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Home My WebLink About95-0195~;. ,REV-1543 EX AFP (8-94) ~CONMOMIEALTH OF PENNSYLVANIA DEPARTNENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISSURO, PA 17128-0601 INFORMATION NOTICE AND FILE N0. 21 - 9.S` /9sr TAXPAYER RESPONSE ACN 94140057 DATE 09-08-94 TYPE OF ACCOUNT ESTATE OF CLARK DELPHINE S S.S. N0. 200-24-0912 ® SAVINGS DATE OF DEATH 0 6 - 21- 9 4 ^ CHECKING . COUNTY CUMBERLAND ^ TRUST ^ CERTIFICATE - ~ ..,• ROBINSON ~ LORI REMIT PAYMENT AND FORMS T0: 11 HEREFORD ST REGISTER OF WILLS HBG PA 17109 CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 (7 C~ a? ~ ~ ~ - - ~= PSECU ~ ~ ` ~ _} has provided the Departaent with the inforaation listed below which has ~1eeh-used Sr~calculat7 potential tax due. Their records indicate that at the death of the above decedent ~. If you feel this inforaation is ineorroct , you were a joint nd.:_the s::d ratu_n i* .~ , please obtain written correction frog the financial institvticnb attbeAaaycof #his,pccount. the nbevo address. This account is taxable fn accordance with the Inheritance Tax leMS'of the Coe Questions aay be answered by calling (717) 787=8327. PY to.fhis fora COMPLETE PART 1 BELOW ~ ~ ~ -~ --, aOMiea~=th _o-~f p°nnsylvania. SEE REVERSE SIDE FOR FILING AND PA ~ Account No. 0200240912 JT II~TRUC1rd' 7kg Date 07-20-90 Established To insure proper cradit'!8' your account, two (2) copies of this notice Bust accoapany your AeCOYnt Balanc'• Payaent to the Register of Nills. Make check Percent Taxable 598.20 X Payable to: ^Rogister of Nills, Agent^. Amount subject to Tax 16.667 99.70 N07E: If tax paysxmts are wade within three TaX Rat• X (3) aonths of tM decedent's date of death, Potential Tax Due • 06 you aay deduct a 52 discount of the tax due. Cj , 9 8 Any Inheritance tax due will becoN delinquent PART nine (9) aonths after the dots of death. 1 :.:::::.....:..:.......:... TAXPAYER RESPONSE CHECK ONE BLOCK ONLY ...: ..:. :::, :; ; • above inforaation and tax due is correct. Y~iD ~~Q ,~,, 1. You aay choose to resit payaent to the Register of Nills witFh twoscopies o~f+~ ~ not ~a ~ o~obtai~ ~(,j(~ a discount or avoid interest, or you aay chock box ^A^ and return this notice to the Rogister o Wills and an official assessaent will be issued by the PA Departoent of Rsvonue. Tho above asset has boon or will bo reported and tax ~~ T 'j~~ to be filed 6y the decedent's representative. paid with the Pennsylvania Inheritance Tax rotu/~ O ~r a C• ~ Tho above inforaation is incorrect and/or debts and deductions were paid by you. You gust coaplete PART 2^ and/or PART 3^ below. PART If you indicate a different tax rata relationship to decedent: ' please state your TAX REYU(~N - COF~PUTATYON OF TAii ON JOiWTsTi RUST ACCOUNTS LINE 1. Date Established 1 2. Account Balance p 3. Percent Taxable g_~ 4. Amount Subject to Tax 4 5. Debts and Deductions 5 6. Amount Taxable 6 7. Tax Rat• ~~_ 8. Tax Due 8 a DATE PAID PAYEE DESCRIPTION TOTAL (Enter on Lin• 5 of Tax Coaputationl Und r penalties of ,~pperjury, I declare that the facts I have reported above are tru 9 correct end comp~t~ to Gst o~'/nynknowl•dye and belief. , ~~ii.// u n ur _ n . f / J .REV-1543 EX AFP (8-94) COMMONNEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 INFORMATION NOTICE C~S ~ AND FILE N0. 21 -- 9~' TAXPAYER RESPONSE ACN 94140056 DATE 09-08-94 TYPE OF ACCOUNT ESTATE OF CLARK DELPHINE S ^ SAVINGS S.S. N0. 200-24-0912 DATE OF DEATH ® CHECKING 06-21-94 ^ TRUST COUNTY CUMBERLAND ^ CERTIFICATE ROBINSON LORI REMIT PAYMENT AND FORMS T0: 11 HEREFORD ST REGIST COF WILLS HBG PA 17109 CUMBER v~~ ,,,,~,,~~,, CARLIS ~PAO ~I7013 (~~E r,: ~; _ ~-. v. -_ -~ PSECU ~ ^ ~ ~., has provided the Departsent with the inforaation listed below which has ~b6an used in calcula#iF~ ahe potential tax due, Their records indicate that at the death of the above decedent If you feel this inforaation is incorrect , You were a joint pwrn(r/benefi~r of and return it to the above address. This account isttaxabletinnaccordance withstho~InheritancelTaxi~y y~1~account. M:cxtl .••rrrr~~ --ii~~~, attar a copy~„~his fora ens may 5a sasrxr~d by calling (717) 7??- ~_ f the}Cd~sonwealth ~f Pennsylvania. COMPLETE PART 1 BELOW * * * e~2 --• SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 0200240912 Date 07-20-90 To insure Established Proper credit to your account, two (2) copies of this notice oust accoapany your AcCOUnt Balance Payaent to the Register of Nills. Make check Percent Taxabl• 1 ~ ~ 729.46 Payable to: -Register of Wills, Agent, x 16.667 Awount Subject t0 TaX 1 , 788.28 NOTE: If tax paysents are wade within three Tax Rat• X C3) aonths of the decedent's date of death, Potential Tax Dus ' 06 You say deduct a SX discount of the tax due. 107.30 Any iNwritance tax due will becoae delinquent PART nine (9l sonths after the date of death. 1 :, : . .:.....:........ TAXPAYER RESPONSE :,:. A• Tha above inforaation and tax due is correct. G1 .........:..:7.~::.::.:.:.::.::::::,.:::.:::::.:.::.:.::'::::::.`:`.:'<:'. 1. You say choose to resit payaent to the Regis~te~r of W,i 1~s i~~{~wo c plus ~ h N~ otic~a ~ eta ~ ~ ~ C F" C CHECK a discount or avoid Interest or 0 N E Nills and an official assesssent willabe issuekdbby the PAdDepartaentiofnRevenue~ the Register of ~ ~ ~~ 5 BLOCK 0 N L Y B. ^ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance lax return e' to be filed by the decedent's representative. /n0 ~~ ~ C C• ^ The above inforaation Is incorrect and/or debts and deductions were paid by you. You oust coaplete PART 2^ and/or PART 3^ below. PART If you indicat• a different tax rate, please stet' your a relationship to decedent: TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOI LINE 1. Dat• Established 1 2. Account Balance 2 3. Percent Taxabl• 3-X 4. Awount Subject to Tax 4 5. Debts and Deductions 5 6. Amount Taxable 6 7. Tax Rats 7-~ 8. Tax Due 8 a DATE PAID PAYEE DESCRIPTION AMOUNT PAID "~' - TOTAL (Enter on Line 5 of Tax Cowputation) Under penalties of S perjury, I declare that tM facts I have reported above are true, correct and complete o the best of ny knowledge and belief. ^ ~, ~ r d~~-~--~c.~ . HOME ( GO WORK ( y~ ) ~ C/ ~ g RESTS AND DEDUCTIONS CLAIMED