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Home My WebLink About12-23-08 (3)COMMONWEALTH OF PENNSYLVl1NIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: SCHWALB RAYMOND J 123 SOUTH 31ST STREET CAMP HILL, PA 1701 1 PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ACN ASSESSMENT CONTROL NUMBER fold ESTATE INFORMATION: ssN: FILE NUMBER: 2108-1274 DECEDENT NAME: SCHWALB DOROTHY R DATE OF PAYMENT: 1 2/23/2008 POSTMARK DATE: 1 2/23/2008 couNTY: CUMBERLAND DATE OF DEATH: 09/25/2008 REV-1162 EX(11-96) INO. CD 010681 AMOUNT 08155934 ~ 5296.46 TOTAL AMOUNT PAID: REMARKS: SEAL CHECK#2199 INITIALS: CJ RECEIVED BY: 5296.46 GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS .PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE f' AND FILE N0. 21 "(7`6~1~-~~I BUREAU OF INDIVIDUAL TAXES ACN 08155934 PD Box zao6ol TAXPAYER RESPONSE HARRISBURG PA 17128-0601 DATE 11-25-2008 REV-1543 E% I1FP (OB-OB) TYPE OF ACCOUNT EST. OF DOROTHY R SCHWALB ^ SAVING $$jJ ^ CHECKI DATE OF DEATH 09••25-2008 ~ TRUST COUNTY CUMBERLAND ^ CERTIF REMIT PAYMENT AND FORMS T0: e~ RAYMOND J SCHWALB REGISTER OF WILLS ~~;. 123 S 31ST ST CUMBERLAND CO COURT HOUSE;/~ - CAMP HILL PA 17011 CARLISLE, PA 170:L3 ~~ ~'_'~ - ~~ .` .. ~ c.a - ~, ~.. SOVEREIGN BANK provided the Department with the information below, which has been used kn-calculatY~ri` the -.' potential tax due. Records indicate that at the death of the above-named decedent, you were a ioint owner/beneficial~v of th~S,Jaccount. If you feel the information is incorrect, please obtain written correction from the financial institution, attaeh}a ~ opy to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of theQpmmonwealth Pennsylvania. Please call (717) 7B7-8327 with questions. COMPLETE PART 1 BELOW * jEE REVERSE SIDE FOR FILING AND PAYMENT INSTR116T~.-0NS -- Account No. 1055288391 Date 07-09-2001 To ensure proper credit to the account, two EStablished copies of this notice must accompany payment to the Register of Wills. Make check Account Balance $ 6, 934.68 payable to "Register of Wills, Agent". Percent Taxable X 100.00 NOTE: If ta:c payments are made within three Amount Subject to TaX $ 6,934.68 months of the decedent's date of death, TaX Rate x , 15 deduct a 5 percent discount on the tax due. Any Inheritance Tax due will become delinquent Potential Tax Due $ 1 , 040 • 20 nine months after the date of death. PART TAXPAYER RESPONSE FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT S NG The A above information and tax due is correct. . ^ Remit payment to the Register of Wills with two copies of this notice to obtain a dis count or avoid interest, or check box "A" and return this notice to the Register of C H E C K Wills and an official assessment will be issued by the PA Department of Revenue. ONE C B L 0 C K B. ^ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tau return 0 N L Y to be fil ed by the estate rev resentative. C. ~ The above informs ion is incorrect and/or debts and deductions were paid. Complete PART 2~ and/or PART 3^ below. PART If indicating a different tax rate, pl~<eJ tote relationship to decedent: TAX RETURN - COMPUTATION LINE I. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due OF TAX ON JOINT/,TRUST ACCOUNTS 2 $ r~~~:.~~. ~~ s x { L,(_, 4 $ ~i t7 - 4 ~a 5 U 6 $ (v `1 y4,G~ x , v ~~ g.___$ ~ i Z O~ PAD OFFICIAL USE ONLY U AAF PA DEPARTMENT OF REVENUE 1 2 3 4 5 b 7 8 PART 5- ~~ a%'~~~ «'~~T DEBTS AND DEDUCTIONS CLAIMED Imo-- _ -__ ____ .___ _. DESCRIPTION AMOUNT PAID neTG porn PAYEE Under penalties of perjury, I declare that the facts I have reported above are true, ~ correct and complete to the best of/,~nY and belief. HOME (~~~ ) (°~ C/~~ ~// ``ice ~-~--- _~ ~~ ~ WORK (~ / 7 ) w¢ ~ C L. Z.. i s 7. Zc O c, TAXPAYER SIGNATUR~ TELEPHONE NI.IMBER DAT TDTAL ctnser on Line ~ yr pan ,,,N..~ ~__ f s: ~:, _. ~'•'°~t S Y9~~ &# ` p f .~f~ r`, -_~. _~. r-? ~> 4 r' V~ /~ rT ~n rfk "+~ ~ r' ,+- :"`•a ;;': ;; `: ~'d -- r,i y r' ~ ~ ~ L1 7 ~~~ - `, r~~ _ "" ~ i ~ n r. n ~ ' +; ~- ,`~ ~ .~ I~ 1, ^ i.. ^~ ~ ~ f v J J ~~ r J ~~~ U u cT. ~~ ~ J r , ~ ~ , ~ ~ ,,, J '? ~1 1/ `~ f J 1~ _ v ~y~.~ i•~ I .t ~~~ '~~ =~E w' F. •.~ •rd .L1 .~-+ ~ n L¢. M it M n ~ U 7/w'