAIMED 0 DATE PAID PAYEE DESCRIPTION AMOUNT PAID Und r penaltie of perjury, I declare that the facts I hav com~lete to est f my wledge and belief. e reported above are true, correc and / ~ HOME C ~~ 7 ) Z ~~ - j3 ~_ WORK C ) S ! I ~ TOTAL (Enter on Line 5 of Tax Computation) 5 PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES AND FILE N0. 21 ~-IU~ ~U`~ PD Box 280601 ,~ r^TAXPAYER RESPONSE ACN 10109084 HARRISBURG PA 17128-0601 -~-' :1, ...;~ -.- !I + ;, _ DATE 02-17-2010 REV 1543 6N.~'AFb..E b9-,dej I fr'.. •J ?Oi0 PEAR -2 AM 8:37 Of~PH NS ~Ot.lRT CUM~FR! ~tvC? ~4.: PA JUDY K SOULERET 313 W GREEN ST SHIREMANSTOWN PA 17011-6522 EST. OF EDNA L SOULERET SSN 182-12-3912 DATE OF DEATH 01-22-2010 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT ® SAVINGS CHECKING TRUST CERTIF. PSECU 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 ioint 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 Pennsvlva~~ia. Pleasa call (717) 787-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 8312932679-S7 Date 10-11-2007 To ensure proper credit to the account, two Established copies of this notice must accompany payment to the Register of Wills. Make check Account Balance ~` 16, 059.58 payable to "Register of Wills, Agent". Percent Taxable X 50.000 NOTE: If tax payments are made within three Amount Subject to TaX $ 8, 029.79 months of the decedent's date of death, Tax Rate X .045 deduct a 5 percent discount on the tax due. Any Inheritance Tax due will become delinquent Potential Tax Due $ 361 .34 nine months after the date of death. PART TAXPAYER RESPONSE FAILURE TO RESPONQ WILL'°RCSULT 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 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 BLOC 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 ~ below. PART TAX LINE If indicating a different tax rate, please state relationship to decedent: RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS PAD i 1. Date Established 1 ', 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due 2 +fi 3 X 4 5 6 '~ 7 X 8 DFFICIAL USE'pNLY' ~AAF PA DEPARTMENT OE REVENUE 1 2 3 4 5 6 7 8 PART DEBTS AND DEDUCTIONS CLAIMED TOTAL (Enter on Line 5 of Tax Computation) s U er penal i ~ perjury, I declare that the facts I have reported above7are>true, correct/and -'co plete t' he est f my k ledge and belief. °/'N-IOME C 7~ / ) L •~ ~ ~ ~ L( i~ .~_ ~f ~ c WORK ( ) - ~ (•p ______ .-~... ~.. ..~ TCI CDLI l1\IC -IIIWOCD T TC DATE PAID PAYEE DESCRIPTION AMOUNT PAID BUREAU OF INDIVIDUAL TAXES PO BOX 280601 HARRISBURG PA 17126-0601 ' ~,:. i ±, '.. '~... ~'.~.j' J L, - V REV-1543 E% AFP C08-087 PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE AND FILE NO ' TAXPAYER RESPONSE ACN DATE 201 LIAR °2 AM 8~ 3~ CLERK C~ QRPHAN'S ART CUi~P,L,A~~~ G4., FA JUDY K SOULERET 313 W GREEN ST SHIREMANSTOWN PA 17011-6522 21 _~Cl_.~C 1010908 02-17-2010 EST. OF EDNA L SOULERET SSN 182-12-3912 DATE OF DEATH 01-22-2010 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS CHECKING TRUST CERTIF. PSECU 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 joint 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 caii C717) 767-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 8312932679-C50 Date 03-01-2007 Account Balance Percent Taxable Established $ 45,472.81 X 50.000 To ensure proper credit to the account, two copies of this notice must accompany payment to the Register of Wills. Make check payable to "Register of Wills, Agent". NOTE: If tax payments are made within three Amount Subject to Tax ~` 22, 736.41 months of the decedent's date of death, Tax Rate )( . 0 4 5 deduct a 5 percent discount on the tax due. Any Inheritance Tax due will become delinquent Potential TaX Due $ 1,U23.14 nine months after the date of death. PART TAXPAYER RESPONSE FAILURE TO RESPDNLI WILL R=SULT-IN AN t?FFTCIAL 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 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 / O N E ~ ~,~( B L 0 C K B. ~/~ The above asset has been or will be repor ted and tax paid with the Pennsylvania Inheritance Tax return 0 N L Y /}4\~ 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 ~ below. PART If indicating a different tax rate, please state OFFICIAL.' USE ONLY ~ AAF relationship to decedent: PA DEPARTMENT OF REVENUE TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS PAD LINE 1. Date Established 1 1 2. Account Balance 2 +~` 2 3. Percent Taxable 3 X 3 4. Amount Subject to Tax 4 +~ 4 5. Debts and Deductions 5 - 5 6. Amount Taxable 6 $ 6 7. Tax Rate 7 X 7 8. Tax Due 8 $ 8 PART DEBTS AND DEDUCTIONS CLAIMED DAT E PAID PAYEE DESCRIPTION AMOUNT PAID Under penalties o perjury, I declare that the facts I have reported above are true, correct ~ryd do`pl to to t st o~~my know edge and belief. ~ HOME C ~~ ~ ) ~ -~ l - 33 17/ (Tn --1~/C ~ 2<.~C~G~~~ WORK C ) ( ~ b TOTAL CEnter on Line 5 of Tax Computation) S