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Home My WebLink About04-20-09COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: BODTORF KARL 302 W MAIN TAYOLRS, SC 29687 -------- fold ESTATE INFORMATION: ssrv: FILE NUMBER: 2108-1 181 DECEDENT NAME: BODTORF MABEL D DATE OF PAYMENT: 04/20/2009 POSTMARK DATE: 04/17/2009 couNTY: CUMBERLAND DATE OF DEATH: 1 1 / 1 9/2008 REV-1162 EX111-961 PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT 09117123 ~ 534.18 ACN ASSESSMENT CONTROL NUMBER N0. CD 011133 AMOUNT TOTAL AMOUNT PAID: REMARKS: 534.18 CHECK#139 INITIALS: CJ SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS BUREAU OF INDIVIDUAL TAXES PD BOX 280601 HARRISBURG PA 17128-0601 PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE AND FILE N0. 21 08-1181 ' -TAXPAYER RESPONSE ACN 09117123 + i:''' ,- ~ "' DATE 03-18-2009 _,_ . ,.l i- ..1. .,~., ~..~ REV-1543 IX AFPCOB OB) ?E~Q9 APR 20 PM 12~ 4 CLERK ~JF QRPHAi~'S CURT KARL R BODTORF 203 W MAIN ST TAYLORS SC 29687 EST. OF MABEL D BODTORF SSN DATE OF DEATH 11-19-2008 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 TYPE OF ACCOUNT SAVINGS CHECKING TRUST CERTIF. FULTON BANK provided the Department with the information below, which has bean used in calculating the potential tax due. Records indicate that at the death of the above-named decedent, you were a joint owner/beneficiary of this account. If you feel the 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. Ploase call C717: 787-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 121-0 029288 Date 01-21-1990 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 $ 1 , 519.17 payable to "Register of Wills. Agent". Percent Taxable X 50.000 NOTE: If tax payments are made within three Amount Subject t0 TaX $ 759.59 months of the decedent's date of death, X .045 deduct a 5 percent discount on the tax due. TaX Rate Any Inheritance Tax due will become delinquent Potential Tax Due $ 34 • 18 nine months after the date of death. PART TAXPAYER RESPONSE CHECK ONE [ BLOCK ONLY above information and tax due is correct. Remit vayment to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, or 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. B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return to be filed by the estate representative. 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, please state Y ~ ~ ' ^ relationship to decedent: b R~,. ~ ~ £~_ P ~~ ~ ~ T AX RE TURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS , ~ , !a ~~s.~„ ~~~` ,'° 1,,1 pqq d~ <f ~ y t~~ ~ `~ ~ ' ~ LINE 1. Date Established 1 r w , r ~ .d-; ~ _ ~ ~>> ~ ~~~~ ~~b9s +~ d? ~- 2. Account Balance 2 $ 2 ~b ~~~~,; ~ ,,~x<<,~, , r '~~ 3. Percent Taxable 3 X , 3 ~ ` 'i + 4. Amount Subject to Tax 4 $ i!u+?+; +':; t(a~ ~i~ . s s+, >~f.i aa~b k l~~ ,; ~: ~ 4 P 4 , ~ ~~ ~ ~ ~ 5. Debts and Deductions 5 5 ~+~R .. ~~ ~ ~~~~ ~~ ~=p ~~ ~ ~ ~ ~ F l 6. Amount Taxable 6 $ ~ ~r a ! _ +~ ~~ $ 7. Tax Rate 7 X 8 Tax Due 8 $ . i.. PART DEBTS AND DEDUCTIONS C LAIMED 0 DATE PAID PAYEE DESCRIPTION AMOUNT PAID