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Home My WebLink About06-21-10 (2)COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT SCHMITT DAVID R 1332 SCENERY DR MECHANICSBURG, PA 17050 REV-1162 EX111-96) NO. CD 012957 ACN ASSESSMENT AMOUNT CONTROL NUMBER fold ESTATE INFORMATION: ssN: ~ i 8-i 2-2532 FILE NUMBER: 2110-0628 DECEDENT NAME: CALVER HOWARD W DATE OF PAYMENT: 06/21 /201 0 POSTMARK DATE: 06/1 9/2010 COUNTY: CUMBERLAND DATE OF DEATH: 05/08/2010 10129623 ~ 532.00 TOTAL AMOUNT PAID: REMARKS: SEAL CHECK#168 INITIALS: CJ RECEIVED BY: 532.00 GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE BUREAU OF INCIIV IDUAL TAXES _ _ AND F I L E NO. 21 ° ~ ~ - ~'~ Po eox zaosoi TAXR~kY,,~R RESPONSE ACN 10129623 HARRISBURG PA 17128-0601 `` DATE 05-24-2010 REV-1543'EX APP (OB-O87 -' -~ ~ %~~-.~ '~JI TYPE OF ACCOUNT :.J~Q J~~ C: I Pfd ~' ~,FI,~'1'. OF HOWARD W CALVER ® SAVINGS SSN 118-12-2532 ^ CHECKING ~pnLC~L~EARK 1~ pT DATE OF DEATH 05-08-2010 ^ TRUST } ~,~ tJl1f 11YJti~~v {`,~~a"11 COUNT AYMENT AND rFORMSL,TOD ^ CERTIF. DAVID ~^SCHMITT REGISTER OF WILLS 6 E GREENHOUSE ROAD 1 COURTHOUSE SQUARE DILLSBURG PA 17019 CARLISLE PA 17013 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. 5518-00 Date 04-13-1961 To ensure proper credit to the account two Account Balance Percent Taxable Amount Subject to Tax Tax Rate Potential Tax Due Established $ 8,981.21 X 8.333 $ 748.40 X .045 33.68 copies of this notice must accompany payment to the Register of Wills. Make check payable to "Register of Wills, Agent". NDTE: If tax payments are made within three months of the decedent's date of death, deduct a 5 percent discount on the tax due. Any Inheritance Tax due will become delinquent nine months after the date of death. PART TAXPAYER RESPONSE FAILURE TO RESPaND WILL RESULT IN AN OFFICIAL TAX ASSE55MENT 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 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. C ONE BLOC K B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return O 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 ~ below. PART If indicating a different tax rate, please state OFFICIAL USE ONLY ~ AAF relationship to decedent: PA DEPARTMENT OF REVENUE TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS PAD LINE 1. Date Established 1 1 2. Account Balance 2 $ 2 3. Percent Taxable 3 X 3 4. Amount Subject to Tax 4 $ 4 5. Debts and Deductions 5 S 6. Amount Taxable 6 $ 6 7. Tax Rate 7 X 7 8. Tax Due 8 $ 8 PART DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION AMOUNT PAID Under penalt~}es of~per? ry, I dec ca,mplete to/khe b,esit o my lines re that the facts I have reported a'~fove are t ue, corrGect a e and belief. HOME C / ~ ) ~~ -O 7 WORK C ) TOTAL CEnter on Line 5 of Tax ComputatlonJ s i~` +3 s-~{{, , . :4 T ~~ 4 ~x ~~~ ~,~ ~ ~~ ~,3, ~~ 1 ++ ~ ~ °' ~~ti N ^' ~ Qa sa ~ u of ~w u ~ wM} ~ q V ~ Q tki ~E_?~ t_~`d`•7 i~~~Wfl~ ~~~i0~ ~i:~~ jv }d~3~~ f h `~' • ~iC7 [ ~ hilt OIQ:r i1 ., .. ._ ..~v ••1 _._ ~J _.._ ~ .. f'.~ i'.~ i~~ ~4~ ~~ •4{rd iy'? •r•: