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Home My WebLink About07-12-10COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280801 HARRISBURG, PA 17128-0801 RECEIVED FROM: .WANDER MiCH~EL A 231 BLOSSOM 1~RL MOUNT JOY, PA 17552 fob PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX111-96) NO. CD 013042 ACN ASSESSMENT AMOUNT CONTROL NUMBER ESTATE INFORMATION: ssN: 201-16-0275 FILE NUMBER: 21 10-0494 DECEDENT NAME: WIMER ERMA S DATE OF PAYMENT: 07/ 12/2010 POSTMARK DATE: 07/10/2010 COUNTY: CUMBERLAND DATE OF DEATH: 04/ 16/ 2010 REMARKS: CHECK# 141 SEAL REGISTER OF WILLS 10139630 ~ $150.00 TOTAL AMOUNT PAID: INITIALS: DM 5150.00 RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS BUREAU OF INDIVIDUAL TAXES PO WX 2SOf 81 HARRISeUR6 PA 17124-06D1 BEY-1543 EX AFP (N-18) PENNSYLVANIA INHERITANCE T INFORMATION NOTICE {~~ .,, ,.._ AID -'" ~ ~-~'~"~~-1(ER ~ RESPONSE 31 ~~' %.i . `;~t.~ C~ t..=.~ FILE N0. 21 10-0494 ACN 10139630 DATE 07-06-2010 8 ,Its, ~ ~ P~ ~ ~r ut-C~( Q~" . EST. OF ERMA S WIMER 5;61 2 01-16 - 0 2 7 5 DATE OF DEATH 04-16-2010 COUNTY CUMRLANDa REMIT PAYMENT AND FORMS T0: MICHAEL WANDER REGISTER OF WILLS 231 BLOSSOMI TRL 1- COURTHOUSE SQUARE MOUNT JOY PA 17552 CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS CHECKING TRUST ® CERTIF. CITIZENS BANK OF PA provided the Departaent with the infonation below, which has been used in calculating the potential tax due. Recordis indicate that at the death of the above-Hawed decedent, you were s ,joint owner beneficiary of this account. If you feel tM inforaatign is incorrect, please obtain written correction from the financial institution, attach a copll to this fors and return it to the abovd address. This account is taxable in accordance with the Inheritance Tax laws of the Coaaonwealth of Penns~vania, Rhesee ee~ti ~T1.7) -?il-s3i~7 -with afwst3ens. - - - __ COMPLETE PART ',1 SELOW * SEE REVERSE SIDE FOR FILING 'AND PAYMENT INSTRUCTIONS Account No. 61440752310 Data 12-08-1999 To ensure proper credit to the account, two Established copies of this notice oust accoapsny Account Balance Percent Taxable Aaount Subject tb Tax Tax Rate Potential Tax Dup PART S 2,105.30 X 50.000 ~ 1,052.65 )( .15 157.90 payaent to the Register of Wills. Make check payable to "Register of Wi11s- Agent". NOTE: If tax paya•nts are wads within three. months of the deceden#'s date of death, deduct a 5 percent discount on the tax due. Any Inheritance Tax due will becoae delinquent nine months after the dste of death. A © The above infsraati~on and tax due is cor..rect. Rsait peya~ent to the Register of Wills with two copies of this notice to obtain CHECK a discount or-avoid interest, or check boot "A" and return this notice to the Register of Mills and an official assessaent will be issued by the PA Departaent of Revenue. ONE BLOCK e. ~ 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 infona won is incorrec and/or debts and deductions were paid. Cowplet• PART LJ and/or PART ~ below. PART If indicatin s different tax rate, please state Q relationship'to decedent: TAX RETURN - COMMUTATION OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Date Established 1 2. Account Balance 2 ~ 3. Percent Taxabble 3 X 4. Aa~ount Subje(~t to Tax 4 ~ 5. Debts and Deductions 5 - 6. AMOUnt Taxable 6 ~ 7. Tax Rate 7 X 8. Tax Due 8 ~ PART DEBTS AND DEDUCTIONS CLAIMED 0 DATE PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL CEnter on line 5 of Tax Cowputation) e Under penalties tbf perjury, I declare that the facts I have reported above are true, conrrect and co~aplete to the •st of y kn lodge and belief . HOME C 7!7 ) ~~ ~ Q~7~ _ ___ ' WORK C 7! 7 ) 32 l~ - ~O TeYasv~Q c yW a TELEPHONE NUMBE DATE :~~~~~ ;, ..,,,~ ~ 4 7 i ~' ~.; ;t SI ~ ~ , ,a~ 4/J 1~~£rr,, .~ , r, CC? , . . -__.. ,~. ..,~ ~..i ~• --~-- t ~.` ~° ~ ~ '` -___ ... ~ V Y 1+. r w ay+~r 1 ~ ~-~,~ r r ] ~ ' ~Ar ~' tM Nl ~ ~: ~ J.' ~~~ ~Yi 1 `~.. '~ , • 1 .r.. ... w. r :.i. .... ,~ !~ ~ +•. .. ... ~ .... M J~ ~1 rMM ~- r ~~ r 'wry ~~ ~~ t ~g%F i~ wl ;~7 .~:~ F~1 ~, f ~'} ~.~ 2 f•~ ~.} ~;. s.~ '~ ~;f Ar• ~~~ :~n~ ~~ .fir. L4 ~~{~ ~``~ ~~ . ~~ ~ ,~ ~: w' ~ r ~. ~ ~ ~. ry ....~