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Home My WebLink About01-17-12 (2)COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF FIEVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ACN ASSESSMENT AMOUNT CONTROL NUMBER NO. CD 015460 CATSELIS GEORGE JR 4173 NANTUCKET DR MECHANICSBURG, PA 17050 fold ESTATE INFORMATION: sS-v: 227-34-6960 FILE NUMBER: 2112-0060 DECEDENT NAME: CATSELIS ELNA DATE OF PAYMENT: 01 / 1 7/201 2 POSTMARK DATE: 01 /1 7/2012 COUNTY: CUMBERLAND DATE OF DEATH: 04/ 1 1 /201 1 11135485 ~ 512.24 REV-1162 EX111-961 TOTAL AMOUNT PAID: REMARKS: SEAL CHEC;K# 2422 INITIALS: HEA RECEIVED BY: 512.24 GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS BUREAU OF IND:[VIDUAL TAXES PO BOX 280601 HARRISBURG PA 17128-0601 REV-1563 E%I'kFP (RB-RBJ' PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE AND FILE XPAYER RESPONSE ACN -i!, ;F ~ ~ DATE I i l N0. 21 11135485 05-25-2011 QR°~A.~1~S f,~lr?T GEORGE CATSELI~~~~`~~ '''r ~ -,r, ~~ 4173 NANTUCKET DRIVE MECHANICSBURG PA 17050 EST. OF ELNA CA,TSELIS SSN 227-34-6960 DATE OF DEATH 04-11-2011 COUNTY CUMBERLAND REMIT PAYMENT AND F"ORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT ® SAVINGS CHECKING TRUST CERTIF. MEMBERS 1ST f=CU 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 joint 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 farm and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Commonwealth of Pennsylvania. Ple_ase_call C717a 787-8327 with questions. COMPLETE PART 1 BLOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 22957-00 Date 11-05-1979 To ensure prover credit to the account, two Established copies of this notice must accompany 5 4 3. 9 2 payment to the Register of Wills. Make check Account Balance ~` payable to "Register of Wills, Agent". Percent Taxable X 50.000 NOTE: If tax payments are made within three Amount Subject to Tax $ 271.96 months of the decedent's date of death, Tax Rate )( . 045 deduct a !i percent discount on the tax due. Any Inheritance Tax due will become delinquent Potential Tax Due ~` 12.24 nine months after the date of death. PART TAXPAYER RESPONSE A FOND , 3~1 L R!= I N' ~ OFF L 1' SS~S EN 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 check box "A" and return this notice to the Register of Wills and an official assessment will be issued by the PA Department of Revenue. C ONE BLOCK B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return O N L Y to be filed by the estate representative. C. ~ The above informs ion is incorrect and/or debts and deductions wer~z paid. Conplete PART ~2 and/or PART 3~ below. PART If indicating a different tax rate, relal;ionship to decedent: TAX RETURN - COMPUTAtION OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Date Established 1 2. Account Balance 2 $ 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 8 $ PART DEBTS AND DEDUCTIONS CLAIMED °'~ t3T~FIC'iAL USE°'~1NLY ~;p PA DEPARTMENT' OF REVENUE DATE PAID PAYEE DESCRIPTION AMOUNT PArn Under penalties of perjury, I declare that the facts I have reported a~blove are true, correct and c fete to the b s o~F ~d(y (Howl dge and belief . HOME C / ~~~ .) L~ ~j / ~ -(~,~ ~ ~p TAXPAYER SIGN E TELEPHONE NUMBER DATE please state IoTAL (Enter on Line 5 of Tax Computation) 0