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Home My WebLink About08-02-11COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EXI'I1-96) NO. CD 014795 SNAMAN JOHN R 103 EGE DR CARLISLE, PA 17013 --- fold ESTATE INFORMATION: SSN: 2z8-82-3510 FILE NUMBER: 21 1 1 -0843 DECEDENT NAME: EDWARDS SUE SNAMAN DATE OF PAYMENT: 08/02/201 1 POSTMARK DATE: 07/28/201 1 COUNTY: CUMBERLAND DATE OF DEATH: 05/ 14/201 1 REMARKS: ACN ASSESSMENT AMOUNT CONTROL NUMBER 11150306 ~ $116.33 TOTAL AMOUNT PAID: S 1 16.33 CHECK# 2240 INITIALS: DB SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS sL..~~+• BUREAU OF INDIVIDUAL TAXES ~~'""^ PU BDX 280601 pennsyly~ HARRISBURG PA 17128-0601 NT OFRE' RC:pF I _ r`.1" n~-.1543 E% AFP ,( PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE FILE N0. 21 - S1- ~$l~j AND ACN 11150306 fir. TAXPAYER RESPONSE DATE 07-28-2011 30 C~Et<~C '_ .. ~~++LO~R,~F,C~,~~~!'~ ~ - RT JOHN R SAI'A77`AN'-R~./'~?.: ' '! ~ ).. PA 103 EGE DR CARLISLE PA 17013 EST. OF SUE SNAMANEDWARDS SSN 228-82-3510 DATE OF DEATH 05-14-2011 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS TD: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS CHECKING TRUST CERTIF. ORRST OWN BANK provided the department with the information below, which was used in calculating the inheritance tax due. Records indicate that at the death of the above-named decedent, you were a joint owner/beneficiary of this account. If you are the SpoUSe of the deceased and any amount other than zero is reflected below on the Potential Tax Due line, note no tax may be due, but you must notify the department of your relationship to the deceased by checking Box C in PART 1 below and writing "spouse" in PART 2. If you believe 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. Please call 717-787-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 106000163 Date 01-12-1998 To ensure proper credit to the account, two Established copies of this notice must accompany Account Balance $` 5,442.09 payment to the Register of Wills. Makes check payable to "Register of Wills, Agent". Percent Taxable X 50.000 $ 2, 721.05 NOTE: If tax payments are made within three~~ Amount Subject to Tax months of the decedent's date of death, Tax Rate )( .045 deduct a 5 percent discount on the tax due. Any inheritance tax due will become delinquent Potential Tax Due $ 122.45 nine months after the date of death. PART TAXPAYER RESPONSE FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT A. The above information and tax due is correct. Remit payment to the Register of Wills with two copies of this notice to obtain C H E C K a discount or avoid interest, or return this notice to the Register of Wills and 0 N E an official assessment will be issued by the PA Department of Revenue. B L 0 C K ~ g, ~ The above asset has been or will be reported and tax paid with the Pennsylvania inheritance tax return 0 N L Y filed by the estate representative. C. ~ The above informs ion is incorrect and/or debts and deductions were paid. Complete PART ~ and/or PART 3^ below. p2 T if indicating a different tax rate, please state OFFICIAL USE ONLY ^ relationship to decedent: ~ AAF PA DEPARTMENT DF REVENUE TAX RETURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS PAD LINE 1. Date Established 1 ~ 2. Account Balance 2 $ 2 3. Percent Taxable 3 X 3 4. Amount Subject to Tax 4 $ 4 5. Debts and Deductions 5 - 5 6. Amount Taxable 6 $ 6 7. Tax Rate 7 X 7 8. Tax Due g $ 8 PART DATE PAID PAYEE DESCRIPTION AM(]IINT' PATTI Under penalties of perjury, I declare that the facts I reported above are true, correct and complete to best f my knowledge and belief. HOME C ~/"' ] ~(~/ ~ ZR[.U TAXPA R SI AT R TELEPHONE NUMBER ATE DEBTS AND DEDUCTIONS CLAIMED ~~ amine n ur iax computation) $