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Home My WebLink About11-08-10COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0601 RECEIVED FROM: STEIGERWALT MICHAEL L 3609 KOHLER PLACE APT 15 CAMP HILL, PA 1701 1 -------- fold PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ESTATE INFORMATION: ss-v: ~ 59-~ 8-6894 FILE NUMBER: 2110-1 1 13 DECEDENT NAME: STEIGERWALT CLAUD H DATE OF PAYMENT: 1 1 /08/201 0 POSTMARK DATE: 1 1 /05/2010 CouNTY: CUMBERLAND DATE OF DEATH: 09/ 22/ 201 0 REV-1162 EX(11-96) NO. CD 013616 ACN ASSESSMENT AMOUNT CONTROL NUMBER 10158608 $1,091 .98 TOTAL AMOUNT PAID: REMARKS: MICHAEL L STEIGERWALT CHECK# 129 $1,091 .98 INITIALS: WZ SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE _ BUREAU OF INDIVIDUAL TAXES ;~ ~ ;_ ~ _ ~~-- AND F I LE NO. 21 ~ li,' M ~ ~ "`f~ Po Box zao6ol ' C(l, ~- ~''~TAXPAYER RESPONSE ACN 10158608 HARRISBURG PA 17128-0601 ~ ~". r~_.~~i,`~.I"~ ~.~ ~~ - _ DATE 10-14-2010 REV-1543 EX AFP (08-08) ~~~o r~av -$ P~ 2~ os CLERK C~ 4RPI~~P~'S C(~.~~~PT CU~~1P~n1,,,,~,;t~j i~'(. , MICHAEL L STEIGERWALT APT 15 3609 KOHLER PL CAMP HILL PA 17011-27b6 EST. OF CLAUD H STEIGERWALT SSN 159-18-6894 DATE OF DEATH 09-22-2010 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT ® SAVINGS CHECKING TRUST CERTIF. PS ECU 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 Perrsyleani~. Please call :717) 787-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 9000390741-S7 Date 10-09-2008 To ensure proper credit to the account, two Estab115hed copies of this notice must accompany Account Balance 51 , 085.94 payment to the Register of Wills. Make check payable to "Register of Wills, Agent". Percent Taxable X 50.000 NOTE: If tax payments are made within three Amount Subject to Tax $ 25, 542.97 months of the decedent's date of death, Tax Rate )( .045 deduct a 5 percent discount on the tax due. Any Inheritance Tax due will become delinquent Potential Tax Due ~` 1 , 149.43 nine months after the date of death. PART TAXPAYER RESPONSE ~ FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT A. ~ The above information and tax due is correct. Remit payment to the Register of Wills with two copies of this notice to obtain C H E C K a discount or avoid interest, or check box "A" and return this notice to the Register of 0 N E Wills and an official assessment will be issued by 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 ~ below. PART If indicating a different tax rate, please state E~FF°ICIAL USE ONLY ~~~~~ ~ A~1F 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 $ fl \\ 5. Debts and Deductions 5 - ~j 6. Amount Taxable 6 $ b 7. Tax Rate 7 X ~ 8. Tax Due 8 $ $ PART DEBTS AND DEDUCTIONS CLAIMED 3^ DATE PAID PAYEE DESCRIPTION AMOUNT PAID Under penalties of perjury, I declare that the facts I have reported above are true, correct and com lete to t e`.best of knowled a and belief. -" ~., ~ ~. -- ,~ WORK C ; - ~ '-. - 1 ~ °~ ~~i~ ~U~~ ,X PAYER SIGNA RE TELEPHONE NUMEER ATE TOTAL CEnter on Line 5 of Tax Computation) S ,.a. ...~ ~:a ,.,. ~:~+ ~:~ ~:~+ ti:a ~,~ f•u ~" cr n '~' /,' ~,' ~~ '-~' r ~' r ~: P _~ `-'~ 4~,~ ~ ~ .~ ~ ~ . ~ ~~ ~ `\~`, ~ ~~ ~ t ! . d / . ~_ V!, ~. ~s ~'~ c~~ ~ ~ `i ~ ~~ ~-