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Home My WebLink About03-28-11 (2)COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0601 RECEIVED FROM: REV-1162 EX111-96) PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 014207 HUFFNAGLE SHIRLEY M 835 OAK OVAL MECHANICSBURG, PA 17055-8409 -------- fold ACN ASSESSMENT AMOUNT CONTROL NUMBER ---------- -------- ESTATE INFORMATION: SSN: 210-12-1269 FILE NUMBER: 211 1-0403 DECEDENT NAME: HUFFNAGLE CLIFTON W DATE OF PAYMENT: 03/ 28/ 201 1 POSTMARK DATE: 03/25/201 1 COUNTY: CUMBERLAND DATE OF DEATH: 02/ 1 4/201 0 REMARKS: CHECK#1330 SEAL 11116877 ~ $202.07 TOTAL AMOUNT PAID: $202.07 INITIALS: HMW RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS PENNSYLVANIA INHERITANCE TAX? INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES ~ " [': `, "~ --,,~-AND FILE N0. 21 Po Box z8o6o1 ~' TAX~'A R RESPONSE ACN 11116877 HARRISBURG PA 17128-0601 ,,;'~_ ' --~ ~ -~ ~•. DATE 03-14-2011 REV-1543 E% AFP (08-08) 'j ~ ~ ~}x. k4 '~~~ ~' ~ ° y ,' ,~ TYPE OF ACCOUNT EST. OF CLIFTON W HUFFNAGLE ^ SAVINGS SSN 210 - 12- 1269 Q CHECKING ~~"~~~~' r`~ DATE OF DEATH 02 - 14 - 2010 ^ TRUSr ! n ~- , t, . ~"- COUNTY CUMBERLAND ^ CERTIF. _ -~ ''"~' ~ ' ~~'REMIT PAYMENT AND FORMS T0: SHIRLEY M HUFFNAGLE REGISTER OF WILLS 835 OAK OVAL 1 COURTHOUSE SQUARE MECHANICSBURG PA 17055 CARLISLE PA 17013 SOVEREIGN BANK 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 (717) 787-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 0571126839 Date 07-03-1996 To ensure proper credit to the account, two Established copies of this notice must accompany Account Balance $ 2, 694.25 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 $ 1 , 347.13 months of the decedent's date of death, Tax Rate ~( ~ 1 rj deduct a 5 percent discount on the tax due. Any Inheritance Tax due will become delinquent Potential Tax Due $ 202.07 nine months after the date of death. PART TAXPAYER RESPONSE FAILU TO RESPOND MALL RESULT IN AN t3FFICIAL 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 LJ below. PART If indicating a different tax rate, please state OFFICIAL USE QN'~.Y ^ AAF relationship to decedent: PA DEPARTMENT OF REVENUE TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS PAD LLNE 1. Date Established 1 1 2. Account Balance 2 $ ~ 3. Percent Taxable 3 X 4. Amount Subject to Tax 4 $ {~ 5. Debts and Deductions 5 - 5 6. Amount Taxable 6 $ ~' 7. Tax Rate 7 X ~ 8. Tax Due g $ 8 PART DEBTS AND DEDUCTIONS CLAIMED 3^ DATE PAID PAYEE DESCRIPTION AMOUNT P,arn 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 '~ / '', ) ~„ ~~! "" ~'' L N WORK ( ) ~' ~.7 C' .. 2' .., TAXPAY SIGNAT TELEPHONE NUMBER DATE ~v~r~~ •~n~er on Llne 5 O7 IaX Computation) $ W 7 W O LL 2 ~ ~~ ~. ~ Ij T •I • ~~rrw 5 ~~3 ~ ~ ~ .. •~r.wr t '~ ...w~ M ~ ~ ~ '~ rt"1~ ....«~ .r~Y .~.A..`d.. '!~ `h. '~,.., ,~Jyf ~'~' f~jj/.. :.~ ~~ .. >.;"g ~s ~,~} v r~{' .may ....... .. :S ~ y},J. ~r.rr~ `,1'; t Zw: t fN .~ 4 ~.... A `~ U •~ ~ ,^5 , ~ W ~ r ...... . a C",J d -... ~.: ~ ~. C ~"~ , Q ~ ' ~ ~, ~7 ~ i;t~? , t Q ~. ,~ ~ ~--- .~ ~ ... .,••t ~/'1 ~ `+ U ~ ~ ''~~ ~, ~ .n 0 c-,. .-~ ' ~, i ~' ,,. ~ `v N Q, `~ ~O U ' ~'M ~, ~