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Home My WebLink About08-18-06 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 NO. CD 007120 BOYER GEORGE M 11 22 MAPLE ST CARLISLE, PA 17013 ACN ASSESSMENT CONTROL NUMBER AMOUNT u____n fold ESTA TE INFORMATION: SSN: 186-10-7125 FILE NUMBER: 2106-0732 DECEDENT NAME: BOYER RUTH E DA TE OF PAYMENT: 08/18/2006 POSTMARK DATE: 08/1 8/2006 COUNTY: CUMBERLAND DA TE OF DEATH: 03/29/2006 06133037 06133036 $90.07 $74.10 TOTAL AMOUNT PAID: $164.17 REMARKS: CHECK#4156 SEAL INITIALS: JA RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 *..1' INFORMATION NOTICE ~. -'-0- ('. AND , iAXPAYER RESPONSE FILE ACN DATE NO. 21 Olo"l ~ 06133036 07-07-2006 REV-1545 EX AFP 109-001 TVPE OF ACCOUNT [X] SAVINGS D CHECKING D TRUST D CERTIF. ') ".~ ;"' '''', ~ !..., .. .! Ek~. OF RUTH E BOVER S.S. NO. 186-10-7125 DATE OF DEATH 03-29-2006 COUNTY CUMBERLAND ,~ REHIT PAYHENT AND FORHS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 GEORGE M BOVER 1122 MAPLE ST CARLISLE PA 17013 HEI1BERS 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 answered by calling (717) 787-8327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 8979-00 Date 07-15-1994 Established Account Balance Percent Taxable Anount Subject to Tax Rate Potential Tax Due x 3,293.39 50.000 1,646.70 .045 74.10 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". 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 [!] 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. [CHECK ] ONE BLOCK ONLV 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. [J The above information is incorrect and/or debts and deductions were paid by you. You must complete PART ~ and/or PART ~ below. PART [!J DATE PAID DEBTS AND DEDUCTIONS CLAIMED If you indicate a different tax rate, please state your relationship to decedent: PART [!J TAX RETURN - COMPUTATION LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Anount Subject to Tax 5. Debts and Deductions 6. Anount Taxable 7. Tax Rata 8. Tax Due OF TAX ON JOINT/TRUST ACCOUNTS I 2 3 4 5 6 7 8 x x PAVEE DESCRIPTION AMOUNT PAID I TOTAL (Enter on Line 5 of Tax ConputationJ I $ perjury, I declare that the facts I have reported above are true, correct and IIY knowledge and belief. HOME ( WORK ( TELEPHONE o~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 *-' INFORMATION NOTICE r-,',:.. . --r.A,N,D ......rrAXPA~1!R iRESPONSE FILE NO. 21 D.D -132.. ACN 06133037 DATE 07-07-2006 REV-1545 EX AFP (09-001 fj -# EST."bP'~UTH E BOYER S.S. NO. 186-10-7125 DATE OF DEATH 03-29-2006 COUNTY CUMBERLAND TVPE OF ACCOUNT [X] SAVINGS D CHECKING D TRUST D CERTIF. GEORGE M BOVER 1122 MAPLE ST CARLISLE PA 17013 REHIT PAYHENT AND FORHS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 HEHBERS 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 answered by calling (717) 787-8327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 8979-04 Date 02-01-2001 Established Account Balance Percent Taxable Allount Subject to Tax Rate Potential Tax Due x 4,003.07 50.000 2,001.54 .045 90.07 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". 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 [!] 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 Oepartment 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. [J The above information is incorrect and/or debts and deductions were paid by you. You must complete PART ~ and/or PART ~ below. PART [!J DATE PAID DEBTS AND DEDUCTIONS CLAIMED If you indicate a different tax rate, please state your relationship to decedent: PART [!J TAX RETURN - COMPUTATION LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Allount Subject to Tax 5. Debts and Deductions 6. Allount Taxable 7. Tax Rate 8. Tax Due OF I 2 3 4 5 6 7 8 x TAX ON JOINT/TRUST ACCOUNTS x PAVEE DESCRIPTION AMOUNT PAID I $ TOTAL (Enter on Line 5 of Tax COIIPutationJ Under penalties of perjury, I declare that the facts I have reported above are te to the best of ledge and belief. HOME ( WORK ( TELEPHONE correct and