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Home My WebLink About04-28-11COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 PENNSYLVANIA CEIVED FROM: INHER ITANCE AND ESTA OFFICIAL RECEIP WILSON FRANK J 1034 WEST MULBE RRY DRIVE CHANDLER, AZ 85 248 ----- fold ---------- ESTATE INFORMATION: ssN: 16z-22-6029 FILE NUMBER: 2109-0336 DECEDENT NAME: AUSTIN ELLA LOUISE DATE OF PAYMENT: 04/ 28/ 201 1 POSTMARK DATE: 04/28/201 1 couNTY: CUMBERLAND DATE OF DEATH: 03/ 23/ 2009 TOTAL AMOUN- REMARKS: CHECK# 468 INITIALS: CJ RECEIVED BY: SEAL REGISTER OF WILL RE REV-1162 EX111-961 "E TAX NO. CD 014373 ACN ASSESSMENT AMOUNT CONTROL NUMBER 09124515 ~ 5234.99 PAID: 5234.99 GLENDA EARNER STRASBAUGH REGISTER OF WILLS BUREAU OF INDIVIDUAL TAXES PO BOX 280601 _ HARRISBURG PA 17128-0601 -~~ - iii orv_,s~a Ex nFP~.ce~-oe, °~; f;~d Z~ P I. 2G C r' .,L~R,K Or ~ ~4 ~.~ rtJlJ(~! r,. t ` ~ F ~~'`~ NA. ~UP~„ _ .i ~ ~.= ~ , FRANK WILSON 253 RIDGE STREET CARLISLE PA 17013 FAIL TYPE OF ACCOUNT SAVINGS ® CHECKING TRUST CERTIF. MEMBERS 1ST FCU provided the Department with the i formation below, which has been used in calculating the potential tax due. Records indicate that at the death of the above-named de edent, you were a Joint owner/beneficiary of this account. If you feel the information is incorrect, please obtain written correction f am the financial institution, attach a copy to this form and return it to the above address. This account is taxable in accordance w'th the Inheritance Tax laws of the Commonwealth of Pa,-~nsyivania. Please call t'ii7) 787-8527 with questions. rnMPIFTF PART 1 BELOW * SEE REVERSE SIDE FOR F LING AND PAYMENT INSTRUCTIONS Account No. 41086-11 Account Balance Percent Taxable Amount Subject to Tax Tax Rate Potential Tax Due PART 0 CHECK ONE [ BLOCK ONLY A. Date 01-22-198 Established $ 3,133.21 X 50.000 $ 1,566.61 X .15 $ 234.99 . OF ELLA AUSTIN ~ rj 162-22-6029 D TE OF DEATH 03-23-2009 C LINTY CUMBERLAND RE IT PAYMENT AND FORMS T0: R GISTER OF WILLS C MBERLAND CO COURT HOUSE C RLISLE, PA 17013 TAXPAYER RES ONSE ~kE TO RESPUND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT' The above information and tax due is correc . Remit payment to the Register of Wills ith two copies of this notice to obtain a discount or avoid interest, or check ox "A" and return this notice to the Register of Wills and an official assessment will b issued by the PA Department of Revenue. g, ~ The above asset has been or will be repot to be filed by the estate representative. C. ~ The above informs ion is incorrect and/or d r PART ~ below. d/ ~ Complete PA RT 2 o an If indicating a different tax rate, please state PART relationship to decedent: TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST A LINE 1. Date Established 1 2. Account Balance Z 3. Percent Taxable 3 X 4. Amount Subject to Tax 4 5. Debts and Deductions 5 6. Amount Taxable 6 7. Tax Rate ~ X 8. Tax Due 8 DEBTS AND DEDU PART DATE PAID PAYEE and tax paid with the Pennsylvania Inheritance Tax return and deductions were paid. LINTS 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 tax payments are made within three months of the decedent's date of death, deduct a 5 percent discount on the tax due. Any Inheritance Tax due will become delinquent nine months after the date of death. OFFICIAL USE ONLY ~ AAF" PA DEPARTMENT OF REVENUE PAD 1 2 3 4 5 6 7 IONS CLAI ESCRIPTION AMOUNT PAID TOTAL CEnter on Li e 5 of Tax Computation) $ Under penalties of perjury, I declare that the facts I have reported above are true, correct and HOME C ~~ ~ ~5 ~ 7DL complete to qt he best o my 2howledge and belief. ~/~h"~ ~ WORK C ~ / I/ TFIFPNONE NUMBER D TE PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE TAXPAYER~RESPONSE FILE N0. 21-~~`~ - i ';' ~Ct~ ACN 09124515 DATE 04-15-2009 USA FI2ST-CLASS FOREVE,Q fog A~ ~p0 PVC S~ `~P~~~ ~ JJ~~ Pe ~~ ~~ ~~ ~^ , ~\1. A~ ` OHO v Is ~ ~ __._ ~. ~ g ~ a . a -- ~ 00 N `a' x s~ ~~ ~- ~ o ~' ~- fi ---____ ~ --_ a _--- -•- a ---~ o o ______ -_____ _______ ---~ ~ ed ~ I o ,~ ; ~ ,~,~'v a aN :,~ -, r - LL r (~ ;' ~ ~ ~- '' J ~~ ~l..i i~ ~~ } :~:_ ~~'. :...~ ~:. °...~ v