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Home My WebLink About05-05-11 (2)COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17129-0801 RECEIVED FROM: OTTO NORA 815 CHESTNUT STREET PO BOX 91 HEGINS, PA 17938 role PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ESTATE INFORMATION: ssN: t7s-42-8463 FILE NUMBER: 211 1-0545 DECEDENT NAME: OTTO PETER S DATE OF PAYMENT: 05/05/2011 POSTMARK DATE: 05/04/201 1 COUNTY: CUMBERLAND DATE OF DEATH: 07/11/2010 TOTAL AMOUNT REMARKS: NORA OTTO SEAL CHECK# 3952 INITIALS: WZ RECEIVED BY: REGISTER OF WILLS REV-1182 EX(11-96) N0. CD 014419 I, ACN ASSESSMENT AMOUNT CONTROL NUMBER 1 1127410 ~ S 134.05 PAID: S 134.05 GLENDA EARNER STRASBAUGH REGISTER OF WILLS PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE ,C~ r AND FILE N0. 21 - ~ (~ ~5 BUREAU OF INDIVIDWL TAXES try , oY ACN 11127410 PO BOX 288681 TAXPAYER RESPONSE NARRISeuRt: PA vlze-BSOI ~F ~;, - .f,~iC~ DATE 04-25-201 TYPE OF AC OUNT j ~~~~~ ~, EST. OF PETER S OTTO ^ SAVINGS ,.lit` n~~~ SSN 178-42-8463 ® CHECKING ){~QF DATE OF DEATH o7-11-2010 ~ TRUST pC~E~S ~QUP~(~, COUNTY CUMBERLAND CERTIF. Q~~ ' ° ~ hhlp C~.~ " " REMIT PAYMENT AND FORMS T0: NORA K OTTO C~~M~'~~ WY REGISTER OF WILLS 815 CHESTNUT STREET 1 COURTHOUSE SgUARE PO BOX 91 CARLISLE PA 17013 HEGINS PA 17938 GRATZ NATIONAL BANK provided Lne Depart^ant with tho intonation below, which has bean used in calculating tM! potential tez due. Records indicate that at the death of the above-named decadent, you were a ioint owner/benef iciarv of this account. If you feel the information is incorrect, please obtain written correction from the financial institution, attach a copy to this fohm and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Commonwealth of Pannsvlvania. Pleesecall C717) 787-Bi27 with sue st ions.. rneetatcTt: PART 1 BELOW ^ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS _ Account No. 1116494 Account Balance Percent Taxable Amount Subject to Tax Tax Rata Potential Tax Due Data 11-12-1993 Established $ 5,957.80 X 50.000 ~ 2,978.90 X .045 e 134.05 To ensure proper credit to the account. copies of this notice oust accompany payment to the Rapister of Wills. Make payable to °Reglster of Wills. Agent". NOTE) If tax payments are made within months of the decedent's data of death. deduct a 5 pe reent discount on the tax Aro Inheritance Tax due will bacowe dal nine months after the data of death. PART TAJCYAYtK KC~rYna~ A. I A Th• above infonation and tax due is correct. ILh Raait oaYaent to the Rapister of Wills with two copies of this notice to obtain a discount or avold interest, or chock box "A" and return this notice to the Rapister of G H EC K Wills and an official assessment will be issued by the PA Department of Revenue. BLOCK B. ~ The above asset has bean or will be reported and tax vaid with the Pannsvlvania Inheritance Tax C ONE ONLY to be filed by the estate representative. C. ~ Tha sbeve info ion is income t and/or debts and deductions ware paid. Complete PART 23 and/or PART 3~ below. PART If indicating a different tax rate, please state relationship to decadent: TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Data Established 1 2. Account Balance Z $ 3. Percent Taxable 3 X 4. Amount Subject to Taz 4 ~ 5. Debts and Deductions 5 ~ 6. Amount Taxable 6 7. Tax Rat• T X 8. Tax Due B S DEBTS AND DEDUCTIONS CLAIMED PART a AMOUNT'PAID DATE PAID PAYEE DESCRIPTION TOTAL (Enter on Line 5 of Tax Computation) _ Under penalties of periurv. I declaro that the facts I have reported"~a/b,ove are tpr~u~/e, eo ract_a~ complete to the bast of my kn wledge and belief. HOME tc../ /v )~04~~ 7/l j /~ _ .. ~ /~ WORK c~7U ~~ 'fl/~/ ~ : 4~ ~/~ ~ t Y '! iii ~,.; rj b~ ,~, b s N L }, S ~ j$ :\ :I 1 ~~~ ~tt ' 1~ t~J ~1~~ ~~