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Home My WebLink About03-07-12COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7128-0601 RECEIVED FROM; PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT N0. CD 015672 BALTZLEY MICHAEL 544 SCHOOLHOUSE RD ASPERS, PA 17304 fold ESTATE INFORMATION: ssrv: 205-o~-oias FILE NUMBER: 2112-0168 DECEDENT NAME: RAU MELVIN E DATE OF PAYMENT: 03/07/2012 POSTMARK DATE: 03/06/2012 couNTY: CUMBERLAND DATE OF DEATH: 1 1 / 1 6/ 201 1 REMARKS: ACN ASSESSMENT CONTROL NUMBER REV-1162 EX(11-96) AMOUNT 11177714 ~ $49.95 TOTAL AMOUNT PAID: 549.95 CHECK#102 INITIALS: HEA SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS BUREAU OF INDIVIDUAL TAXES PO BOX 280601 HARRISBURG PA 17128-0601 Pennsylvania DEPARTMENT OF REVENUE REV-1543 EX AFP (RS -11) PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE ~" G FILE N0. 21 f~L'~~'"r~'~~~[I~NRESPONSE ACN 11177714 ~~~71~, `_ '. i;''#; I r'+ DATE 11- 25 - 2011 ~~~~ ~~~~ ' 7 Pia +~;~~ OF MELVIN E RAU SS~ 205-07-0149 CLERKr~F DATE OF DEATH 11-16-2011 ORPNgN'~ CCl1R~ COUNTY CUMBERLAND CUMP~~~ r~`~a,~; rrl PREMIT PAYMENT AND FORMS T0: MICHAEL E BALTZLEY 'REGISTER OF WILILS 544 SCHOOLHOUSE RD 1 COURTHOUSE SQIJARE ASPERS PA 17304-9758 CARLISLE PA 1'7013 TYPE OF ACCOUNT SAVINGS CHECKING TRUST CERTIF. ACNB BANK provided the department with the information below, which was used in calculating 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 are the SpOUSe Of the notifyethendepartmentnofoyour relationship tofthetdeceased by checkingnBox~CTin PART~lnbelowtandowritingy"spouse" intPART 2. If you believe tthe information is incorrect, please obtain written correction from the financial institution, attach a copy to this form a~dOretusn it to the above address. Please call 717-787-8327 with questions. COMPLETE' PART 1 BELOW *'SEE`'It~Et/ERg'E- SFDE FOR FILTN6 AND' PAYMENT INSTRUCTIONS Account No. 440117001 Date 08-16-1994 To ensure proper credit to the account, two Established copies of this notice oust accompany Account Balance $ 2 ~ 219.65 pevment to the Register of Wills. Make check Percent Taxable X payable to "Register of Wills, Agent". 50.000 Amount Subject to Tax $ 1 ~ 109.83 NOTE: If tax payments are made within three Tax Rate X months of the decedent's date of death, y]h' ,s deduct a 5 percent discount on the tax due. Potential TaX Due $ 1.6r~7 ~ ~ Any inheritance tax due will become delinquent nine months after the date of death. PART TAXPAYER RESPONSE AIL RE T ~ ES N ~L R LT TAk~ SaFS~l1i~NT A. ^ The above info t" CHECK C ONE BLOCK B ONLY C PART If indicating a different to rat please state relatianship to decedent: `~~~ S n~1 TAX RETURN - CALCULATION 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 ~ X 8. Tax Due 8 $ PART rna ion and tax due 1s correct. Remit payment to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, or return this notice to the Regis+ter of Wills and an official assesswent will be issued by the PA Department of Revenue. The above asset has been or will be reported and tax paid with the Peennsylvania inheritance tax return filed by the estate representative. he above informs ion is incorrect and/or debts and deductions were paid. Complete PART 2~ and/or PART 3LJ below. OFFICIAL U5E ONLY [~ AAA PA DEPARTMENT' OF REVENUE PAD ~ 1 2 3 5 7 $. DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL (Enter on Line 5 of Tax Computation) ~ 6 Under penalti s of perjury, I declare that the facts I reported above are true, correct and c ete t t ~ s/~ o~lmy owledge and belief. _ Sam/ HOME C ~ 17 , s a8 - ~3 7y TAXPAYER SIGNATURE WORK C7r.-7 ) ?'3 '7~( 3Ib ~ TELEPHONE NUMBER DATE {..t. ~ ~~~ (..t. ~~t t,~ti i ~j „ ~" 3 A n S ~ ~ A DSm 1 ~ ~(~' ~' Q ~ ~~ ~b• ~~ ~C/~ ~, .~ ~ n ~'.s V ~J.J .'~ C' Pte a ~ ~, ~ . t ~ ' m ~ ~ s~ . : .. G ~. . ~: ~ r~, ~ ~ ~ ~~ ~` t~ ~ °,~ '~ ° ~rJ. _ ~ ~ C~ t ?~ ' _ ~S ~ ~~ W ~ ~~' `~+ ~~` _ ~`r ,,,, `_,~ ,-r r