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Home My WebLink About06-13-11COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE REV-1162 EXI11-98) BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 014566 LOGAN STEVEN M 6023 ROBERT DRIVE MECHANICSBURG, PA 17050 -------- tolE ESTATE INFORMATION: SSN: t95-30-335t FILE NUMBER: 2111-0669 DECEDENT NAME: SMYERS CAREY F DATE OF PAYMENT: 06/13/2011 POSTMARK DATE: 06/10/2011 COUNTY: CUMBERLAND DATE OF DEATH: 05/06/201 1 REMARKS: STEVEN M LOGAN CHECK#1624 SEAL ACN ASSESSMENT AMOUNT CONTROL NUMBER 11133673 ~ 511.05 TOTAL AMOUNT PAID: INITIALS: WZ RECEIVED BY: REGISTER OF WILLS 511.05 GLENDA EARNER STRASBAUGH REGISTER OF WILLS BUREAU OF INDIVIDUAL TAXES PO BOX 280601 HARRISBURG PA 17128-0601 REY-1363 PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE p~ AND FILE N0. 21 -~ ~ -Q(p~P~f ~>•~K~ VIpXPAYER RESPONSE ACN 11133673 ~~ '~~11~ ~ C DATE 05-19-2011 2G1I JUN 13 PM 12~ OG PAR1 PART TAX Qflpl"rI~VNV Jp~IV~l/Vil l DC~~.AlVil C(~.. PA STEVEN M LOGAN 6023 ROBERT DRIVE MECHANICSBURG PA 1705D EST. OF CAREY F SHYERS SSN 195-30-3351 DATE OF DEATH 05-06-2011 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SgUARE CARLISLE PA 17013 TYPE OF ACCOUNT ® SAVINGS CHECKING TRUST CERTIF. MEMBERS 1ST FCU provided the Departaent with the intonation below, which has boon used in caleulatins the potential tax due. Records indicate that at the death of the sbova-naaed decedent, you ware a ioint owner/banef iciary of this account. If you Peal the inforaation is incorrect, please obtain written correction free the financial institution, attach a copy to this fora and return it to the sbova address. This account is taxable in accordance with the Inheritance Tax laws of the Comaorereelth of Pennsylvania. Please call (717) 787-8327 with euestions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AMD PAYMENT INSTRUCTIONS Account No. 145509-0 0 Data OS-18-1994 T Account Balance Percent Taxable Amount Subject to Tax Tax Rata Potential Tax Due Established $ 1,550.53 X 16.667 $ 258.43 X .045 $ 11.63 o ensure proper credat to the account. two CODies Of this notice oust accOwDany payment to the Resister of Wills. Mak• check payable to "Resister of Wills, Asant". NOTE, If tax psyeents era aatle within three wonths of the decedent's dat• of death, deduct a 5 percent discount on the tax due. Arty Inheritance Tax due will becoae delineuant nine wonths after the date of death. CHECK ONE BLOCK ONLY A. ~ The sbova inforaation and tax duo is corset. C. ~ The above inforaa ion fs incorrg~~3~ and/or debts and deductions wore paid. Complete PART 2~ and/or PART L--I belew. Raait payaent to the Resister of Wills with two copies of this notice to abtaln a discount or avoid interest, or chock box "A" and return this notice to Lhe Resister of Wills and an official assessaent will be issuetl by the PA Departaent of Revenue. B. ~ The sbova ssset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return to be filed by the estate representative. If indicating a different tax rata, please relationship to decedent: RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts end Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Dua 1 2 ~ 3 X 4 5 6 7 X 8 PART DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL CEntar on Lin• 5 of Taz Computation) t Under penalties of perjury, I declare that the facts I have reported above are true, correct and ~~ compl •st of my knowledge and ballet. HOME ( ) YY WORK C ) ~ ~ PAYER SIGN TURE TELEPHONE NUMBER DA E USA FIRST{LASS FOREVEP. ~. ~ ~p~[;p~~P,GEDG ~4-FICE ,, ~1GUiJiL~1 f;.. 1 ~ 2pti JUN 13 PM IZ~ OG Of'S t OURT (;~NIE3ERLAND CO . PA 0 ~~ ~~ ~~ 3 ~ ro 0.~ ~~ ~.. _••,. .~,,