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Home My WebLink About09-14-06 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 BAKER WILLIAM M 302 E COOVER ST MECHANICSBURG, PA 17055-4223 nn_no fold ESTATE INFORMATION: SSN: 174-20-9026 FILE NUMBER: 2106-0804 DECEDENT NAME: BAKER WILLIAM M DA TE OF PAYMENT: 09/14/2006 POSTMARK DATE: 09/13/2006 COUNTY: CUMBERLAND DATE OF DEATH: 07/21/2006 NO. CD 007203 ACN ASSESSMENT CONTROL NUMBER AMOUNT 06145904 I $464.36 06145906 I $102.95 06145905 I $39.51 I I I I I I TOTAL AMOUNT PAID: REMARKS: WILLIAM M BAKER CHECK#1350 SEAL INITIALS: CM RECEIVED BY: REGISTER OF WILLS $606.82 GLENDA FARNER STRASBAUGH REGISTER OF WILLS " ~ ~ \[{) :3 ~ 0 ::t: (t'\ t 1; \ V\ ~t ~ '-> - C. ..-' ~ --' ~ Ul ...... 0 r- , iJ1 3 0 (i\ - ;r' ..!or, 1"'\ or ~L .;- ~ c!.~ cL ..."..., r-. d ~ q) ~ './ ~ J;) ~ ..; / ~../ ~ :5 t ~ UU or. or. o . \001 r- \~~.... ~ ~~'o ~, 69,ob; ~o'a~ g~,%< 7' M '6 \, ~ ~ ~.~ ~ , ~ ~ . to .~. . 'i~II. , " ~ -: :; .. ::: -: -: - :. - - ... - -: - - .. ..::: .. ... := ... .::: ~ - - -: .. - f-:' i..'.\ i') N .... (oj .r4 o r'" ..... ifn, ft;A 0 " _~ 67D ceetif" J-/(p/-f. ~,,~ (taJ 0 1014 s~o'1 16 fb. 37 '" '- ~ ~10 e"ec~~ / (J~' q 5 fr (N Db /ljS'io't H 1.5'1 .... ~ 11tJ 5<)-0: V\-;p 1/1. 51' frC~ \) 'f i't:l59()) Jfhff. f)-.fo --168-.Cf~ ~ -" {pelt:>. 8' g. cleek AMI, 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 06145905 DATE 09-07-2006 REV-1545 EX iFP 109- 00 I WILLIAM M BAKER 302 E COOVER ST MECHANICSBURG PA 17055-4223 TYPE OF ACCOUNT EST. OF THOMAS E BAKER [i] SAVINGS S. S. NO. 174-20-9026 D CHECKING DATE OF DEATH 07-21-2006 D TRUST COUNTY CUMBERLAND D CERTIF. REHIT PAVHENT AND FORHS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 PSECU 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 Acco...,t No. 0174209026 Date 10-23-1984 Established Account Balance Percent Taxable A.o...,t Subject to Tex Rate Potential Tax Due x 693.10 50.000 346.55 .12 41. 59 TAXPAYER RESPONSE To insure proper credit to your account, two (2) copies of this notice .ust 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 bec~e delinquent nine (9) months after the date of death. Tax PART [!] [CHECK ] ONE BLOCK ONLY A. r\2I The above infor_tion and tax due is correct. ~l. 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. c=l 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. c=l The above information is incorrect and/or debts and deductions were paid by y~ You must cOlIPlete PART 0 and/or PART @] below. s; 0 If you indicate a different tax rate, please state your relationship to decedent: PART [!] TAX RETURN - COMPUTATION OF TAX 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 ON JOINT/TRUST ACCOUNTS :n PART [!] DATE PAID DEBTS AND DEDUCTIONS CLAIMED PAYEE DESCRIPTION AMOUNT PAID I TOTAL (Enter on Line 5 of Tax Computation) I $ Under penalties of perjury, I declare that the facts I have reported above are true, correct and co. ~~.. the be.st of my k. now ledge and belief. HOME en /7) ? 1fIi'?.,- 9' ~C',g " t'~~~ 4~. WORK eL- ) -- - TAXPAYER SIGNATURE 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 ACN 06145904 DATE 09-07-2006 REY-1545 EX iFP (09-101 WILLIAM M BAKER 302 E COOVER ST MECHANICSBURG PA 17055-4223 TYPE OF ACCOUNT EST. OF THOMAS E BAKER 0 SAVINGS S. S. NO. 174-20-9026 0 CHECKING DATE OF DEATH 07-21-2006 0 TRUST COUNTY CUMBERLAND [Xl CERTIF. REHIT PAVHENT AND FORHS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 PSECU has provided the Depart.ent with the infor.ation 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 fro. the financial instibJtion, attaeh a copy to this fo~ and return it to the above address. This account is taxable In accordance with the Inheritance Tax Laws of the Co..onwealth of PennSYlvania. Questions .ay be answered by call1ng l/17) 787-8327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 0174209026 Date 10-23-1984 Established Account Balance Percent Taxable AMount Subject to Tax Rate Potantial Tax Due x 8,144.83 50.000 4,072.42 .12 488.69 TAXPAYER RESPONSE To insure proper credit to your account, two (2) copies of this notice .ust acco.pany your pay.ant to the Register of Wills. Make check payable to: "Register of Wills, Agent". x NOTE: If tax pay.ents are .ade within three (3) .onths of the decedent's date of death, you .ay deduct a 5Z discount of the tax due. Any inheritance tax due will beco.e delinquent nine (9) .onths after the date of death. Tax PART [!] A. [ CHECK ] ONE BLOCK B. ONLY c. ~ The above infor.ation and tax due is correct. ~ 1. You .ay choose to re.it pay.ent to the Register of Wills with two copies of this notice to obtain a discount or avoid interast, or yoU .ay check box "A" and return this notice to the Register of Wills and an official assessment will be issued by the PA Depart.ent of Revenue. E: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. E:J The above infor.ation is incorrect and/or debts and deductions were paid by you. You .ust co.plete PART ~ and/or PART ~ below. PART [!] DATE PAID DEBTS AND DEDUCTIONS CLAIMED If you indicate a different tax rate, please state your relationship to decedent: PART ~ TAX RETURN - COMPUTATION OF LINE 1. Date Established 1 2. Account Balance 2 3. Percent Taxable 3 4. AMOunt Subject to Tax 4 5. Debts and Deductions 5 6. AMount Taxable 6 7. Tax Rate 7 8. Tax Due 8 TAX ON JOINT/TRUST ACCOUNTS x x PAYEE DESCRIPTION AMOUNT PAID I TOTAL (Enter on Line 5 of Tax COMPutation) I $ Under perjury, I declare that the facts I MY kno~and belief. have reported above are true, correct and HOME ('7/7):;1? C...... ~ C" ~ jJ--'" WORK ( ) TELEPHO 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 ACN 06145906 DATE 09-07-2006 REY-1545 EX AFP 109-001 WILLIAM M BAKER 302 E COOVER ST MECHANICSBURG PA 17055-4223 TYPE OF ACCOUNT EST. OF THOMAS E BAKER 0 SAVINGS S. S. NO. 174-20-9026 [X] CHECKING DATE OF DEATH 07-21-2006 0 TRUST COUNTY CUMBERLAND 0 CERTIF. REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 PSECU 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~tion is incorrect, please obtain written correction from the financial institution, attach a copy to this farm and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Co.monwealth 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. 0174209026 Date 10-23-1984 Established Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x 1,806.12 50.000 903.06 .12 108.37 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 became delinquent nine (9) months after the date of death. Tax PART [!] A. [ CHECK ] ONE BLOCK B. ONLY c. If you indicate a different tax rate, please state your relationship to decedent: ~ The above infor~tion and tax due is correct. f"'o--J 1. You may choose to remit pay_ent to the Register of Wills with two copies~ this notic~o obtain=CJ a discount or avoid interest, or yoU may check box "A" and return this nci.!1C(8}..1: to the Rq'ister '~..:.b ,,'n Wills and an official assessment will be issued by the PA Department of A8ll~. ~ ~~S 8 c=J The above asset has been or will be reported and tax paid with the PennSYIVania,i~tanc~ax retu~~ to be filed by the decedent.s representative. ,. c--n - "-1'1 rTl :1.) .s:- .>.J CJ o The above information is incorrect and/or debts and deductions were paid by You..'.. 7::::' -:; <;.:::> You must complete PART 0 and/or PART 0 below. .:~ .:::B PART [!] DATE PAID DEBTS AND DEDUCTIONS CLAIMED 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 a. Tax Due OF TAX ON JOINT/TRUST ACCOUNTS 1 2 3 X 4 5 6 7 X a PAYEE DESCRIPTION AMOUNT PAID I TOTAL (Enter on Line 5 of Tax Computation) Under penalties of perjury, I declare that the complete to the best of my knowledge and belief. ~~.~ TAXPAYER SIGNATUR I $ facts I have reported above are true, correct and ,?/,t?~~p HOME (7 I~) WORK ( ) TELEPHONE UMBER DATE