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Home My WebLink About04-14-08 (2) 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 KENNEDY BERNADETT P 561 BRENTWATER ROAD CAMP HILL, PA 17011 -------- fold ESTATE INFORMATION: SSN: 281-34-2960 FILE NUMBER: 2108-0417 DECEDENT NAME: POL/SSO MINNIE N DA TE OF PAYMENT: 04/14/2008 POSTMARK DATE: 04/11/2008 COUNTY: CUMBERLAND DATE OF DEATH: 08/10/2007 NO. CD 009550 ACN ASSESSMENT CONTROL NUMBER AMOUNT 07140926 I $48.28 I I I , I I I I TOTAL AMOUNT PAID: REMARKS: CHECK# 609 SEAL INITIALS: AJW RECEIVED BY: REGISTER OF WILLS $48.28 GLENDA FARNER STRASBAUGH REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRIS8URG, PA 17128-0601 ,. ,. """.'.. ...w. .... -!')':',;~C.' i.=c:r~!~"\Trc: ("'..:- ~\.": , ( :,~'~ '.~' ~lS4.3iEX ~P~~.!-.,~O) INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DATE NO. 21 D~ (J~\J 07140926 10-10-2007 C' r-f"K ,,,r- Lt' lit- ORPH/IN'S f;Ol 'R. TI 1""\1 I' v ,J' ! " r', ';'; P^ J~, U , ' EST. OF MINNIE N POLISSO S.S. NO. 281-34-2960 DATE OF DEATH 08-10-2007 COUNTY CUMBERLAND TYPE OF ACCOUNT [iJ SAVINGS o CHECKING o TRUST o CERTIF. 2008 APR I 4 PH I: I 2 BERNADETT P KENNEDY 561 BRENTWATER RD CAMPHILL PA 17011 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 INTEGRITY BANK 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 Pgnnsylvaria. g~estion5 m2Y be answered bY calling (717) 787-8327. COMPLETE PART 1 BELOW ~ ~ ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 401012355 Date 07-12-2005 Established 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". Account Balance Percent Taxable Amount Subject to Tax Tax Rate potential Tax Due 2,145.57 X 50.000 1,072.79 X .045 48.28 TAXPAYER RESPONSE 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. PART [!] A. ~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. [CHECK ] ONE BLOCK ONLY B. c=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. c=l The above information is incorrect and/or debts and deductions were paid by you. You must complete PART ~ and/or PART ~ below. X PART [!] TAX If you indicate a different tax rate. please state your relationship to decedent: RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS LINE l. Date Establisned 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 PART ~ DATE PAID PAYEE X DEBTS AND DEDUCTIONS CLAIMED DESCR I PTI ON AMOUNT PAID facts I have reported above are true. correct and HOME (1/7 )7~/- tt{)i:,D W~:~EP~ONE N~MBER If 't{/t/tJf ~ !;; ~_ .~- '" tl~ '~ ~P;'. rJ<\t; r ll""\,.,.,.. ;::.~ ~\L ~~. .,,1..A. ~ ,.""'~' ~ ~;i !;i.S i\\ !t', ':~: ~ ,~ ,.~ ~-\ ~"' ,'\ "'Il;d., !:i.i' ,~.~ '~j' ~ ~' .", 't C "'~~~ ' ~ ~~'~ .~ ,I. ~ A \"-' ~ ,.... 0: !,j d; :i ~ iJ1 l'4 ~ ri.: .<f' ..... 'I, \- tf\ ~ 0.. ~ "" N ct ,(l. .;;'( r1 'f"\ -:. - - -:: - - - -:: - - - - -.:::: ::::: :::: :: - - - - ,'..\ ,1" (.) (') .t- N ."" .., I... \'.. ,,..l