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Home My WebLink About12-28-06 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. Z80601 HARRISBURG, PA 171Z8-0601 .9 ",.1.,' :....:..' i', REY-154! "EX 'iFP 'tOt-alii INFORMATION NOTICE FII"\r- ,,- AND GctAXPAYER RESPONSE FILE ACN DATE NO. 21 - ('..(,0 - /I DL1 06155753 11-07-2006 CLr-r"1 "r- eMf \ ~jr OR. PL'/Ir.,ii(l /'\. (\.,1 w'\T I I ~"-'\I 'J \) \.J.........;,);-1 cu:\/r-, ,'<-, L:\\ , , Pt1 3: 06 EST. OF PAULINE G LEBO 5.5. NO. 195-07-4913 DATE OF DEATH 10-02-2006 COUNTY CUMBERLAND TYPE OF ACCOUNT Iil SAVINGS D CHECKING D TRUST D CERTIF. FORMS TO: 2D36 DEe 28 CAROLE L BISHARD 18 STILES DR MARYSVILLE PA 17053-9532 REMIT PAYMENT AND REGISTER OF WILLS CUMBERLAND CO COURT CARLISLE, PA 17013 HOUSE 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 answ~r9d by ca!!in~ (717) 7S7-83Z7. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 8704102436 Date 02-19-2002 Established Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x 47,940.91 16.667 7,990.31 .045 359.56 TAXPAYER RESPONSE To insure proper credit to your account, two (Zl 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 (3l 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 (9l months after the date of death. Tax PART m A. [ CHECK ] ONE BLOCK B. ONLY c. ~ The 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. [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. [J The above information is incorrect and/or debts and deductions were paid by you. You must complete 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 @J TAX RETURN - COMPUTATION LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax S. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due OF 1 2 3 4 S 6 7 8 x TAX ON JOINT/TRUST ACCOUNTS x PAYEE DESCRIPTION AMOUNT PAID I TOTAL (Enter on Line S of Tax Computation) of perjury, I declare that the facts I knowledge and belief. o, C0 I $ , ct and HOME ( WORK ( T LEPHONE IJ-J.7..1J(p DATE 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 BISHARD CAROLE L 18 STILES DRIVE MARYSVILLE, PA 17053 ~__n___ fold ESTATE INFORMATION: SSN: 195-07-4913 FILE NUMBER: 2106-1104 DECEDENT NAME: LEBO PAULINE G DATE OF PAYMENT: 12/28/2006 POSTMARK DATE: 12/27/2006 COUNTY: CUMBERLAND DA TE OF DEATH: 10/02/2006 NO. CD 007620 ACN ASSESSMENT CONTROL NUMBER AMOUNT 06155753 I $341.59 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: CHECK#1876 SEAL INITIALS: CJ RECEIVED BY: REGISTER OF WILLS $341.59 GLENDA FARNER STRASBAUGH REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 DC (\('i\"2rl.-. r* '.,....1: ','- ;'....: \,j " '-": ~...~ .' '"" t-'-": "c', "_. L,', REV-1543 EX AFP (09-001 INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DATE NO. 21--t:t. -11 1>-\ 06155751 1l-07-2006 20G& OEe 28 Pri 3: 06 EST. OF PAULINE G LEBO 5.5. NO. 195-07-4913 DATE OF DEATH 10-02-2006 COUNTY CUMBERLAND TYPE OF ACCOUNT o SAVINGS IX] CHECKING o TRUST o CERTIF. --'i" nr C\ l_~_',\ \\ _ :~.\_l ~~_.";: ,.....\ l~(r OR. r'\-Jl\>n~.,'. i)_. .",,; \ 1,._ r I ". ~.~. \ ,., rll\';'" ! . " " t\ ....j , CAROLE L BISHARD 18 STILES DR MARYSVILLE PA 17053-9532 REHIT PAYHENT 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 PennsYlvenia. Questions ~Y b@ ans~@~ed by calling (717) 7&7-8327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 8704102436 Date 02-04-2005 Established Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x 659.80 16.667 109.97 .045 4.95 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 [!] A. [ CHECK ] ONE BLOCK B. ONLY c. ritthe above information 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. [] 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. [] The above information is incorrect and/or debts and deductions were paid by you. You must complete PART ~ and/or PART ~ below. 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 a. Tax Due PART [!J DATE PAID DEBTS AND DEDUCTIONS CLAIMED OF 1 2 3 4 5 6 7 a x TAX ON JOINT/TRUST ACCOUNTS x PAYEE DESCRIPTION AMOUNT PAID I TOTAL (Enter on Line 5 of Tax Computation) I $ Under penalties of perjury, I declare that the facts I co.p~e to the be,t o~knoWledg. and belief. L...Q./) 0 iL,( ~ ~/ALh Cu) d TAXPAYER SIGNATURE have reported above re rue, or~ t and HOME (7/7 ~ 'j- 'j'1'1Y WORK ( ~ I.i-~ -ob TELEPHONE NUMBER ATE 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 BISHARD CAROLE L 18 STILES DRIVE MARYSVILLE, PA 17053 -------- fold ESTA TE INFORMATION: SSN: 195-07-4913 FILE NUMBER: 2106-1104 DECEDENT NAME: LEBO PAULINE G DA TE OF PAYMENT: 12/28/2006 POSTMARK DATE: 12/27/2006 COUNTY: CUMBERLAND DA TE OF DEATH: 10/02/2006 NO. CD 007619 ACN ASSESSMENT CONTROL NUMBER AMOUNT 06155751 I $4.71 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: CHECK#1877 SEAL INITIALS: CJ RECEIVED BY: REGISTER OF WILLS $4.71 GLENDA FARNER STRASBAUGH REGISTER OF WILLS r ! I , : , ~ I" (t ,~ ~~ I, .4..:.,."0, " '( ,~ !=1 1 t__J =''li i-~ .,1 L.~ r.:;:ll j-J. i, .' .C' ;=t, "" . \ E. ::C:~, =: -':-t. '...--.. ~"."",\ ''''''\ ~;:.....-...... rl ...J !"', li) M ~.. ({ I.t~ 0. b.. ti ~q ~ t,. :J (:) iD t4 if) (J l-I liJ 0: C) ~ <( i~'~ ;r: r"l t .I.~ c..=' I.u_ h::,) ~. U._ . C) C'J (- lU, o CL' C, (') , LL' 0.. I; '" '" LO q> '" LO <=> .... C': ~ " 0", en;: ~~~ .<::CI>", ffi~~ \..0 o ~ ~ ~ <:: ~ \5 ~ ~ ~'\) ~ ~::J ~ " ~ ~ 8: ~)~ .fj ~ ~' .~ ~ ~ ~~ ~ ~ ~ ~ ~ ~'J~ .. M :i':: 0- ro C''"' -'c' ":;~".; , '""'::::- d~~lf cr.::. ....~ 0'-' c L.) 5 ~-~ c.::: :?:::~ - - - - - - -:::: - - - - - - - t" ~ f] 1'0) "- r' ... o ,.... ...