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Home My WebLink About09-23-11COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0601 RECEIVED FROM: REV-1162 EX~11-961 PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT WENGER OLIVER L 4718 E TRINDLE RD MECHANICSBURG, PA 17050 fold ESTATE INFORMATION: ssrv: i 7s-i 6-0979 FILE NUMBER: 211 1-1012 DECEDENT NAME: WENGER FRANCIS I DATE OF PAYMENT: 09/23/201 1 POSTMARK DATE: 09/22/201 1 COUNTY: CUMBERLAND DATE OF DEATH: 07/28/2011 ACN ASSESSMENT CONTROL NUMBER N0. CD 014998 AMOUNT 11152680 ~ 596.36 TOTAL AMOUNT PAID: REMARKS: CHECK#1720 SEAL 596.36 INITIALS: HMW RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS ~, BUREAU OF INDIVIDUAL TAXES ~~i`~'~' ' PD BOX 280601 pennv~i~ia HARRISBURG PA 17128-0601 pE pgg7MEN70F A€YEkuE. REV-1543 EX PFP (05-11) PENNSYLVANIA INHERITANCE TAX FILE N0. 21"~~-~~/~ INFORMATION NOTICE -j(,,,~. ~~ AND ACN 11152680 i I TAXPAYER RESPONSE DATE 08-11-2011 t.'J ~~`°~ LJ '~`~ ~ ` . ~~ 4 EST. OF FRANCIS I WENGER SSN 178-1.6-0979 CLE~i`.. ~'~ DATE OF DEATH 07-28-2011 OR~'~,~F`I~'~ '~ ~+J_iJ~~ COUNTY CUMBERLAND C~~,w;~ P4 REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS OLIVER L WENGER 1 COURTHOUSE SQUARE 4718 E TRINDLE ROAD CARLISLE PA 17013 MECHANICSBURG PA 17055 TYPE OF ACCOUNT SAVINGS CHECKING TRUST CERTIF. MEMBERS 1ST FCU provided the department with the information below, which was used in calculating the inheritance tax due. deceased dandtanyaamounteother thanezeroeisareflectedtbelowwonetheoPotentlalbeTaxl DueYlineh,noteono tax mayo be due h but you must he notify the department of your relationshease obtaendwrCitteedoeYeChonkfr~om B~e P narciaARTnlt,betownaadttach al ropy toethie form aAdTreturn If you believe the information is inco7rec~R~pO~.~~ w;th que~±ions. it to the anovo a~!dress, please cal COMPLETE PART 1 BELOW ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 207402-11 Date 09-30-2004 To ensure proper credit to the account, two copies of this notice must accompany Established payment to the Register of Wills. Make check Account Balance $ I 0 ~ $15 • 91 payable to "Register of Wills> Agent". X 5 ~ ' ~ ~ ~ NOTE: If tax payments are made within three Percent Taxable Amount Subject to TaX ~` 5 r 407 • 96 months of the decedent's date of death. . 0 4 5 deduct a 5 percent discount on the tax due. Tax Rate X Any inheritance tax due will become delinquent Potential TaX Due $ 243.36 nine months after the date of death. PART TAXPAYER RESPONSE FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX'ASSfSSMENT CHECK ONE [ BLOCK ONLY A, ^ The above information and tax due is correct. Remit payment to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, or return this notice to the Register of Wills and an official assessment will be issued by the PA Department of Revenue. g. ~ The above asset has been or will be reported and tax paid with the Pennsylvania inheritance tax return filed by the estate representative. C The above informs ion is incorre~t belowr debts and deductions were paid. Complete PART 2~ and/or PART AF PART If indicating a different tax~ereJ. Please state relationship to decedent: TAX RETURN - CALCULATION LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxable 7. Tax Rate R_ Tax DUe PART DATE PAID PAYEE ,~.o ~2 S~ d --~- s TOTAL CEnter on Line 5 of Tax Computation) AMOUNT PAID Under penalties of perjury, I declare that the facts I reported above are true, correct~a~nd~ complete to the best of my knowledge and belief. HOME C~)~'( ) ~ ~ ~ ~--,~, woRK C ) OF TAX ON JOINT/TRUST ACCOUNTS 1 1 -3C -3.~r."f 3 X ,c~c,^ 4 $ "j 'f V 7 y ~ 5 °~ ~ ~fo~ ~`f 6 $ ~ ~ ~ ~a 7 X e °i ~••~~ g $ ~ ~~ r J ~~ PAD OFFICIAL USE ONLY ~ A PA DEPARTMENT OF REVENUE 2 3 4 5 6 7 8 DEBTS AND DEDUCTIONS CLAIMED DESCRIPTION TELEPHONE NUMBER DATE YER SIGNATUR _ __ __ LISA FI' -C~yA F E `~~~ s i, ~ .l ,~ ~ ;i ° , s j ~_~~,~ s r t' ~ ~ a f ~ } B ~ g ~ i, i ~~ ~~ ~~ ~ ^ci 'r •- ~, ~: ::;- (,: ~_ 4'~i ~ i~~ 4^k, Lr v.- .d i' y- v _, ~. ~ ~ ^I _~-_ ~,:_~ C(. ~ '~~. J .~ ~ ~~ ~ ~ _ ~~ , .~ r `{ l C _ `, ~ S ~ f ~ i I' - ~ V~ ,,'~: '~ J ``1 J J f J ~_ ~.',4 ~'ti ;~t iii l.~:t .5~~(