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02-27-11
COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0801 RECEIVED FROM: LOZ LOIS C 120 GREENBRIAR DRIVE MARYSVILLE, PA 17053 -------- fold PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT aEV-11ez ex~1 ~-ae~ NO. CD 015632 ACN ASSESSMENT AMOUNT CONTROL NUMBER ESTATE INFORMATION: SSN: 054-16-8004 FILE NUMBER: 2111-1061 DECEDENT NAME: MCGRAIL JOSEPH J III DATE OF PAYMENT: 02/27/2012 POSTMARK DATE: 02/25/2012 COUNTY: CUMBERLAND DATE OF DEATH: 08/ 24/ 201 1 1.1,174612 ~ 518.26 TOTAL AMOUNT PAID: 518.26 REMARKS: CHECK# 667 INITIALS: HMW sE,aL RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS ~~ ~ '" ~ ~ {y 1wi ~ - _ ~j. r/1 ~- ~ ~ ~~ ~ ":~ `~ .^ :,t.. ~ ,_ .. `, .ti .~ ~ ~ ~.a ~ Cr , ~ _ 7 ` ~" ~ = { ~ :a ~.. ~ . .. 7 s .k a 1 1 i V • ~' ~~~ ^~ V 0 ... ~> _' ~~. :~: ~. ... ,, .~. . w r nwF .ir w w r ~~ .~ ~• ~" "~ PENNSYLVANIA INHER~tANCE TAX INFORMJ~tIDN NpTICE FiLE.NO.21 11-1.461 • BUREAU OF INOIYIDUAL TAXES ~* PD,6oX za6sol _ pens `~ V~'~ ~~©~ "~= ACN 111746,12 NARIti$6URG PA 17126-860], oEnianeErrroF `s~ • n ,.~~, ~~~ DA~I'E'e~ • 11 -;~~+ ~~,~ J ~f~~l-YER RESP©NSE REY-1543 EX AR ( - ~ '.~ Sr"( Y 7~.,.!} TYPE: ,OFD i0.CC0UN~T ~20~1 ~E~ 27 P!t ,~: ~~ EST. OF JOSEPH J MCGRAIL i' SAVINGS S$N - 054-16-8004 ,".~,"SD11E&KING ,- ~~ (~ DATE OF DEATH ' 05-24-2011 ' ~}'reLisr ~~~fS (j0(~''f COUNTY CUMBER~hAND ~ ~ CERTIF. `~'~J ~tl~„A~ ~ ~ REMIT. PAYMENT AND FORKS T0: ROBYN ~ S DOWGHERTY REGISTER OF'WIl,LS •" I22 GREENSRIAR>DR 1"COURTHOUSE-SQUARE.- ; MARYSYILLE PA 17053-1127 CARLISLE. PA 1.7:0'13 PNC BANK NA -provided the;departaent with the lnforaation below, which was used: in .calculating the tnheritanee tax due. Recoeds.in~icate that aL the death of the above-named decedent you were a point owner/beneficiary of this accpunt. If you ara;the 6pou,~e of the dec qqS and any amount other than zero 1s reflected below on, the Potential Tax Due line, .note no tax may, be dii~ ,Dat you must notiTy~ departa~ent~ot ydur`r81a'tionship to the "deceased by ci-eCking-Box C 1~1 P~iRT 1 below Bnd lvrlting "spouseA in PART 2. If yyou believe the information is Incorrect, please obtain written correction from the financial institution, attach a copy to this-fora and return -~ to he above address.. Please call 71T 787-8327 with.gu~si}ions.. ~ , COMPLETE PART 1 BELOW * SEE REVERSE `SIDE POR FILING ~l'NnPAYwENT ~NSTRUGTIONS account No. 5140286381 Dat®- - 08'23-1991 To-ensure_v(`over crudit to thi aceaunt' tw'o Established copies of thfs rlotco oust accoRaaarp( Account Balance 2,435.00 payMent to the Rr`p~s~ir. of Yfills. Make cheek payable to "Itepister of Wills. Apent". Percent .Taxable )( .16.667- NDTEs,. If tao( vaa-aenfs; aro made within throe Amount Subject to Tax ~ 405.84 aonths of the deudent's data of death, Tax Rate ~( . Ofj~ dedubt s 5' pot~cont discqunt on the Rex dw. ` ' Alai inlrori'taYca tax due Mfli Ifecoiie dilintlwht ;Potenfl~l Tax Pue ~ 18:26 ; ninf aonthslii}tor the date of deatK:"" P~T T ,. ~ ' ~ E ~ ` A. ~~The-above infonation and tax duo is correct. ,f ~" - ,, ., Roit pavaont,tp iRha Re9istsr of,,.W~;ls,with two cevies of this netice to obtain. •~ CHECK a discount or avoid interest, or ~~at(~rn~this.notice:to.tfie Reei4te~rof wills and ONE ,,cry official assessaehtwill•tie issued by the PA Depertwent of Revenue. BLOCK ~ B. ~ The shove asset haS been or will be repotted and tax paid with the Pennsylvania inheritance tsx return .ONLY,, filed by the estate repraaentative. C. ~ The above infor~ion is incorr~ }nd/ar debts and deductions were paid , CoR(plote PART Y and/or PART- 3 below. 3 r. PART ~ ae ' , If indiCatinp a d3,ffaren.t tax` rate, pUas• eta .,. k raletiorl4hip to` `de-ta~elent:` ~ , ` ~ ` ' T,AK,••-RETURH = 'CALGtlLATION OF T~1X ON JOINT/TRFIST ACCOUNTS. :. `LINE I. Date Estatrlishad 1 ,.. _ ,. , 2, Account. 1latance ~ 2 •, ~, .- ~"°a,-."""°'.`3~`~~~TrfL°'9'ibYaC" "`"'~,'~:' ~'~~'':. - -a-_..-~~..: 4. AwounC Sutrject ;to .TeX.. 4, _~ 5. Debts•snd Deduaiinna 5 6. Amouhf` Taxabia 6 ~ 7. Fax Rste 7 X 8. Tax Dub _ 8 ~` PaaT DESTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION AMOUNt PAID u,. rQTAt C~ntar an, Liho 3 0 rtit Co~puiation) t Under -erialt~4i of; paHury, I daclahe thst tho facts I roport6d ahoy ~afre true, correct' ante ^ ate i2q past of mY k otaledpe and belief. HOME C [~ ~ ) ~~, ~~~~ y . ~ - WOt~K C P Y i A T L PH HE NUM ER DATE -