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COHHONWEALTH OF PENNSYLVANIA
OEPARTMEHT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. Z80601
HARRISBURG, PA 171Z8-0601
*'
IN~g~~~,~.~T-lCE
TAXPAVEB RESPO~SE
FILE
ACN
DATE
NO. 21 05 'OlP(,f
05123457
06-02-2005
REV-154! EX AFP cu9.DO)
,- I! II '," r' .,', O' 2
J \...'l~'~_ t.:., i~" I'. L::.~: '
EST. OF MARTHA I SHATTO
S'~~r::NO,.: 206-10-8718
(DATE Of\riE~TH 03-16-2005
r! .,tbUNTY CUMBERLAND
TYPE OF ACCOUNT
o SAVINGS
[X] CHECKING
o TRUST
o CERTIF.
FREDERICK E SHATTO
70 MILLERS GAP RD
ENOLA PA 17025
REMIT PAYMENT AND FDRMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, fA 17013
BANK OF LANDISBURG has provided the Departllsnt 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 wsre a joint owner/beneficiary of
this account. If you feel this information is incorrect, please obtain written correction ~ro. the fInancial institution, attach a COPy
to this for. and return it to the above address. ThIs account is taxable in accordance with the Inheritance Tax Laws of the CONaonweslth
of Pennsylvania. Questions MaY be answered by calling (717) 787-83Z7.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 3600890 Date 04-08-1988
Established
x
3,434.64
16.667
572.45
.045
25.76
To insure proper credit to your account~ two
(ZJ copies of this notice .ust acco.pany your
paYMant to the Register of Wills. Make check
payabls to: ftReglster of Wills, Agent".
Account Balance
Percent Taxable
Amount Subject to
Tax Rate
Potential Tax Due
x
Tax
NOTE: If tax p8y.ents are .ade within three
(3) months of the decedent's d~te of death,
YOU .ay deduct B SZ discount of the tax due.
Any inheritance tax due will beco~ delinquent
nine (9) .onths after the date of death.
PART TAXPAYER RESPONSE
[i] II'l~I~~.:.i,:.:::::::IIL"!ml~~;.!mi.)'!m~~m:~i.~.:.._'ii~!I.l.I".I.~m:.I..:.m._.1~.ri
...1........,...............................................,.1...........,..............................._..................,.........,.'..........................................,.,...,............,................_........._.............1.1........,......,...................._........._.............,...1......,...........................,......_._._...1.............-
[CHECK ]
ONE
BLOCK
ONLY
A. rv'I The above information and tax due. is correct.
~l. You _ay choose to rSMit paYMent to the Register of Wills with two copies of thIs notice to obtain
a discount or avoid interest~ or you .ay check box "An and return this notice to the Register of
Wills and an official assessment will be issued by the PA Department of Revenue.
B. c=J The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
to be filed by the decedsnt's representative.
c. c=J The above information is incorrect and/or debts and deductions were paid by yau.
You must COMplete PART ~ and/or PART ~ below.
OF TAX ON JOINT/TRUST ACCOUNTS
PART
~
TAX RETURN - COMPUTATION
If you indicate a different tax rate, please state your
relationship to decedent:
LINE 1. Dete Estaulished 1
2. Account Balanca 2
3. Percent Taxable 3 X
4. Amount Subject to Tax 4
s. Debts and Deductions 5
6. Amount Taxable 6
7. Tax Rate 7 X
8. Tax Due 8
PART
l!J
DATE PAID
PAYEE
DESCRIPTION
AMOUNT PAID
\.)-.
TOTAL (Enter on Line 5 of Tax Computation)
$
I have reported
HOME C7 n
WORK (
TELEPHONE
above are true, correct and
f)3 t (
~
DATE
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
*'
INFORMATION NOTICE
FtAXP~YE~~i"ioNSE
r-
,"
FILE
ACN
DATE
NO. 21 Oc). C lc-\t()
05123456
06-02-2005
REY-150 EX AFP (O'-DO>
DONALD E SHATTO
70 MILLERS GAP RD
ENOLA PA 17025
o
TYPE OF ACCOUNT
o SAVINGS
[i] CHECKING
o TRUST
o CERTIF.
ZOO;. ESTl OF '~~RWA I SHATTO
S.S. NO. 206-10-8718
DI\;~<~ DEATH 03-16-2005
COU!'iTYI CUMBERLAND
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
BANK OF LANDISBURG has provided the Dopartment with tha information listed below which has been used in
Calculating tho potential tax due. Their records indicato that at the death of the above decedent, yoU were a joint owner/beneficiary of
this account. If yoU fool this information is incorrect, please obtain wrItten correctIon from the financial institution, attach a copy
to this for. and return it to the above address. This account is taxeble in accordance with the Inheritance Tax Laws of the Commonwealth
of POllnsYlvanla. QUBstions _BY bIOI answitrsd by calling (717) 787-8327.
COMPLETE PART 1 BELOW . . . SEE
Account No. 3600890 Date
Established
REVERSE SIDE FOR
04-08-1988
FILING AND PAYMENT INSTRUCTIONS
Account Balance
Parcent Taxable
AMount Subject to
Tax Rate
Potential Tax Due
x
3,434.64
16.667
572.45
.00
.00
TAXPAYER RESPONSE
To insure proper credit to your account, two
[Z) copies of this notice .ust acco.psny your
pay..nt to the RegIster of Wills. Make check
payable to: "Register of NJlls1 Agent".
Tax
x
NOTE: If tax pay.snts are _ads within three
(3) months of the decedent.s date of death,
yoU may deduct a 5% discount of the tax due.
Any inheritance tax due will become delinquBnt
nine (9) months after the date of death.
PART
[!J
A.
[ CHECK ]
ONE
BLOCK B.
ONLY
c.
r.:7The above information and tax due is correct.
~. You may choose to re.it pay.ent to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest, or you may 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.
If you indicate a different tax rate, please state your
relationship to decedent:
c=J The above asset has been or will be reported and tax paid with the PennsylvanIa Inheritance Tax return
to be filed by the decedent"s representative.
c=J The above information is incorrect and/or debts and deductions were paid by you.
You must complete PART ~ and/or PART ~ below.
PART
~
TAX RETURN - COMPUTATION
LINE 1. DatB Established
2. Account Balance
3. Percent Texable
4. Amount Subject to Tax
S. Debts and Deductions
6. AMount Taxable
7. Tax Rate
8. Tax Due
x
OF TAX ON JOINT/TRUST ACCOUNTS
1
2
3
4
S
6
7
8
x
PART
~
DATE PAID
PAYEE
I
TOTAL (Enter on Line S of Tax Computation)
declare thet the facts I
balief.
DESCRIPTION
AMOUNT PAID
I
$
HOME
are true, correct and
ER
DATE
, -
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBUAG, PA 17128-0601
REV-1162 EXI1'-961
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 005623
SHATTO FREDERICK E
70 MILLERS GAP RD
ENOLA, PA 17025
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
__n__h fold
05123456
$25.76
ESTATE INFORMATION: SSN: 206-10-8718
FILE NUMBER: 2105-0667
DECEDENT NAME: SHA TTO MARTH I
DATE OF PAYMENT: 07/27/2005
POSTMARK DATE: 07/26/2005
COUNTY: CUMBERLAND
DATE OF DEATH: 03/16/2005
TOTAL AMOUNT PAID:
$25.76
REMARKS:
CHECK# 116
SEAL
INITIALS: JA
RECEIVED BY:
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS