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Home My WebLink About09-28-11COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280801 HARRISBURG, PA 17128-0801 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 015010 CAMPBELL MARY E 136 DILLER ROAD NEW CUMBERLAND, PA 17070 •------- Bole ESTATE INFORMATION: SsN: 21o-2a-3aas FILE NUMBER: 211 1-1023 DECEDENT NAME: FRYE OLIVE M DATE OF PAYMENT: 09/28/2011 POSTMARK DATE: 09/27/201 1 COUNTY: CUMBERLAND DATE OF DEATH: 05/08/201 1 REMARKS: MARY E CAMPBELL CHECK#1232 SEAL ACN ASSESSMENT AMOUNT CONTROL NUMBER 11160613 ~ 530.82 REV-1162 EX111-96) TOTAL AMOUNT PAID: INITIALS: WZ RECEIVED BY: 530.82 GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS ~ PENNSYLVANIA INHERITANCE TAX BUREAU OF INDIVIDUAL TAXES ,~ INFORMATION NOTICE FILE No. 21 ~ ~ ' ~~~ PO BOX 280601 Pennsylvania HARRISBURG PA 17128-0601 AND ACN 11160613 DEPARTMENT ~-' '~'°- i T~ICPAYER RESPONSE dEV-1563 EY •r+e ~Lfa~1J ), _~~~~~ DATE D9-D$-2D11 TYPE OF <''' ! 5~P 2t3 fir' (I ~ z; CLERK nF ~RPF~MI~S ~"OURT MARY E CAMPBELL C~~~Iil ~f(,~i~-0(7 ('(l 136 DILLER RD NEW CUMBERLAND PA 17070-2509 EST. OF OLIVE M FRYE SSN 210-28-3449 DATE OF DEATH -es~-~y,~ 5 g-'q COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 ACCOUNT ® snvlNGs CHECKING TRUST CERTIF. M 8 T BANK provided the department with the information below, which was used in cal culatinp 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 y0U ere the SpdUSe 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 If youybelhevdepiaertmformatfon~srineorarectnohease obtain weCeteedCOr~eCthonkf~om Bhe ftnenc aARTnstitut~oneadttarh aicoDY toothie"form andTreturn it to the abovettaddress. Please call 717-77.8327 with questions. COMRLETE PART 1 BELON ^ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 150042068 2218 Date 07-24-1999 io ensure proper credit to the account, two Established copies of this notice oust accowparyr Account Balance ~ 1 , 369.64 pavwent to the Register of Wills. Make cheek payable to "Register of Wills, Agent". Percent Taxable X 50. D00 Amount Subject to TaX g 684.82 NOTE, If tax pavaents are wade within three months of the decedent's data of death, Tax Rate X . 0 45 deduct a 5 percent discount on the tax duo. Potential Taz Due $ 3D.82 Arun inheritance tax duo will becoae delinquent nine aonths after the dat• of death. P~r TAXPAYER RESPONSE 1 CHECK ONE BLOCK ] ONLY me above inforaation and tax due is correct. Resit Dayaent 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 antl an official assasseent will be issued by the PA Depertaent of Revenue. Tha ebova asset has been or will be reported and tax paid with the Pennsylvania inharitanca tax return filed by the estate representative. C. ~ Tha above inforaa ion is incorrect and/or debts and deductions ware Daid. Cowpleta PART ~2 and/or PART 3^ below. PART If indicating a different tax rate, please state relationship to decedent: TAX RETURN - CALCULATION DF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Data Established 1 2. Account Balance 2 S 3. Percent Taxable 3 X 4. Amount Subject to Tax 4 5. Debts and Deductions 5 - 6. Amount Taxable 6 7. Tax Rate 7 X 8. Tax Due g ~ PART DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL (Enter on Line 5 of Tax Computation) g Under penalties of perjury. I declare that the facts I reported above are true, correct and complete to the bo t of my knowledge and belief. HOME C~1~1 ) ~, t WORK C~ ~~ ) r~3C0 `S(13l .. ~Y n- '~ tb 111111 ~^aa .... ~. ~F~~ ~ r` ~ ~ ~ ~~: ~ ~, xs,,. i r Ib fl -j S 3, C3~ . t -~ ~<3 Ci ~., ~L ., i~ ~ e ~~ ,J 1 Y: '~ 1w~~ ti~ 3~1 `~ Y a 'R'Y,x A. W ~ F~ i„ ~~~ . ~ ~ `~r1.!.S 'r ~ VZ..1 C.V ~SY i ~(~ ~~ CLERK pF ORPHAN'S COURT Ct1MPcR' A.N'~ t;~ PA. lV('~' ~ ~^Q ~ / {\ ~~Vll....~// d -~{^ V1 .~ V 'v) J '+ V 1 ~"n ..~, .~ :' 1 •~r •ti~ 'T -~.. w 1 .p,~ 1,,,1 M