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COMMONWEAL TH OF PE"'SYLVAHIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 11128-0601
* INFORMATION NOTICE
, ,," ["', (,CC-'('~ r'," AND
' . ' .~" y'::::' \:,"r~:'7f~~PAYER RESPONSE
--;, .. 1 ~': ..:....;" . i. "
REV-1545 dill' 'ii,~"OiI)
FILE NO.21 0l.D ~
ACN 06154044
DATE 10-25-2006
CLEF~f\ OF
ORPHAN'S COURT
('11~,!r::.;c' /~r-, r'f', p,~,
VUi'", ., ' i,H,
TYPE OF ACCOUNT
Pt1 2: 5&T. OF JAMES W REXRODE D SAVINGS
S . S. NO. 218 - 30- 0366 D CHECKING
DATE OF DEATH 09-16-2006 D TRUST
COUNTY CUMBERLAND 00 CERTIF.
REHIT PAYHENT AND FORHS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE~ PA 17013
2006 NOV 14
DEBORAH MCCALLISTER
1306 PHEASANT DRIVE S
CARLISLE PA 17013
HEHBERS 1ST FCU has provided the DepartMnt with the inforation listed below which has been used in
calculating the potential tax due. Their records indicate that at the death of the above dec8dent, you were a joint owner/beneficiary of
this account. If you feel this infor..tion is incorrect, please obtain written correction fro. the financial institution, attach a copy
to this fo~ and return it to the 8bove address. This account ls taxable in accordance with the Inheritllnce Tax Laws of the Cu..unwealth
of ~SYlvanta. Gu8stions "~b8 answared by calling (7171 la1-&Sl7.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 129896-44 Dete 10-12-2001
Estebl1shed
Account Belenee
Percent Tex_le
AIIount Subjeet to Tex
Tex Rete
Potentiel Tex Due
x
21487.08
50.000
11243.54
.045
55.96
TAXPAYER RESPONSE
To insure proper credit to your account, two
(2) copies of this notice .ust accu.pany your
paYllent to the Register of Wills. Make check
payable to: "Register of Wills, Agent".
x
NOTE: If tax pay.ents are .lIde within three
(3) .onths of the decedent's date of death,
you .ay deduct II 5" discount of the tax due.
Any inheritance tax due will becu.e delinquent
nine (9) .onths after the date of death.
PART
[!]
The Bbove inforation and tax due is correct.
1. You .ay choose to r..it pay..nt to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest, or yoU ..y check box "A" lInd r-etur-n this notice to the Register of
Mtlls and an official assesseent will be issued by the PA Depart-ent of Revenue.
[CHECK ]
ONE
BLOCK
ONLY
B. 0 The Bbove asset has been or will be r&ported and tax paid with the Pemsylvanill Inhedtllnce Tax return
to be filed by the decedent's representative.
C. 0 The above infor.ation is incorrect lind/or debts and deductions were paid by you.
You .ust coeplete PART [!] end/or PART ~ below.
PART
~
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
If you indicete . different tax r.te~ pl..se st.t. your
reletionship to decedent:
PART
[!]
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. o.te Established 1
2. AccOW1t Belence 2
3. Percent Texable 3 X
4. A.ount Subject to Tex 4
S. Debts end Deductions S
6. AIIount Texeble 6
7. Tax Rete 7 X
8. Tex~ 8
PAYEE
DESCRIPTION
AMOUNT PAID
I
TOTAL (Enter on Line S of Tex Co~t.tion)
feets I
I
$
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
*1'<
INFORMATION NOTICE
AND
nT1\'XPAYER RESPONSE
\..,.; I ,I"f.. \_';
FILE NO. 21 otg 1013
ACN 06154046
DATE 10-25-2006
IEMI4S EX AI! C""'.,J . :, ~
TYPE
OF ACCOUNT
1iI SAVINGS
D CHECKING
o TRUST
D CERTIF.
FORtIS TO:
DEBORAH MCCALISTER
1306 PHEASANT DRIVE S
CARLISLE PA 17013
2006 NOV I 4 PM ~SJ2 OF JAMES W REXRODE
8.8. NO. 218-30-0366
CLr-R'( or DATE OF DEATH 09-16-2006
DHi~~ 'c.;,/: (-',~1 'fOUNTY CUMBERLAND
O~~I~~':' ~ -, ,- \~XR RE"IT PAY"ENT AND
CU!VI"'" '.. Pr\ REGISTER OF WILLS
CUMBERLAND CO COURT
CARLISLEI PA 17013
HOUSE
"EHlERS 1ST FCU has provided the Depart.ent with the inforsation 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 B joint owner/beneficiary of
this account. If YOU f..l this infcJraation is incorrect, please obtain written correction froa the finencial institution, attach B copy
to this fcJr. end retur-n it to the above IIddress. This acoount is taxable in accordance with the Inheritence Tax Laws of the COllllOnNealth
of Pennsylvania. Ques~ions aay be answered by calling (717) 1&J-83~7.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 129896-00 Date 11-25-1992
Est_ush8d
Account BalW1Ce
Percllnt Tax_le
AIIowIt Subject to
Tax Rate
Potllntial Tax Due
x
597.78
50.000
298.89
.045
13.45
TAXPAYER RESPONSE
To insure proper credi t to your BCCO\rlt, tNO
(2) copies of this notice BUst accoapany your
payaent to the Register of Nills. Milke check
payable to: "Register of Wills, Agent".
x
NOTE: If tax payaents are .ade within thr..
(3) .onths of the decedent.s date of death,
you _y deduct a S:lC discount of the tax due.
Any inheritance tax due will becOllll delinquent
nine (9) eonths after the date of death.
Tax
PART
[!]
The above infonaetion and tax dUll is correct.
You .ay choose to r..it pay..nt to the Register of Nills with two copies of this notice to obtain
a discount or avoid interest, or yOU _y check box "A" and return this notice to the Register of
Nills and an official assessaent will be issued by the PA Departaent of Revenue.
[CHECK ]
ONE
BLOCK
ONLY
B. 0 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. 0 The above infcJraation is incorrect end/or debts and deductions were paid by you.
You .ust coaplete PART 0 and/or PART ~ belON.
PART
I!J
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
If you indicate a different tax ratel pleas. state your
relationship to decedllnt:
PART
[!]
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Date Established 1
2. Account BalW1Ce 2
3. Percent Taxable 3 X
4. AIIount Subject to Tax 4
5. Debts and Deductions 5
6. AIIount Taxable 6
7. Tax Rat. 7 X
8. Tax ~ 8
PAYEE
DESCRIPTION
AMOUNT PAID
I
TOTAL (Enter on Line 5 of Tax C~tation)
fact. I
I
.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG~ PA 17128-0601
._ ,~.- INFORMATION NOTICE
') \ )~-'i lU::. t.J.- AND
!" ...... ",::,,'. ('TAXPAYER RESPONSE
Q~',< _<~ .1 \~, :";:" ~l
IlEv~J541 EI ",p (19':.')
FILE
ACN
DATE
NO. 21 ota 16/J
06154045
10-25-2006
CLERK OF
ORPHi\N'S CqURT
Cu\ '-::..r--" i n PA
\'./!L ..' ..... ,
E8T. OF JAMES W REXRODE
8.8. NO. 218-30-0366
DATE OF DEATH 09-16-2006
COUNTY CUMBERLAND
TVPE OF ACCOUNT
D SAVINGS
o CHECKING
D TRUST
[X] CERTIF .
2006 NOV t 4 PI; 2: 5 1
DEBORAH MCCALISTER
1306 PHEASANT DRIVE S
CARLISLE PA 17013
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE~ PA 17013
MEMBERS 1ST FCU has pr-ovlded the Depar-t..nt with the InfoMlation 11*ted below which has been used In
calculating the potential tax due. ThIIlr- r-ecor-ds Indicate that at the death of the above decedent~ you were a joint owner-/bel1llficlllr-y of
this account. If you feal this Infor'Wlltlon Is Incor-r-lICt~ please obtain wr-Itten corr-ectlon fr-o. the financial Instltutlon~ attach 8 copy
to this foMl and r-etur-n it to the above addr-ess. This account Is taxable In accordance with the Inheritance Tax Laws of thII Co.lIOnwealth
of Pennsylvania. Questlons..y be answer-edby cailing (717) 787-8327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 129896-46 Data 11-25-1992
EstebUshed
Account Balence
Parcent Taxebla
AIIowat Subject to Tax
Tex Reta
Potential Tex Due
x
3~801.61
50.000
1~900.81
.045
85.54
TAXPAYER RESPONSE
To Insur-e proper cr-edl t to your- 8Ccount~ two
(2) copies of this notice .ust accOllpany your
paYllent to the Register- of Wills. Milke check
payable to: "Register- of WIlls~ Agent".
x
NOTE: If tax PlIYll8nts 8r-e .ade wi thin thr-ee
(3) IIOnths of the decedent"s date of death~
you BY deduct a 5;( discount of the tax due.
Any Inher-ltance tax due will bllCOlIe delinquent
nine (9) .onths after- the date of death.
PART
[!]
above Infor-Btion and tax due is corr-ect.
You .ay choose to r-ea1t pay..nt to the Register- of Wills with two copies of this notice to obtain
a discount or- avoid inter-est~ or- yoU BY check box "A" and r-etur-n this'notlce to the Register- of
Wills and an official lIssesSllent will be Issued by the PA Dapartaent of Revenue.
[CHECK ]
ONE
BLOCK
ONLY
B. 0 The above asut has been Dr- will be r-epor-ted and tax paid with the Pennsylvania Inheritance Tax r-etur-n
to be filed by the decedent"s r-lIpr-e.ntative.
C. 0 The above Infor-Btion i~cor-r-lICt and/or- debts and deductions were paid by you.
You .ust coaplete PART I!J and/or- PART @] below.
PART
[!]
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
If you indicete a different tax rate~ please stata your
relationship to decedent:
PART
~
TAX RETURN - COMPUTATION OF TAX ON JOINT'TRUST ACCOUNTS
LINE 1. Date EstebUshed 1
2. Account Balence 2
3. Percent Texeble 3 X
iii. AIIowat Subject to Tex iii
S. Debts end Deductions S
6. AIIowat Texeble 6
7. Tex Rate 7 X
8. Tex~ 8
PAVEE
DESCRIPTION
AMOUNT PAID
I
TOTAL (Enter on Line S of Tax Computation)
facts
I
.