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Home My WebLink About12-14-06 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 DIERICH ERNEST HC2 BOX 273 PATAGONIA, AZ 85624 nnnn fold ESTATE INFORMATION: SSN: 163-07-6635 FILE NUMBER: 2106-1095 DECEDENT NAME: DIERICH ERNEST R DA TE OF PAYMENT: 12/14/2006 POSTMARK DATE: 12/09/2006 COUNTY: CUMBERLAND DATE OF DEATH: 09/18/2006 NO. CD 007563 ACN ASSESSM ENT CONTROL NUMBER AMOUNT 06500633 I $14,976.44 I I I I I I I I TOTAL AMOUNT PAID: $14,976.44 REMARKS: CHECK# 1001 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS GLENDA FARNER STRASBAUGH REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTtENT OF REVENUE BUREAU OF INDIVIDUAL TAXES PO BOX 280601 HARRISBURG PA 17128-0601 .~ REV-15m ",~ l~ltd~ INFORMATION NOTICE AND lED O~C~~1~ RESPONSE FILE ACN DATE NO. 21 6(g I O?~ 06500633 11-27-2006 , ."' TYPE OF ACCOUNT D SECURITY [[J SEC ACCT D STOCK D BONDS ERNEST DIERICH HC2 BOX 273 PATAGONIA 2006 O.EC 14 Pt1lfC~'t1 OF ERNEST R DIERICH ~'. 81. NO. 162-07-6635 DATE OF DEATH 09-18-2006 CLERK OF COUNTY CUMBERLAND ORPHAN'S COURT CUMBFR! ll~,fD ('0 , PA RE"IT PAY"ENT AND FOR~ TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLEI PA 17013 AZ 85624 "ERRILL LYNCH has provided the Depart.ent ..iththe infor.ation listed belON ..hich has been used in calculating the potential tax due. Their records indicate that at the death of the above decedent, you ..ere a beneficiary of this asset. If YOU feel this infor.ation is incorrect, please obtain ..ritten correction fro. the transfer agent, attach a copy to this for. and return it to the above address. This account is taxable in accordence ..ith the Inheritance Tax La..s of the Co..on..ealth of Pennsylvania. Questions ..y be ansNBred by calling (717) 787-8327. COMPLITE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 23444761 DOD ValUlltion Percent Taxabl. AlIOUnt Subject to Tax Rate Potential Tax Dua x 7001651.87 50.000 3501325.94 .045 151764.67 TAXPAYER RESPONSE To insure proper credit to your account, two (2) copies of this notice .ust acco.pany your pa~ent 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 51. dIscount of the tax due. Any inheritance tax due ..ill beco.e delinquent nine (9) .onths after the date of death. Tax PART [!] The above infor..tion and tax due is correct. I, 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 interest, or yOU .ay check box "A" and return this notice to the Register of Wills and an official assess.ent will be issued by the PA Depart.ent of Revenue. B. DThB 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. D The above infor.ation is incorrect and/or debts and deductions were paid by you. You .ust coeplete PART [!] and/or PART [!] below. [CHECK ] ONE BLOCK ONLY PART [!I DATE PAID DEBTS AND DEDUCTIONS CLAIMED PART If you indicata a different tax ratel pleasa state your I!J r.lationship to decedent: TAX RETURN - COMPUTATION OF TAX ON ABOVE ASSET(S) L.INE 1. ~'.m ~;,l....-!:i;:" .. .. 2. P.rc....t Taxabl. 2 X 3. AlIOUIlt Subject to Tax 3 4. Debts and Deductions 4 S. AlIOUnt Taxabl. S 6. Tax R.te 6 X 7. Tax Due 7 PAYEE DESCRIPTION AMOUNT PAID I TOTAL (Entar on Line S of Tax COBputation) I . facts I have reported above are truel correct and HOME (<: J..\)) ~ Cf4 -:l S I ..::L WORK () I J.... - , J... ~ 0 Co E HO DATE R:r:(Y;RDPu1 0.vIFFICC (ir" It- ..I\,,it ~ -_ L..I ,~,..(.,.r'''''-", r~ \~"! ' ,.., y. ~ ,. h~', lk< i j....H ~~'-. .IVh f ~l . . i ."~,, ':.j'~~'~j~ --' 1 Vi' (.1.. I~ t:l~o6oE'c 14 PH 12: 31 1~:1 ,.~ ,~~ ,~1 ,~;l , CL'ERIl 0"'" ~ .~1i" f~' .1\ r ~.~I '.\~."'Jl. qR~~N'S CQ~RT , h-~! ; CU\\AL"i 1," ',\ P.",\ ,!_w\ ..f...... .., "'\ :~~~ 0 1'.. '..:<i- . .-::::::i:. Ut co r"!: N ~f' . . !,... .t(, l.,l,.. ~ i ; w ':J f.... ~tl A C1 N ( ; ;"1: ,,';i: ,~ .8.1 ~; 'hr' ~ " ..sl ~ '~ 06 c:::r J "(V) - ~. ~ o l \f)~ " ~ ;t& b a ~ I ~ I --- co .j J 3cG: UQ7 ~~ - ~ cJ ~ ... ... -= ... ::: ... - \'<')i - - ""'--' - - o g r-== :::: ~~ - - 1 ::::: : ... - ,'"t I:;' () .,.., .... (~. .,.., .::. J'.. .,..,