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Home My WebLink About02-15-06 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 2B0601 HARRISBURG, PA 17128-0601 *' INFORMATION NOTICE AND TAXPAYER RESPONSE FILE NO. 21 ACN 05157514 DATE 12-27-2005 REY-1545 EX AFP [09-00) EST. OF BETTV F NVE 5.5. NO. 198-22-9362 DATE OF DEATH 08-07-2005 COUNTY CUMBERLAND TVPE OF ACCOUNT [Xl SAVINGS o CHECKING o TRUST o CERTIF. DAVID E NVE 85 OLD ORCHARD RD DILLSBURG PA 17019 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 MEMBERS 1ST FCU has provided the Department 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 were a joint owner/beneficiary of this account. If you feel this 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. Questions may be an~wer~d by calling (?17) 787-8327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 158891-00 Date 05-24-1996 Established x 905.25 50.000 452.63 .045 20.37 TAXPAYER RESPONSE To insure proper credit to your account, two (2) copies of this notice must accompany your payment to the Register of Wills. Make check payable to: "Register of Wills, Agent". Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due 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. Tax PART [!] A. [ CHECK ] ONE BLOCK B. ONLY c. ~The above information and tax due is correct. 1. You may choose to remit payment to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, or you lIay 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. [] 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. [] 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. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due OF TAX ON JOINT/TRUST ACCOUNTS 1 2 3 X 4 5 6 7 X 8 If you indicate a different tax rate, please state your relationship to decedent: PART [!J DATE PAID DEBTS AND DEDUCTIONS CLAIMED PAVEE DESCRIPTION AMOUNT PAID I TOTAL (Enter on Line 5 of Tax Computation) perjury, I declare that the facts I my knowledge and belief. I $ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. Z80601 HARRISBURG, PA 17128-0601 *' INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DATE NO. 21 05157513 12-27-2005 REV-1545 EX AFP (09-00l EST. OF BETTV F NVE S.S. NO. 198-22-9362 DATE OF DEATH 08-07-2005 COUNTY CUMBERLAND TVPE OF ACCOUNT o SAVINGS [i] CHECKING o TRUST o CERTIF. DAVID E NVE 85 OLD ORCHARD RD DILLSBURG PA 17019 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 MEMBERS 1ST FCU has provided the Department 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 were a joint owner/beneficiary of this account. If you feel this 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. QIJ9stionc:; mav hA ;l)ns:.,~r~~ 1,:/ c'3!lina (711) 7e?-g3~1. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 158891-11 Date 05-24-1996 Established x 1,691.45 50.000 845.73 .045 38.06 TAXPAYER RESPONSE To insure proper credit to your account, two (Z) copies of this notice must eccompany your payment to the Register of Wills. Make check payable to: "Register of Wills, Agent". Account Balance Percent Taxable AMount Subject to Tax Rate Potential Tax Due x NOTE: If tax payments are made within three (3) months of the decedent's date of death, you lIay deduct a 5)( discount of the tax due. Any inheritance tax due will become delinquent nine (9) months after the date of death. Tax PART ill A. [ CHECK ] ONE BLOCK B. ONLY c. C2fY.he above information and tax due is correct. 1. You may choose to remit payment 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. [] 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. [] 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. Date Established 2. Account Balance 3. Percent Taxable 4. AMount Subject to Tax 5. Debts and Deductions 6. AMount Taxable 7. Tax Rate 8. Tax Due TAX ON JOINT/TRUST ACCOUNTS If you indicate a different tax rate, please state your relationship to decedent: OF 1 2 3 4 5 6 7 8 x x PART ~ DATE PAID DEBTS AND DEDUCTIONS CLAIMED PAVEE DESCRIPTION AMOUNT PAID I $ I TOTAL (Enter on Line 5 of Tax COMPutation) have reported above are true, correct and HOME 3' < - L( ( I:> 3 WORK ( (,) ?.J tJ .. .., VJ .5 - ~- TELEPHONE NUMBER DATE ~~C perjury, I declare that the facts I MY knowledge and belief. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX( 11-961 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 006327 NYE DAVID E 85 OLD ORCHARD RD DILLSBURG, PA 17019 ACN ASSESSMENT CONTROL NUMBER AMOUNT n______ fold ESTATE INFORMATION: SSN: 198-22-9362 FILE NUMBER: 2106-0148 DECEDENT NAME: NYE BETTY F DA TE OF PAYMENT: 02/15/2006 POSTMARK DATE: 02/14/2006 COUNTY: CUMBERLAND DATE OF DEATH: 08/07/2005 05157514 05157513 $20.37 $38.06 TOTAL AMOUNT PAID: $58.43 REMARKS: NYE TRUDY CHECK# 3169 INITIALS: MG SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS