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Home My WebLink About01-18-11__ _ _ l COMMONWEALTH OF PENNSYLVANIA REV-1162 EX~11-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 171 28-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 013904 SALMON ROBERT C JR 1014 TUNBRIDGE LANE MECHANICSBURG, PA 17050 -------- fold ACN ASSESSMENT; CONTROL NUMBER AMOUNT 10170857 ~ $14.30 ESTATE INFORMATION: SSN: 160-58-8926 FILE NUMBER: 211 1-0076 DECEDENT NAME: SALMON MICHELLE D DATE OF PAYMENT: 01 / 18/201 1 POSTMARK DATE: 01 / 15/201 1 COUNTY: CUMBERLAND DATE OF DEATH: 1 1 / 20/ 2010 REMARKS: CHECK# 7058 SEAL TOTAL AMOUNT PAID: $14.30 i INITIALS: HMW RECEIVED BY: GLENDA F~RNER STRASBAUGH REGISTER OF WILLS REGISTER ~F WILLS BUREAU OF INDIVIDUAL TAXES PO BOX 280601 HARRISBURG PA 17128-0601 I PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE AND TAXPAYE RESPONSE REV-1543 EX AFP (OB-08) FILE N0. 21 ACN 10170857 DATE 12-15-2010 CORY J SALMON 1014 TUNBRIDGE LN MECHANICSBURG PA 17050-9132 EST. OF MICHELLE D SALMON SSN 160-58-892b DATE OF DEATH 11-20-2010 COUNTY CUM ERLAND REMIT PAYMENT AND ORMS T0: REGISTER OF WIL S 1 COURTHOUSE SQ ARE CARLISLE PA 1.013 TYPE OF ACCOUNT ® SAVINGS CHECKING TRUST CERTIF. PSECU 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 C717i 787-8327 with questions.\ COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 8105968815-$1 Date 06-20-2'QOb To ensure proper credit to the account, two Established copies of this notice must accompany Account Balance $ 2, 006. $1 Payment tQ the Register of Wills. Make check payable t "Register of Wills, Agent". Percent Taxable X 16.667 NOTE: Ifitax payments are made within three Amount Subject to Tax $ 334.48 months of the decedent's date of death, Tax Rate X .045 deduct a ~ percent discount on the tax due. Anv Inher tance Tax due will become delinquent Potential Tax Due ~` 15.05 nine wont s after the date of death. PART TAXPAYER RESPONSE 0 ~ ~~ .~ ~ ~~ ~ ~ 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 Depajrtment 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 werie paid. Complete PART ~2 and/or PART 3~ below. PART If indicating a different tax rate, please state relationship to decedent: TAX RE TURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS ~„~ LINE 1. Date Established 1 2. Account Balance 2 3. Percent Taxable 3 X 4. Amount Subject to Tax 4 5. Debts and Deductions 5 - 6. Amount Taxable 6 7. Tax Rate 7 X $ ~ \ \\ 8. Tax Due 8 , , Under penalties of perjury, I declare that the facts I have reported a~7bove are true, correct and complete to the best of my knowledge and belief . HOME C I~ ~ ) ~]~ ~'~ ~-S ~1 WORK ( ) TAXP ER SIGNATURE TELEPHONE NUMBER DATE PART DEBTS AND DEDUCTIONS CLAIMED ^3 ner~ porn pev~~ n~cr~reTrnu w~niiur nwrn _ _ _ _ 1 PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES AND FILE N0. 21 Po Box zao6ol TAXPAYER RESPONSE ACN 10170858 HARRISBURG PA 17128-0601 DATE 12-15-2010 REV-1543 E% AFP <OB-08) ROBERT C SALMON 1014 TUNBRIDGE LN MECHANICSBURG PA 17050-9132 EST. OF MICHELLE D SALMON SSN 160'-58-8926 DATE OF DEATH Y1-20-2010 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WIL S 1 COURTHOUSE SQ~ARE CARLISLE PA 17013 TYPE OF ACCOUNT ® SAVINGS CHECKING TRUST CERTIF. PSECU 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 PenASylvania. Plcasc call C737) 787-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Und r pen ties f perjury I de lare that the facts I have reported ab/ove are tru correc and co p ete o t es f m know edge and belief . 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