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Home My WebLink About04-18-11COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0601 RECEIVED FROM: SHOPE DIANE H 332 BIG SPRING ROAD ETTERS,PA 17319 fold REMARKS: SEAL CHECK# 106 PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ACN ASSESSMENT CONTROL NUMBER TOTAL AMOUNT PAID: INITIALS: CJ RECEIVED BY: REGISTER OF WILLS AMOUNT 571.89 GLENDA EARNER STRASBAUGH REGISTER OF WILLS REV-1162 EX111-961 NO. CD 014322 PENNSYLVANIA INHERITANCE T INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES AN D Po Box zso6ol ~ i ~~~ ~~. "~`,~-~~1(ER RESPONSE HARRISBURG PA 17128-0601 REV-1543 EX AFP (08~ d1 _ i.,!,f FILE N0. 21 - ~' rt{ 1' ACN 10173576 DATE 12-22-2010 ~-t~- ~ ~ ~~ ~ ~ $ + +~ I' ~:~EST. OF RUTH A HENRY SSN 201-18-5138 CLE~~! (~~ DATE OF DEATH 12 - 09 - 2010 (~ ~nRt~Hi~,N' f~vl~~~ COUNTY CUMBERLAND V~ib~f.a~'l~ ,a,~,,y~~ L~~ ~A REMIT PAYMENT AND FORMS T0: DIANE H SHOPE 1* REGISTER OF WILLS 888 LANDISBURG RD 1 COURTHOUSE SQUARE LANDISBURG PA 17040 CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS ® CHECKING TRUST CERTIF. BANK OF LANDISBURG 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 ioint 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 Penn w~vania. Please call C71?) ?87-832? with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 0614432 Date 09-07-1979 To ensure proper credit to the account, two Established conies of this notice must accompany payment to the Register of Wills. Make check Account Balance $ 9,584.70 payable to "Register of Wills, Agent". Percent Taxable X 16.667 NOTE: If tax payments are made within three Amount Subject to Tax $ 1 , 597 .48 months of the decedent's date of death, )( .045 deduct a 5 percent discount on the tax due. Tax Rate Any Inheritance Tax due will become delinquent Potential Tax Due $ 71 • 89 nine months after the date of death. TAXPAYER RESPONSE PART FAILURE \TO RESPON~i WILL RESULT IN AN OFF ICIAL TAX ASSESSMENT A. ~ The above information and tax due is correct. Remit Paywent to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, or check box "A" and return this notice to the Register of CHECK Wills and an official assessment will be issued by the PA Department of Revenue. ONE C BLOC 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. Com plete PART ~2 and/or PART 3~ below. PART 0 If indicating a different tax rate, please state relationship to decedent: TAX RETURN - COMPUTATION LINE I. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due OF TAX ON JOINT/TRUST ACCOUNTS 1 2 3 X 4 5 6 '~ 7 X 8 OFFICIAL USE ONLY L]AAF PA DEPARTMENT OF REVENUE PAD __ ->. __ _ 1 _- 2 3 4 5 6 7 8 PART DEBTS AND DEDUCTIONS CLAIMED 0 nwrr PATn PAYEE DESCRIPTION AMOUNT PAID Under penalties of perjury I declare that the facts I have reported abotv~'e~ are ~t'r7ue, ~or~(~ctt'-a/nd compl e a the best o my nowledge and belief. HOME C ~ 1 ) 1 ~~ l I~ ' ~~ WORK C ( ) ~ - ~- ' ~ -) I _ _ . _ _.._ TFI FPH[lNF NUMBER DATE COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0601 RECEIVED FROM: NAHF BETH A 332 BIG SPRING ROAD ETTERS, PA 17319 fold PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ESTATE INFORMATION: SSN: 201-18-5138 FILE NUMBER: 211 1-0491 DECEDENT NAME: HENRY RUTH A DATE OF PAYMENT: 04/18/201 1 POSTMARK DATE: 04/15/201 1 COUNTY: CUMBERLAND DATE OF DEATH: 1 2/09/2010 ACN ASSESSMENT CONTROL NUMBER AMOUNT 10173577 ~ 571.89 TOTAL AMOUNT PAID: REMARKS: CHECK# 105 SEAL INITIALS: CJ 571.89 RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REV-1162 EX111-96) NO. CD 014323 REGISTER OF WILLS PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE ,, ~ - ~" AND FILE N0. 21-I~- (~y~1~ BUREAU OF INDIVIDUAL TA~Sf !l' TAXPAYER RESPONSE ACN 10173577 PO BOX 280601 - J HARRISBURG PA vlzB-o6o1~~-i, , ~~ ~ i - DATE 12 - 22' 2010 REV-1543 EX AFP (OB-081 EST. OF RUTH A HENRY GL~R'~ CF ssN 201-18-5138 ~~'~ ~!^,' ~ DATE OF DEATH 12-09-2010 p~_FHN,~IS ,~uJR 1 gyp: r,~..j'~ f"(~} , p~, COUNTY CUMBERLAND Ct1M~'~...s ~L% ~v, , ., REMIT PAYMENT AND FORMS T0: BETH A NAHF REGISTER OF WILLS 332 BIG SPRING RD 1 COURTHOUSE SQUARE ETTERS PA 17319 CARLISLE PA 17013 TYPE OF ACCOUNT savlNGs ® CHECKING TRUST CERTIF. BANK OF LANDISBURG 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 Pennsv)vania~ pta~~o ratl (~17? 787-932? eit-•`• cu~-=iar.s. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 0614432 Account Balance Percent Taxable Amount Subject to Tax Tax Rate Potential Tax Due Date 09-07-1979 Established $ 9,584.70 X 16.667 $ 1 , 597 .48 X . 0 4 5 ~` 71 • 89 To ensure proper credit to the account, two copies of this notice must accompany payment to the Register of Wills. Make check payable to "Register of Wills, Agent". NOTE: If tau payments are made within three months of the decedent's date of death, deduct a 5 percent discount on the tax due. Anv Inheritance Tax due will become delinquent nine months after the date of death. PART TAXPAYER RESPONSE ~ FAILURE TO RESPOND W11,L R{~SULT IN AN OFFICIAL TAX ASSESSMENT A. ~ The above information and tax due is correct. of i this notice to obtain Remit payment to the-Register"of es Wills with two cop " " notice to the Register of thi a discount or avoid interest, or and return A check box PA s artment of Revenue. D CHECK Wills and an official assessment will be issued by the ep C ONE ill be reported and tau paid with the Pennsylvania Inheritance Tax return B L 0 C K B. ~ The above asset has been or w 0 N L Y to be filed by the estate representa tive. 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 relationship to decedent: TAX RETURN - COMPUTATION LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxable 7. Tax Rate A- Tax Due OF TAX ON JOINT/TRUST ACCOUNTS 1 2 3 X 4 $ 5 6 '~ 7 X 8 $ PAD 1 2 3 4 5 6 7 8 OFFICIAL UJt PA DEPARTMENT OF ONLY ~ AAF REVENUE DEBTS AND DEDUCTIONS CLAIMED PART DATE PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL CEnter on Line 5 of Tax Computation) ~ Under penalties of perjury, I declare that the facts I have reported above ,re true, correct and compleyt~-e toJt~he best of my knowledge and belief. HDME C ~t~ L~ ~4`- WORK C ) D T ~. TELEPHONE NUMBER ::;} ~1.. ;:,:: ,`~ .. ~~ ~~t :.~> .4~i `~~ ~- W 0' ~ ~ o W H i. W .- Z ~ N a ~ t~ N ~ ~ _Z X W Q ~ LL ~ m ~ Q H ~ ~ d ~ m 3 `° W .Z 0 CLERK (?~ _ uRPHA.N`~ __ ~U~vR~R~ , - .~. :.= a a~~ a _ c ~ ~ ~ w ~ -_ , `r' w ooa Way ~~~ a c~ O x W V Q !4! CZ e-i U s; 2 ir? t1 I'}Y .rl .~.J t, ~~E j'•.. .J..}