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Home My WebLink About01-26-06 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT RECEIVED FROM: REV-1162 EX( '11-961 NO. CD 006245 GATES RONALD L 2409 RYE CIRCLE MECHANICSBURG, PA 17055 ACN ASSESSMENT CONTROL NUMBER ______u fold 05154491 ESTATE INFORMATION' SSN' 185-03-1249 FILE NUMBER: 2105-0211 I DECEDENT NAME: GATES LLOYD C I DATE OF PAYMENT: 01/26/2006 I POSTMARK DATE: 01/25/2006 I COUNTY: CUMBERLAND I DATE OF DEATH: 02/04/2005 I I TOTAL AMOUNT PAID: REMARKS: RONALD L GATES CHECK#1349 SEAL INITIALS: RSK RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS AMOUNT $2.17 $2.17 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP (06-05) RONALD L GATES 2409 RYE CIR MECHANICSBURG PA 17055 01-24-2006 GATES 02-04-2005 21 05-0211 CUMBERLAND 185-03-1249 05154491 APPEAL DATE: 03-25-2006 (See reverse side U~d .. Amount Remitted I I MAKE CHECK PAYABLE >> PAYMENT REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN LLOYD C TO: COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 LOIIIER PORTI0h 'lE"Al~_ _ _ _/- REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 006140 GATES RONALD L 2409 RYE CIRCLE MECHANICSBURG, PA 17055 ACN ASSESSMENT CONTROL NUMBER AMOUNT _nn___ fold 05154491 $337.50 ESTATE INFORMATION: SSN: 185-03-1249 FILE NUMBER: 2105-0211 DECEDENT NAME: GA TES LLOYD C DA TE OF PAYMENT: 12/22/2005--~ POSTMARK DATE: 1 2/21/2005 COUNTY: CUMBERLAND DATE OF DEATH: 02/04/2005 TOTAL AMOUNT PAID: ~37~~ REMARKS: RONALD L GATES CHECK#1327 SEAL INITIALS: RSK RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS Wf2- ~() NO-l- tulc&r.s;;:;:l cuA4 we /Jr ~AJc; (hore I ;J/er{7S't: 0 f ~-ro-I he.s tuhM w"e ~M </ -/fIs Imlneti tiioJe /y czFle-r l-lle /'?Xe/ 'M /' f, fl~ ~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DATE NO. 21 05-0211 05154491 12-16-2005 REV-iS4S EX AFP {09-00l ,I /1 !! (), Y ! _ L 10" If 3 z_ 7 ,/'i- T'(} //1 (JI/ or .r({Jt/f/i'",/ ( /0; U I( e .r:) ,( ()/- / ~t?, -,J:/J.f Ij /Aj,/ '?,.'I' /"1 ~//<'{' 74g ,p'/ ,(-.--::~ .< vP t:~;:' 6/:1' / RONALD L GATES 2409 RYE CIR MECHANICS BURG EST. OF LLOYD C GATES 5.5. NO. 185-03-1249 DATE OF DEATH 02-04-2005 COUNTY CUMBERLAND TYPE OF ACCOUNT o SAVINGS o CHECK IN o TRUST !Xl CERTIF. /) /( " /~,.. 0':--" ..,/ //J /,,71<'&/ {)(:/'/ REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 PA 17055 M & T BANK has provided th.. D..part....nt with th.. infor..ation list..d b..low which has b....n used in calculating the potential tax due. Their r..cords indicat.. that at th.. death of the abov.. decedent, YOU wer.. a joint owner/benefIciary of this account. If You feel this infor..ation is incorrect, please obtaIn writt..n correction fro.. 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 Commonw..alth of PennsYlvania. Qu..stions may be answered by c~lling (717l 767-8327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 31003913914296 Date 07-15-2000 Established PART [!J Account Balance Percent Taxable ARount Subject to Tax Rate Potential Tax Due x To insur.. prop..r credit to your account, two (2l copIes of this notice must accompany your paYment to the Register of Wills. Make check payable to: "Register of Wills, Agent". Tax x NOTE: If tax payments are made 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 delinquent nine (9) months after the date of death. [CHECK ] ONE BLOCK ONLY above information and tax due is correct. You may choose to remit payment to the Register of Wills with two copi..s 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. B. [] The above asset has b....n or will be reported and tax paid with the PennSYlvania Inheritance Ta;. return to be filed by the d..cedent's repr..sentative. C. [] The above information is incorrect and/or d..bts and deductions were paid by you. You must complete PART ~ and/or PART ~ b..low. If you indicate a different tax rate, please state your relationship to decedent: PART ~ TAX RETURN - COMPUTATION LINE 1, Date Established 2. Account Belance 3. Percent Taxable 4. Amount Subject to Tax 5, Debts and Deductions 6. ARount Taxable 7. Tax Rate 8. Tax Due PART [!] DATE PAID DEBTS AND DEDUCTIONS CLAIMED OF 1 2 3 4 5 6 7 8 x TAX ON JOINT/TRUST ACCOUNTS x PAYEE DESCRIPTION AMOUNT PAID I TOTAL (Enter on Line 5 of Tax Computation) I $ Under penalties of perjury, I declare that the facts I havA rADortad AbnUA A..A +..11... rn.......... ....... r---- F' ",1 o f-" (.,1 '. ". (..1 (..1 Iii 1',) -- -- - _. -- _. -- _. -- -- ::::: - _. - -- _. _. - ~ -- - -- \' ~-~' ~ ~. C', --. ~~ ". ,,,) ~ " ~ ~ -l 2>~)- ~~ " '" ~ \.) ~~ "'-.. ~ 1) ~ , " ~~~ '" " ') ~ ". ~ ~. '"', .UJ ~ ~ ~ (\ ~ ::::~ no 0 :"1 g..\O:::o ~ ~ g n" ~ 0 ~D~ =i :"" rr.. go i~ ;:- '- '-.) o v. v. i'J tn I )::. ;;0 ;0 l-l in ! ; j~ ..::;- ".- r~J /~ ~~ O:l ,.... L. Xl G1 ~o ~;:>' "<l~ \J J> ~/~ ~ "'"'-4 ~ r~