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Home My WebLink About05-30-06 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 HAWCO CATHERINE M 909 ACRI RD MECHANICSBURG, PA 17055 nnnn lold ESTATE INFORMATION: SSN: 000-00-0000 FILE NUMBER: 2106-0370 DECEDENT NAME: HA WCO MARY J DATE OF PAYMENT: 05/30/2006 POSTMARK DATE: OS/23/2006 COUNTY: CUMBERLAND DATE OF DEATH: 00/00/0000 NO. CD 006757 ACN ASSESSMENT CONTROL NUMBER AMOUNT 06122109 I $306.32 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: CHECK# 572 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS $306.32 GLENDA FARNER STRASBAUGH REGISTER OF WillS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIOUAL TAXES OEPT. 280601 HARRISBURG, PA 17128-0601 .. ...w.. ~. INFORMATION NOTICE ~ - AND ::'FAXPAYER RESPONSE FILE ACN DATE NO. 21 06-0370 06122109 05-18-2006 REY-1543 EX AFP 109-00l TYPE OF ACCOUNT D SAVINGS D CHECKING D TRUST [X] CERTIF . 10 EST. OF MARY J HAWCO S.S. NO. 100-20-7545 DATE OF DEATH 01-30-2006 COUNTY CUMBERLAND CATHERINE M HAWCO 81 LEE ANN CT ENOLA PA 17025 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 MEMBERS 1ST FCU has provided the Oepartllent 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 forll and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth of Pennsylvania. Question~ may b~ answpred by callin~ (717) 787-8327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 156471-42 Date 02-01-1996 Established Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x 5,105.39 50.000 2,552.70 .12 306.32 TAXPAYER RESPONSE To insure proper credit to your account, two (2) copies of this notice must accollpany your paYllent 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 5Z discount of the tax due. Any inheritance tax due will becolle delinquent nine (9) months after the date of death. Tax PART [!] The above information and tax due is correct. 1. You lIay choose to remit paYllent 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. [] 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. TAX ON JOINT/TRUST ACCOUNTS If you indicate a different tax rate, please state your relationship to decedent: 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 1 2 3 4 5 6 7 8 x x PART [!] DATE PAID DEBTS AND DEDUCTIONS CLAIMED PAYEE DESCRIPTION AMOUNT PAID I $ 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 my knowledge and belief. HOME ( WORK ( TELEPHONE ) ) NUMBER DATE TAXPAYER SIGNATURE ,..:. ....1 ,..:. J',) IJ! ..~. o (I'. .." ...' '.al. :::- - ::= ~ :::- == ::= :::- :=: == == - - == ~ :::: - - .- ~'t~r : ,~~ 'f;' ~~t~ t ~r ~., \ f~ ....... ~ ~ ( 10 ~ .......... () , .) f ; , I\~) ... '. " '-..J ~~'5: Q..r~ _OJ % n ~:!>~ -:0 :T -,,:J~ '" n S' kJ:rl1 Ul '5: I J: ...... OJ- -.\.) ~ "^-,, 0 ~ Q..:> t;j :t: (;j P 7.1 ;;0 ~ U1 !j;,i C " G) ~ j..I. \.~ f-.I. ~ ..P- ~ !i ';:i ~ \.i~ -0 ~ Wi --i >1 .J