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Home My WebLink About03-06-06 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX( 11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT HECKENDORN DOROTHY Z 1 23 STEELSTOWN RD NEWVILLE, PA 17241 nnnn fold ESTATE INFORMATION: SSN: 184-38-0489 FILE NUMBER: 2105-0877 DECEDENT NAME: HECKENDORN RICHARD L DATE OF PAYMENT: 03/06/2006 POSTMARK DATE: 03/04/2006 COUNTY: CUMBERLAND DATE OF DEATH: 09/23/2005 NO. CD 006400 ACN ASSESSMENT CONTROL NUMBER AMOUNT 06108712 I $14.67 06108714 I $28.74 I I I I I I I TOTAL AMOUNT PAID: REMARKS: CHECK# 3614 SEAL INITIALS: MG RECEIVED BY: REGISTER OF WILLS $43.41 GLENDA FARNER STRASBAUGH REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG I PA 17128-0601 *' INFORMATION NOTICE AND TAXPAYER RESPONSE FILE NO. 21 05-0877 ACN 06108712 DATE 03-01-2006 REV-1543 EX AFP (09-00) EST. OF RICHARD HECKENDORN 5.5. NO. 184-38-0489 DATE OF DEATH 09-23-2005 COUNTY CUMBERLAND TYPE OF ACCOUNT D SAVINGS [X] CHECKING D TRUST D CERTIF. S : I DOROTHY Z HECKENDORN 123 STEELSTOWN RD NEWVILLE PA 17241 REHIT PAYHENT AND FORHS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 ADAHS COUNTY NATIONAL BANK 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 decedentl you were a joint owner/beneficiary of this account. If you feel this information is incorrectl please obtain written correction from the financial institutionl 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 bA answered b~ ~a!ling (711) 78?-B321. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 118818 Date 06-30-2001 Established Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x 1,956.60 16.667 326.11 .045 14.67 TAXPAYER RESPONSE '~~1~1~1~i::: ......-...............-...-.....".... - __ '0. .0. To insure proper credit to your accountl two (2) copies of this notice must accompany your payment to the Register of Wills. Make check payable to: "Register of Wi1ls1 Agent". x NOTE: If tax payments are made within three (3) months of the decedent's date of deathl you may deduct a 5Z 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. hn 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 interestl 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. If you indicate a different tax rate, please state your relationship to decedent: PART ~ DATE PAID DEBTS AND DEDUCTIONS CLAIMED PART ~ TAX lINE RETURN - COMPUTATION 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 1 2 3 4 5 6 7 8 x I ~ . {,~.'"1 TAX ON JOINT/TRUST ACCOUNTS , t.1. t( -, X \ (1 LfJi) PAYEE DESCRIPTION AMOUNT PAID TOTAL (Enter on line 5 of Tax Computation) $ Under penalties of perjury, I declare that the facts I have reported above are true, correct and complete to the best of ::.~ ...knoWledge J ~nd belief. HOME (1 7 ~) ~j 4: 4 0- ~ ~ ~ RAtC1le~1../Y'- WORK ( ):3 ;-i ~ (j (J k TA~AVER SIGNAT~ ~ . A TELEPHONE NUMBER DATE COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 ". INFORMATION NOTICE AND TAXPAYER RESPONSE FILE NO. 21 05-0877 ACN 06108714 DATE 03-01-2006 REY-1545 EX AFP (09-00) EST. OF RICHARD HECKENDORN S.S. NO. 184-38-0489 DATE OF DEATH 09-23-2005 COUNTY CUMBERLAND TYPE OF ACCOUNT [X] SAVINGS D CHECKING D TRUST D CERTIF . DOROTHY Z HECKENDORN 123 STEELSTOWN RD NEWVILLE PA 17241 REHIT PAYHENT AND FORHS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE~ PA 17013 ADAHS COUNTY NATIONAL BANK 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 ans~ered by ceIling (717) 787-8327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 9649174 Date 12-31-2002 Established 3~832.20 16.667 638.71 .045 28.74 ~RT TAXPAYER RESPONSE [!] !!i!!!~I~~.!i!I!~I!ili!I;:;:;:;;;:;'."'.'.;:;;;;;;;;;;;:;;~;:~~~!I!II_I!I!!IOOII!I!.!!I!!I~I~II~~~!I!I!III!1!I!II~:;:':"" Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due 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... x 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 [CHECK ] ONE BLOCK ONLY A. ~ The above information and tax due is correct. yu 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. B. [] 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. [] The above information is incorrect and/or debts and deductions were paid by you. You must complete PART ~ and/or PART ~ below. If you indicate a different tax rate~ please state your relationship to decedent: PART ~ TAX LINE RETURN - COMPUTATION 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 I b\&b7 4 5 I) <611 L..( 6 7 X · (,11'1) 8 .... ,-. ......... .... 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I!mll!I!III!III!I~III!!!!!!!!!!!!!!!!I!i!I!!!l!i!!!i!i!i!!!i!!!i!l!i!i!!!i!i!i!I!I!!!i!i!l!i!i!I!I!I!i!i!i!i!l!i!I!!!I!i!i!l!i!i!i!i!l!i!l!i!l!i!i!l!i!l!i!l!i!i!i! lilllillljlllj!jlll~ljllililililililiiiliiiiiiilililiiiliiiliiiiiliiilililiiiliiiiiliiililiiiliiiliiiiiliiiliiililiiiliiililililililililiiiiilililiiiliiilililiiiiili PART ~ DATE PAID DEBTS AND DEDUCTIONS CLAIMED PAYEE DESCRIPTION AMOUNT PAID TOTAL (Enter on Line 5 of Tax Computation) $ perjury~ I declare that the facts I have reported above are true, correct and my knowledge and belief. HOME (7.714. ) ~~ l1" '1 :J WORK ( ) TELEPHONE NUMBER ..(lY1 3--1-1 (')0 ~ DATE ri ~.:r~ h , .; "4 ,i<<' '): ~ -;':1:'l~ n.. Cl,. ft"" :.0 \..l ~~ a: ~ "xi ' "~ rn r.,r V; -.t- r~ ..~~ r! ~.-'-.l!'.l'. t:t:: .:.::;/~ :+ q' ~ ......." """ '..I.... <D rn r< .-' 0 "T..; r-. ~ -P ("'0, ~~ M U) ,.j 0 r-l 0 C'- r-l (':l ~~ or! .; c) . 'l <J~ 'H ;J-{ C. '() (-l ~--i C <J.) 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