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Home My WebLink About12-16-11 (2)COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280801 HARRISBURG, PA 17128-0801 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX111-98) NO. CD 015356 MOWERS HENRY D 1864 HUNTER DR MECHANICSBURG, PA 17050 fold ESTATE INFORMATION: SSN: 524-40-3434 FILE NUMBER: 2111-1347 DECEDENT NAME: MOWERS JOAN L DATE OF PAYMENT: 12/ 16/201 1 POSTMARK DATE: 12/16/2011 COUNTY: CUMBERLAND DATE OF DEATH: 12/02/2010 REMARKS: RECEIPT TO ATTY SEAL CHECK# 181 ACN ASSESSMENT AMOUNT CONTROL NUMBER 11123901 ~ 53.75 TOTAL AMOUNT PAID: 53.75 INITIALS: HMW RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES !~ ~, AND FILE Po Box zeo6ol ;~ ~ ~,,,~ ~ TAXPAYER RESPONSE ACN HARRISBURG PA 17128-0601 P~~_ ~ k '`'11i $.C DATE REV-1543 EX AFP f06-OB) NO. 21 `~ I / 11123901 04-07-2011 ~~~ ~ ~C~ ~ b ~~i ~~ .~~ CLERK 0~ o~~w~~s cau~~ HENRY D MOWERS 1864 HUNTERS DR MECHANICSBURG PA 17050 EST. OF JOAN L MOWERS SSN 524-40-3434 DATE OF DEATH 12-02-2010 COUNTY, CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT ® SAVINGS CHECKING TRUST CERTIF. WACHOVIA BK NA provided the Department with the information below, which has been used in calculating the potential tax due. Records indicate that at the death of the above-named decedent, you were a ioint owner/beneficiary of this account. If you feel 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. This account is taxable in accordance with the Inheritance Tax laws of the Commonwealth of Pennsylvania. Please call C717) 787-6327 with questions. - - - - C~FIFLETE PART 1'BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 3030090231911 Date 12-11-1989 7o ensure proper credit to the account, two Established copies of this notice must accompany payment to the Register of Wills. Make check Account Balance ~` 500.29 payable to "Register of Wills, Agent". Percent Taxable X 16.667 NOTE: If tax payments are made within three Amount Subject to Tax ~ 83.38 months of the decedent's date of death, Tax Rate X , 15 deduct a 5 percent discount on the tax due. Ary Inheritance Tax due will become delinquent Potential Tax Due 'b` 12.51 nine months after the dat• of death. PART TAXPAYER RESPONSE 1 A. ~ The above intonation and tax due is correct. Remit payment to the Register of Wills with two copies of this notice to obtain CHECK a discount or avoid interest, or check box "A" and return this notice to the Register of C ONE ~ Wills and an official assessment will be issued by the PA Department of Revenue. BLOCK B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return 0 N L Y ~ to be filed by the estate representative. C. The above informs ion is incorrect and/or debts and deductions were paid. Complete PART ~2 and/or PART 3~ below. PART If indicating a different tax rate p~ga state relationship to decedent: ~~./~ TAX RETURN - COMPUTATION 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 8. Tax Due PART DATE PAID PAYEE OF TAX ON JOIt{T/TR~ T ACCOUNTS 1 ~~ 2 ~ 3 X 4 5 - o L O?~ 6 ~ ~ 7 X ~ o~ SFS 8 $ ~~ ~.s DEBTS AND DEDUCTIONS CLAIMED DESCRIPTION AMOUNT PAID . Shekletski, ESq. TOTAL (Enter on Line 5 of Tax Computation] i Under penalties of periury, I declare that the facts I have reported above are true, correct and complete to the best o owledp end b Yi HOME C ) .~~''~~~r~~~~%~GGi.~~~~ woRK c 717 ) 774-7435 ~/