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Home My WebLink About05-05-11COMMONWEALTH OF PENNSYLVANIA REV-1162 EXI11-96~ DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280801 HARRISBURG, PA 1 71 26-0 601 RECEIVED FROM: OTTO NORA K 815 CHESTNUT STREET PO BOX 91 HEGINS, PA 17938 foltl PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 01442 ESTATE INFORMATION: ssN: i78-a2-aa63 FILE NUMBER: 2111-0545 DECEDENT NAME: OTTO PETER S DATE OF PAYMENT: 05/05/2011 POSTMARK DATE: 05/04/201 1 COUNTY: CUMBERLAND DATE OF DEATH: 07/ 1 1 / 2010 ACN ASSESSMENT AMOUNT CONTROL NUMBER 11127411 ~ 5223.01 TOTAL AMOUNT PAID: REMARKS: NORA OTTO CHECK# 3953 5223.01 INITIALS: WZ SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS BUREAU OF INDIVIDUAL TAXES PO 60X 280601 HARRISBURG PA 17128-0601 MEY-1343 E[ AFP <13-1e) PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE ~~~~ND FILE N0. 21 ~ (~ ~ ~~~~ ^~~.~('i".~T~~~l`IC~R RESPONSE ACN 11127411 "`" ~ ^"I ~ ~ DATE 04-25-2011 ` ;,1,_~~ p TYPE OF AQCOUNT ~~~~ ~A`f ~'~ r ~ ~~-E~~. OF PETER S OTTO SAVINGS SSN 178-42-8463 CHECKING CLERK CF DATE OF DEATH 07 -11- 2010 TRUST CRpP}r~1~gtnCOURTcouNT~r CUMBERLAND CERTIF. NORA K OTTO C~~'~L}r~~dv`J ~~ ~ ~IT PAYMENT AND FORMS T0: REGISTER OF WILLS 815 CHESTNUT STREET 1 COURTHOUSE SQUARE PO BOX 91 CARLISLE PA 17013 HEGINS PA 17938 GRATZ NATIONAL BANK provided the Department with the infonation below, which has been used in calculating the potential tax due. Records indicate that at the death of the above-nametl daeetlent, you ware a joint owner/beneficiary of this account. If you foal the information is incorrect, please obtain written correction from the financial institution, ettsch 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. Pleas• cal_1 <717) 787-8327 with questions. _ COMPLETE PART 1 BELOW ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 22000135 Date 07-17-1996 7o ensure proper credit to the account, two Established copies of this notice must accompany 9 1 1 .3 3 payment to the Resister of Wills. Make cna¢k Account Balance ~ 9 , oavable to "Resister of Wills, Agent". Percent Taxable Amount Subject to Tax Tax Rate Potential Tax Due X 50.000 g 4,955.67 X .045 $ 223.01 NOTE, If tax paywants are wade within th re months of the decedent's date of tleath, deduct a 5 percent discount on the tax due. Aro Inheritance lax due will beeou delinqu nine wonths after the date of death. '~T TAXPAYER RESPONSE 1 A. Ixl Ths above information and tax due is correct. /~ Remit payment to thaReai star of Wills with two copies of this notice to obtain VA GI.R Wills and an off ieial assesswent will be issued by the PA Departwent of Revenue. ONE 8L OC K B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax retu n ONLY to be filed by the estate representetiye. C. ~ The above info a ion is incorrect and/or debts and deductions wore osid. Cowplet• PART ~ ancVOr PART ~ below. PART If indicating a different tax rata, please state relationship to decedent: TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Date Establisbed - 1 -- 2. Account Balance 2 s 3. Percent Taxable 3 X 4. Amount Subject to Tax 4 ~ 5. Debts and Deductions 5 6. Amount Taxable 6 7. Taz Rate 7 X 8. Tax Due 8 S PART DEBTS AND DEDUCTIONS CLAIMED a ~, DATE PAID PAYEE DESCRIPTION AMOUNT P AID IUTAL IGnL@r on Llne 7 or lax LOmpUL8L10n7 s Under penalties of perjury, I declare that the facts I have reportod albro~vj era tprue, corre~cyt anq^J /~~complete to~jt~he best of y knowledge and belief. HOME C•.J /Q)~pOp~ ~ 9 / ~ J L// ~L..Q ~ /C ~ (~~~ WORK C~J 7'D ) L, Q.2 Y R/ /2 ' ~~Ll- q 4 T J ~ j[. h ~~ /' t grit ~ !~ 3 il' ~ ~ >a~ 1 ~i # f, id'. ~~'. _ ~ ~ ~ K 4 '~ ~ ~ '~ `~r ' i ~ ~ ~ ., ~ _ i ~ Py~ .• GR~_ .~ }}t fi ;.- i' ~ Q i ~,. 11 9 r~ ~ ~ ~ '~ \ fy } \ Lr r 2 3 3 tj•~ 4Y i-! ~ ". ~~ 4 ~~ 'S'~ 4 1, r 9 1 ~' '~ 1 ~~. §s[ R ~~ .y `~ .,Y. ~+r ~;