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Home My WebLink About06-09-10COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX(11-96) NO. CD 012880 DUPLICATE ALEXANDER TINA L 601 WOODLAND AVE MT HOLLY SPRINGS, PA 17065 fold ESTATE INFORMATION: SSN: 226-57-1495 FILE NUMBER: 2110-0595 DECEDENT NAME: VULATIC ANDREW J DATE OF PAYMENT: 06/09/2010 POSTMARK DATE: 06/06/2010 COUNTY: CUMBERLAND DATE OF DEATH: 05/05/2010 REMARKS: ACN ASSESSMENT AMOUNT CONTROL NUMBER 10130022 ~ 550.77 TOTAL AMOUNT PAID: 550.77 CHECK# 2996 INITIALS: DM SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES AND FILE N0. 21 --~U --(~Fj~~ Po BOX 280601 --, ,-~ ~.~ ~ TAXPAYER RESPONSE ACN 10130022 HARRISBURG PA 17128-0603 M ~ -a„1 9 ~~": ~IiEV, j543 EX ~pM(ge'08) DATE 05 - 28 - 2010 EST. OF ANDREW J VULATIC SSN 223-57-1495 DATE OF DEATH 05-05-2010 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT ® SAVINGS CHECKING TRUST CERTIF. ~~' ~ dF ~ S CQU T TINA d~~ExAND~R ~ ~ ` 1 ~ ` 601 WOODLAND AVE MT HOLLY SPRINGS PA 17065 MEMBERS 1ST FCU provided the Department with the information below, which has been 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. Please call C717) 787-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 211041-00 Date 11-09-2001 To ensure proper credit to the account, two Established copies of this notice must accompany Account Balance $ 2, 256.35 payment to the Register of Wills. Make check " payable to Register of Wills, Agent". Percent Taxable X 50.000 Amount Subject to Tax $ 1, 128.18 NOTE: If tax payments are made within three months of the decedent's date of death, Tax Rate X .045 deduct a 5 percent discount on the tax due. Potential Tax Due $ 5O • 77 Any Inheritance Tax due will become delinquent nine months after the date of death. PART TAXPAYER RESPONSE ~•' ~. ') . ..~.. A. ~ The above information and tax due is correct. Remit payment to the Register of Wills with two copies of this notice to obtain CHECK 0 N E a discount or avoid interest, or check box "A" and Wills and an official assessment will be issued by return this notice to the Register of the PA Department of Revenue. 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 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 r~ "'~" relationship to decedent: i `' TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS ;~, f f ~ `~ ~f''F .~ . , u LINE 1. Date Established 1 ±~ ~ ,; 2. Account Balance 2 s~~,~',`jy;, „ , ~, ~. ~ 3. Percent Taxable 3 r ,.oy> ~~.~~x:~ .~,4 ,. F, .,, •, • , + . r 4. Amount Subject to Tax 4 $ r •~;:~ / ~ ~ '' , '!1 f .1,~. ~~~` x,11.6" / ~ • ' fr 5. Debts and Deductions 5 - .~, ~ f,, f . ~,i ~ ; r ~ ` . ~ 6 . Amount Taxable 6 $ ., '~~%`~ f f-~ '` ~~ 7. Tax Rate 7 X ~~ ~•~ ~q11 e .`.r`I ` -.. 8. Tax Due g $ %6fl. ' ~~~ ` r i `` l RT DEBTS AND DEDUCTIONS CLAIMED 0 DATE PAID PAYEE DESCRIPTION eMniiur aern Under penalties of perjury, I declare that the facts I have reported above are true, correct and complete to the best of my knowledge and belief . HOME C-~ ~~ ) ~}~ °- c ,~ a..~~ WORK C ""~ ) ~.~. ,XPA _ER SIGNATUR --.._ TELEPHONE NUMBER DATE IVINL Denier on a ne 9 of Tax Computation) S ~y i,. ~~ fit' ~ i~ ti~ ~~ r ~~r ~~ r N ~~ ~~ W I r • r ..-~' ~~ r 1 ..+~, r' ~, ~ e~ _b .. ~1 V U I n /~ ~ V l~ ' ~/ v r~ :~, .. 'rs~ :.:ra Y J.- ~.~ ~.,,~ ;,~ 7 'ri:~t }:,:y NS'C ,f~,~µ, lYi/:T ~,f'f Y.~ •, ~* Y^` ~~r~ ~~Yd ~ /: e~. p ~~