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Home My WebLink About01-27-10COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 71 2 6-0601 RECEIVED FROM: GARRISON P S 26 JUDY LANE HARRISBURG, PA 17112 fold PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ESTATE INFORMATION: ssrv: ~~~-42-2394 FILE NUMBER: 2109-0270 DECEDENT NAME: GARRISON BRENDA L DATE OF PAYMENT: 01 /27/2010 POSTMARK DATE: 01 /25/2010 couNTY: CUMBERLAND DATE OF DEATH: 03/ 1 1 /2009 ACN ASSESSMENT CONTROL NUMBER AMOUNT 09154758 ~ 526.59 TOTAL AMOUNT PAID: REMARKS: CHECK#1039 SEAL INITIALS: CJ RECEIVED BY: 526.59 GLENDA EARNER STRASBAUGH REGISTER OF WILLS REV-1162 EX111-961 NO. CD 012287 REGISTER OF WILLS PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE ``,'~ -7 AND FILE N0. 21---(~ vp~ /~ BUREAU OF INDIVIDUAL TAXES ~'~ ~~ ~` ACN 09154758 PD BOX 280601 ~ ' ,`.F TAXPAYER RESPONSE HARRISBURG PA 17128-0601 ' ~' DATE 08-27-2009 nEV=is~.YEx e~r`roabA~ 2010 JAN 27 P~ 12~ 55 C~.ERK ~~ QgpHAN`S ~~URT CU~'1~~4~~,y~i[~ C~., pP. p S GARRISON 26 JUDY LANE HARRISBURG PA 17112 EST. OF BRENDA GARRISON SSN 252-04-0418 DATE OF DEATH 08-15-2009 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 TYPE OF ACCOUNT SAVINGS ® CHECKING TRUST CERTIF. MEMBERS 1ST FCU provided the Departoent with the inforoation below, which has been used in calculating the Dotential tax due. Records indicate that at the death of the above-naoed decedent, you were a point owner/beneficiary of this account. If you feel the inforoation is incorrect, please obtain written correction froo the financial institution, attach a copy to this fore and return i*_ to the above address. This account is tax ablein accordance with the Inheritance Tax laws of the Cooeanwealth of Pennsylvania. Please call C717) 787-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 168922-1 1 Date 10-03-1998 To ensure proper credit to the account, two Established copies of this notice ^ust accoopanv payoent to the Register of Wills. Make check Account Balance $ 1 , 181 • 67 payable to "Register of Wills, Agent". Percent Taxable X 50.000 NOTE: If tax payoents are Bade within three Amount Subject to Tax $ 590.84 oonths of the decedent's date of death, X . 0 4 5 deduct a 5 percent discount on the tax due. Tax Rate Any Inheritance Tax due will becooe delinquent Potential TaX Due $ 26 • 59 nine months after the date of death. PART TAXPAYER RESPONSE H p. m( The above inforoation and tax due is correct. W Reoit pavoant 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 CHECK Wills and an official assessoent will be issued by the PA Departoent of Revenue. C ONE B L 0 C K B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return 0 N L Y to be filed by the estate representative. C. ~ The above inforoa ion is incorrect and/or debts and deductions were vaid. Cooplete PART 2~ and/or PART 3~ below. PART If indicating a different tax rate, please state k,'„~ relationship to decedent: ~`.! .~~, . 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 8. Tax Due OF TAX ON JOINT/TRUST ACCOUNTS 1 2 $ 3 X 4 $ 5 - 6 $ 7 X 8 $ PART DATE PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL (Enter on Line 5 of Tax Computation) $ Under penalties of perjury, I declare that the facts I have reported abo1ve are true^~, correct and mp a to the best of my knowledge and belief. HOME C7 1~ ~ ~~1- laY, WORK C ~ ~~ ~~ ~~,n ~ rnunur -~IIYIICD DATE DEBTS AND DEDUCTIONS CLAIMED ~n ~ ~ rte- °~ ~ C~ . j -- ~" ~ ~ ~ {• ~ ~ ~ ;t +°,~ { i~!;# ~ ~ /~ I•~'~ v-" P ~ ~ ~ ~..~ .,:H C ,.".« bd ~ lal V~V ~.~~~YTI Iti1 1N(lU~ S,N~1-Id~iO ~~J ~d~ SS =ZI ~d LZ N~~ OIQI ~ .. .# l (0 ~ ~ ~ J~ s~ ~ ~ ~' ~' D J 0 ~::! ~,~'s ~. ~ ~: a~'y js _w,+13 ~... ~~',;i' 4 ~ i+'~ ~:. ~,r w~ :~} . "i` ?~ *'" SM :: =i' kt. f f '~~ ,~ ,_~~ e fyy; Y,':+ ~. _ , ~~ -.ome YSR .'" \.