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Home My WebLink About03-28-06 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 PART @J DATE PAID 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 06108713 DATE 03-01-2006 REV-1543 EX AFP (09-00) ......- . ,'1 ~5 TYPE OF ACCOUNT o SAVINGS [XJ CHECKING o TRUST o CERTIF. EST. OF RICHARD HECKENDORN S.S. NO. 184-38-0489 DATE OF DEATH 09-23-2005 COUNTY CUMBERLAND MICHAEL L HECKENDORN 327 HUNTSMAN DR GOOSE CREEK SC 29445 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE~ PA 17013 ADAMS COUNTY NATIONAL BANK has provided tho Department with the information listed balow which has baan Used in calculating the potential tax duo. Thair records indicate that at the death of the above decadent, YOU wara a joint ownar/banaficiary of this account. If yOU fool this infor..tion is incorract, plaasa obtaIn written correction from tho financial institution, attach a copy to this foro and raturn it to tho abOve addrass. This account is taxable in accordanca with tho Inharitanca Tax laws of tho Comoonwaalth of Pannsylvania. Questions may ba answered by calling (717) 787-8327. COMPLETE PART 1 BELOW J( J( J( SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. llBBIB Date 06-30-2001 Established 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 1~956.60 16.667 326.11 .12 39. 13 TAXPAYER RESPONSE . "]I:I:II!;" '1;1!i.~!~~!Ii!IIIIf,:.!II!!~l!mI_il!!~~.!III.!:IIIm~!;:j!!tI~.miI: . . . . " " . " . " " . . " " ". ..".."...".".....".."" ." ...."".,,... .. .".."..".."..""... ... ..,,".,,".,,".. . . . " " ." .. .."."..... ...".". .".." 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. PART [I] !ill!;II~~~,II!i!~j;i!!I._!!I;;;;; = [CHECK J ONE BLOCK ONLY A. ~The above information and tax due is correct. )l)LI. Vou may choosa to raoit payoant to the Ragistar of Wills with two copies of this notica to obtain a discount Dr avoid interest, Dr yOU may chock box "A" and return this notice to tho Ragistar of Wills and an official assessment will ba issuad by the PA Department of Revenue. B. c:J The abova assat has bean Dr will be reported and tax paid with the PannsYlvania Inheritance Tax return to be filed by the decedent's representative. C. c:J The abova inforoation is incorract and/or dabts and daductions ware paid by you. You must complete PART ~ and/or PART ~ below. If You indicate a different tax rate, please state Your relationship to decedent: OF TAX ON JOINT/TRUST ACCOUNTS 1 2 3 4 5 6 7 8 x x 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 knOWledge and belief. HOME cff/J') b-f'-tv?7 WORK Chy) 96'.Y-39b- ,,'I TELEPHONE NUMBER DATE \~ $ PART o TAX lINE PART @J DATE PAID COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG.. PA 171~a-0601 INFORMATION NOTICE AND TAXPAYER RESPONSE FILE NO. 21 05-0877 ACN 06108715 DATE 03-01-2006 REV-1543 EX AFP (09-00) 38 TYPE OF ACCOUNT fi1 SAVINGS o CHECKING o TRUST o CERTIF. MICHAEL L HECKENDORN 327 HUNTSMAN DR GOOSE CREEK SC 29445 EST. OF RICHARD HECKENDORN S.S. NO. 184-38-0489 DATE OF DEATH 09-23-2005 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE~ PA 17013 ADAMS 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 infor.ation 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 answered by calling (717) 787-8327. COMPLETE PART 1 BELOW-.-. · SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 9649174 Date 12-31-2002 Established 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... 3~832.20 16.667 638.71 .12 76.65 TAXPAYER RESPONSE x 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. PART [] [CHECK J ONE BLOCK ONLY A. ~The above information and tax due is correct. 1. Vou 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 .... and return this notice to the Register of Wills and an Official assessment will be issued by the p. Department of Revenue. B. r: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. r:J 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: 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 4 5 6 7 X 8 DEBTS AND DEDUCTIONS CLAIMED PAYEE DESCRIPTION AMOUNT PAID TOTAL CEnter on line 5 of Tax Computation) perjury, I deClare that the facts I have reported above are true, cOrrect and y knoWledge and belief. HOME (/'!I3) ~_ cJ/;F;? WORK (g: '1 ) 963- 39R:2 w:. TELEPHONf NUMBFR ndTI= $ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: HECKENDORN MICHAEL L 327 HUNTSMAN DRIVE GOOSE CREEK, SC 29445 -------- fold PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ESTATE INFORMATION: SSN: 184-38-0489 FILE NUMBER: 2105-0877 DECEDENT NAME: HECKENDORN RICHARD L DATE OF PAYMENT: 03/28/2006 POSTMARK DATE: 03/17/2006 COUNTY: CUMBERLAND DATE OF DEATH: 09/23/2005 REMARKS: TONY A HECKENDORN CHECK# 8461 SEAL ACN ASSESSMENT CONTROL NUMBER 06108713 06108715 TOTAL AMOUNT PAID: INITIALS: RSK RECEIVED BY: REGISTER OF WILLS REV-1162 EX(11-96) NO. CD 006488 AMOUNT $39.13 $76.65 $115.78 GLENDA FARNER STRASBAUGH REGISTER OF WILLS f- 'B, -.... ....... I i ......... ~ ii . - - w(/) ::)W ZXZ C; W~o ~ >..J(j) I W<(_ ex) a:::)~ ~ L1.CC I"'- O-X ..- ~~!CI: ~ ZCr..- W~W~Cl :EL1.Uoa: ~oz~~ <(::)~X(/) 0.<(-0- wwffim~ ca:J:o<( ~ffi~a.J: 0 ~ ~ 0 t:: c i!) 0 0 ;:; ~ c: X Q) UJ :::: C') <C :! W