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Home My WebLink About03-20-12COMM(;~"WEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX111-96) NO. CD 015726 PARRY EDWIN 39 MICHAEL CT SHIPPENSBURG, PA 17257 fold ESTATE INFORMATION: ssN: ~ ~ ~-22-5605 FILE NUMBER: 2112-0332 DECEDENT NAME: PARRY PRISCILLA DATE OF PAYMENT: 03/20/2012 POSTMARK DATE: 03/19/2012 COUNTY: CUMBERLAND DATE OF DEATH: 1 1 / 1 5/201 1 REMARKS: CHECK#1334 ACN ASSESSMENT AMOUNT CONTROL NUMBER 121 16105 ~ 519.35 TOTAL AMOUNT PAID: 519.35 INITIALS: CJ SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS .-~. BUREAU OF INDIVIDUAL TAXES yy( ,r,rlu~l l~k PU BDX 280601 p HARRISBURG PA 17128-0601 DE P,pR~MF_Ji _OF REVENUE REV-1543 EX AFP (05~-1~1) PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE AND FILE N0. 21 -i,1 - (` hl,~ rJE ~ TAXPAYER RESPONSE ACN 12116105 '' ~ j DATE 03-07-2012 %~'~ ~~R 20 6~'~~ 1~: ( ~ CLF_RK Ct ORPHAN'S CC~(~{~r DAMARIS GEMINEZ 39 MICHAEL CT SHIPPENSBURG PA 17257-8129 EST. OF PRISCILLA PARRY SSN 111-22-5605 DATE OF DEATH 11-15-2011 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS CHECKING TRUST CERTIF. BANK OF AMERICA N A 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 you are the Spouse of the deceased and any amount other than zero is reflected below on the Potential Tax Due line, note no tax may be due, but you must notify the department of your relationship to the deceased by checking Box C in PART 1 below and writing "spouse" in PART 2. If you believe 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. Please call 717-787-8327 with questions. COMPLETE PART I BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 002225099165 Date 02-11-1991 To ensure proper credit to the account, two Established copies of this notice must accompany Account Balance $` 1 , 548.31 payment to the Register of Wills. Make check Percent Taxable X 8.333 payable to "Register of Wills, Agent". Amount Subject t0 Tax $ 129.02 NOTE: If tax payments are made within three months of the decedent's date of death, Tax Rate X . 15 deduct a 5 percent discount on the tax due. Potential T2X DUe $ 19.35 Any inheritance tax due will become delinquent nine months after the date of death. PART TAXPAYER RESPONSE FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT 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 return this notice to the Register of Wills and C 0 N E ~ an official assessment will be issued by the PA Department of Revenue. B L 0 C K B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania inheritance tax return 0 N L Y filed by the estate representative. C. ~ The above information is incorrect and/or debts and deductions were paid. Complete PART ~ and/or PART 3^ below. PART If indicating a different tax rate, please state relationship to decedent: OFFICIAL USE ONLY ~ AAF TAX RETURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS i PA DEPARTMENT OF REVENUE PAD LINE 1. Date Established 1 i 1 2. Account Balance 2 $ 2 3. Percent Taxable 3 X 3 4. Amount Subject to Tax 4 $ 4 5. Debts and Deductions 5 - r 6. Amount Taxable 6 $ i 6 7. Tax Rate y )( 7 8. Tax Due g $ 8 PART DEBTS AND DEDUCTIONS CLAIMED 0 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 best of my knowledge and belief. ,~„~,,~ HOME C ) TAXPAYER SIGN__-JRE TELEPHONE NUMBER naTF b3 ;vl?1Stlitrtii; i t i t i i ~~ 1 ya 1 I N N ~ N ~ . Q. C..rr ~U W ~ .fl '~v~ co •~ ~. ~~'~ A ~ ~ ti ~~ u. h ~` Tin ~ . ` _ _ '~~`~'''~ ' =rte' `+~~~`i 11i:~ ~~ ~I~ 1)~ ~ ~ i ~~~~Y ~F..4J ~~~t'~!~~R 20 Psi i2,~ I y ~~~ Qr 4RPHAN'g COUF ~' GtIhRP~~~ ; ~1~ (;~. P~ ~~ ~ M ~ ~ .~ c,~, ~ 5 ~ ~J '~ ftl ~i fs~ ~'1 ia} iT! .,.., ~~ t .,..,