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Home My WebLink About03-09-06 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 STEVEN F POPLASKI 12 MORARI DR DILLSBURG, PA 17019 _u_____ fold ESTATE INFORMATION: SSN: 186-26-6401 FILE NUMBER: 2106-0210 DECEDENT NAME: POPLASKI RAYMOND J DATE OF PAYMENT: 03/09/2006 POSTMARK DATE: 03/06/2006 COUNTY: CUMBERLAND DATE OF DEATH: 10/14/2005 NO. CD 006413 ACN ASSESSMENT CONTROL NUMBER AMOUNT 06104322 I $50.70 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: CHECK# 0949 SEAL INITIALS: MG RECEIVED BY: REGISTER OF WILLS $50.70 GLENDA FARNER STRASBAUGH REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 .- '. .:." "..~'" . _.- - ," INFORMATION NOTICE AND TAXPAYER RESPONSE FILE NO. 21 ACN 06104322 DATE 02-07-2006 IiEY-1545 Ell AFP (119-00> _0 .,1 I: 08 EST. OF RAYMOND J POPLASKI S.S. NO. 186-26-6401 DATE OF DEATH 10-14-2005 COUNTY CUMBERLAND TYPE OF ACCOUNT lXJ SAVINGS D CHECKING D TRUST D CERTIF . 011\.U" STEVEN F POPLASKI\.Ji." 12 MORARI DR 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 Pen"s~!va~i~. Questions may be snswcred by calling (717) 787-!327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 22465-00 Date 08- 01-1979 Established Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x 2,253.33 50.000 1,126.67 .045 50.70 TAXPAYER RESPONSE .':::tJ~1b, 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 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 A. ~The above information and tax due is correct. ~. 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. [CHECK ] ONE BLOCK ONLY B. [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. [] The above information is incorrect and/or debts and deductions were paid by you. You must complete PART ~ and/or PART ~ below. PART If you indicate a different tax rate, please state your ~ relationship to decedent: TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Date Established 1 2. Account Balance 2 3. Percent Taxable 3 X 4. Amount Subject to Tax 4 5. Debts and Deductions 5 6. Amount Taxable 6 7. Tax Rate 7 X 8. Tax Due 8 PART DEBTS AND DEDUCTIONS CLAIMED [!J DATE PAID PAYEE DESCRIPTION AMOUNT PAID I $ TOTAL (Enter on Line 5 of Tax Computation) perjury, I declare that the facts I have reported above are true, correct and ",ledge and belief. HOME (71 7 ) '13:1.-10 9'-/ WORK ( ) TELEPHONE NUMBER 3 ,? CJ~ DATE 1~\Ub ,,-.. ~) \: 09 r.." r .... ! "', I... ,..:. (,) .... (,,i (,.I u:, i't) -- -... ~0,>-- ..... ""'l ~~ ":":- ~ \.JS c,." ~ ......... ;::;::......... '-). lk '''' J)--.- ~ - ~ ~() '-~~ ~ ~~ ~~. ~ ;;- '->\ V\ ~ ~ ""- l.~ .~ \ l.. 9 ~ - . ~N~ I S; ~~ ~gg ~~~ )>;:1'0 ~S(g. -.1. ~ e ~ \0 6~ ~: ..k. D ?: ;r.: ~i vf-; ';E , ~ A' t5 ~\.j Cj ~.~ J1 T' :~ ;jJ p =~ .....~J 1-'.