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Home My WebLink About01-27-12COMMONWEALTH 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 015515 SICO DANIEL 844 ALLENVIEW DR MECHANICSBURG, PA 17055 fold ESTATE INFORMATION: SSN: 109-20-8934 FILE NUMBER: 211 1-1081 DECEDENT NAME: SICO LUCILLE C DATE OF PAYMENT: 01 /27/2012 POSTMARK DATE: 01 /18/2012 COUNTY: CUMBERLAND DATE OF DEATH: 09/08/201 1 REMARKS: CHECK#1011 INITIALS: CJ SEAL RECEIVED BY: ACN ASSESSMENT AMOUNT CONTROL NUMBER TOTAL AMOUNT PAID: REV-1182 EX111-981 53,767.88 GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS BUREAU OF INDIYIDUAL TAXES PO BOX 280601 HARRISBURG PA 17128-0601 DEPARTMENT OF REVENUE REV-1543 EX AFP (,5-Il),~ r Pe'nnsy(vania ~~~~HER~TANCE ~~~- ~ ~~ ~ N N TICE w`E ..~ND TAX FILE N0. 21°-~f_~~Q' ACN 1116340 O * DATE 10-20-2011 ~'~+lt~ TYPE OF EST. OF LUCILLE C SICO ~~~ C(`,~(~~SN 109-20-8934 O.,~F DEATH 09-08-2o1I CUMBERLAND ** DANIEL REMIT PAYMENT AND FORMS T0: 844 ALLENVIEWIDR REGISTER OF WILLS MECHANICSBURG PA 17055-6183 1 COURTHOUSE SQUARE CARLISLE PA 17013 ACCOUNT ® SAVINGS CHECKING TRUST CERTIF. FULTON BANK NA Records indicate that at the death of the above Vnamedtdecedenttment with the information below, which was used in calculating the inheritance tax due. deceased and any amount other than zero is reflected below on the Potential Tax Due line, note no tax may be due~~ but ou must notify the department of your relationship to the deceased by checking Box/CniniPART lfbelowaandnwritln you are the spouse of the If you believe the information is incorrect, please obtain written correction from the financial institution, attach a copy to this form aynd return -, a it,Lo_th~ above address. -Please" call 717 ,787-8327 with Rue-§tions. 9 "Spouse in PART 2. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT~TNCrourT,.,....' Account No. 1 379 _ n ~ n. n - ---- -'"`° „aye 03-22-2011 Established Account Balance $ 90,056.20 Percent Taxable X Amount Subject to Tax 100.00 Tax Rate ~ 90, 056.20 Potential Tax Due X • 045 ~ 4,052.53 PART 1~ TAXPAYER.RES~ON; --~•+vn~ To ensure proper credit to the account, two copies of this notice oust accompany payment to the Register of Wills. Make check payable to "Register of Wills, Agent". N07E: If tax payments are wade within three months of the decedent's data of death, deduct a 5 percent discount on the tax due. Any inheritance tax due will become delinquent nine months after the date of death. A• ~ The above information and tp3( due is correct C HECK Resit payment to the Regist,4r a discount . of Wills with two copies of thi ONE or avoid interest, an official as3essmeht il or return this notice to the s notice to obtain Register of Wil C ~ BLOCK w l De . issued by the PA Department ls and of Revenue 0 N L Y B' ~ The above asset has been or will be reported and tax paid with filed by the estate . the Pe representative . nnsylvania inheritance tax per...... C• ~ The above informs son is incorrect and/or debts and deductions were paid. Complete PART ~ and/or PART ~ below. PART If indicating a different relationshi t tax rate, please state p o decede nt: TAX LIN RETURN - CALCULATION OF TAX ON JOIN /TRUST ACCOUNTS E 1. Data Established 1 e~..~ a0/~ 2. Account Balance 2 $ ~ ~ ~ 3. "PelwEen!' TiHtsiriA ;_... -- _ ~~_:_. --l h - _ _ -- - 4. Amount Subject to Tax y ~ Q~ _ -- ~S-~ ,~ 5. Debts and Deductions 5 - [q 'has ~~ 6. Amount Taxable 6 $ ~ . 7 ~A b 7. Tax Rate 7 ~( R Q 8. Tax Due 8_ ~ ^~ • 7~0-~ PART DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL CEnter on Line 5 of Tax Computation) Under penalties of ; perjury, I declare that the facts I reported above are true, correct and complete to the ~st of my knowledge and belief. I~ HOME ( 7I7 a ~ ~ TAXPAYER SI NATURE WORK ( ~ TELEPHONE NUMBER / ~~ ~~ RFCC~?~:.~=C~ ~ C~ 7 vo LOi7 JAPi 27 P~ 12~ 27 > ~` CLERt( OF `~ Oi'S COURT . °~"~' cu~~c~ ~~vr ~0.. ~a _- ~ ~ ~ _ ~ ~_ m ._ ~ ~' c ,~ ~, ~ ~ ~,. ~ ~ ~ ~ ~ c -~. --~ ~ ~ ~ .~ pv a ~ ~ ~ C ~. o ? ~i ~m o m 0 o , o c.~i n~ m ~~C~~ ~~n~~ ~~o~~~ N ~i.~~ a ~~~~ ~~~~~ .~~~ 3 m t7 L = C o ~ D D DZ Z (1] ~ 3 _~ D• ~ 0 ~..~„~ O- Jt 7:D w CW~~(n~-~~ ` z• ~nm~~o ~U ~ ~ N C~7 D i C7 ~ -D fT~ S