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Home My WebLink About04-16-12COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: RYNARD RUSSELL L 32 TUNBRIDGE LN CARLISLE, PA 17013 fold PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX(11-96> NO. CD 015847 ACN ASSESSMENT AMOUNT CONTROL NUMBER ESTATE INFORMATION: ssrv: 200-24-o7ss FILE NUMBER: 2112-0330 DECEDENT NAME: RYNARD MARY E DATE OF PAYMENT: 04/16/2012 POSTMARK DATE: 04/14/2012 couNTY: CUMBERLAND DATE OF DEATH: 02/ 28/ 201 2 REMARKS: CHECK#560 SEAL 12124133 ~ 5621.66 TOTAL AMOUNT PAID: INITIALS: HEA 5621.66 RECEIVED BY: GLENDA F,ARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS ~ PENNSYLVANIA INHERITANCE TAX ^~ BUREAU OF INDIVIDUAL raxES INFORMATION NOTICE FILE No. 21~~- 3 3V _r ~ PD BOX 260601 Pennsylvania ~C'~1~± ND HARRISBURG PA 17128-0601 ~' 1 E„('~ ACN 12124133 DEPARTMENT Of REVENUE ( ~ TAX P~~( R E S P O N S E ~~ , - ~ ~ DATE 04-09-2012 REV-1543 EX AFP (OS-I1> -~~F~~~ ~~ ~~~~~' ~~'~. OF MARY E RYNARD SSN 2011-24-0798 CLERK nF DATE OF DEATH 02-23-2012 OF~,RPFHAN'pS~_~C~}RTCOUNTY CUMBERLAMD G~~IVIRf"~I r~a~yf ~ (~~ j , MIT PAYMENT AND FORMS T0: RUSSELL L RYNARD REGISTER OF WILLS 32 TUNBRIDGE LN 1 COURTHOUSE SG~UARE CARLISLE PA 17015-7684 CARLISLE PA :17013 TYPE OF ACCOUNT SAVINGS ® CHECKING TRUST CERTIF. CITIZENS BANK OF PENNSYLVANIA 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 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 6100888371 Date 12-08-1993 To ensure proper credit to the account, two Established copies o+F this notice must accompany payment 'to the Register of Wills. Make check Account Balance $ 8 ~ 724.87 payable 'to "Register of wills, agent". Percent Taxable X 50.000 NOTE: IiF tax payments are Wade within three Amount Subject to Tax $ 4 ~ 3b2.44 months oiF the decedent's date of death, Tax Rate ~( , lj deduct a 5 percent discount on the tax due. Any inheritance tax due will become delinquent Potential Tax Due ~` b54.37 nine mom+ths after the date of death. P~T TAXPAYER RESPONSE ~ AIL U\ O PON ILIA ES ~IATAX ASS ENT A. IQ~The above information and tax due is correct. BSI 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. BLOC 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 inforna ion is incorrect and/or debts and deductions were paid. Complete PART ~2 and/or PART ~ below. PART If indicating a different tax rate, please state _ ~~ OFIAL USE NLY AA 2 ^ relationship to decedent: ~o~ PA DEPARTMENT' OF REVfNUE TAX RE TURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS PAD ~ az LINE 1. Date Established 1 1 2. Account Balance 2 $ ~ 2 X 3. Percent Taxable 3 3 4. Amount Subject to Tax 4 0 4 5. Debts and Deductions 5 \ *j 6. Amount Taxable 6 `~ b 7. Tax Rate 7 X 'j 8. Tax Due 8 $ ~ g ~"' G~ PART DEBTS AND DEDUCTIONS CLAIMED 3^ DATE PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL (Enter on Line 5 of Tax Computation) S Under penalties of perjury, I declare that the facts I reported above are 1:rue, correct and complete to the best of my k owledge and belief. HOME C ~~~ ~ ~ '~~ ~~ ' WORK ( ) y /~1 /2 T XPAYER SIGNATU TELEPHONE NUMBER ATE i A~ ,~ 6~ v ~ ~ m ~ uoo ~~ N b YaG~ woo ~ - o r~ ~ ~ ~± ~' ~~ ~~ V ~~ ' 0 ,~ ~ ~.. ~. `f' O /\ W L 1 • - :.~~ ~~ ~ (. ~' . ,' . .t f.._ -....~ ~, ~_ ~ s ' ~. ~ tTY 4 7 ~ ~ ~~ ~ c ,, ~' { i^~t. ' ~' ~+y if ~ ~ ~ ,~ ~, , ~. .. ~, a}~. M ~ ~'J 1 ~ USAF. u •~ +#+!!t - i. ER'! rG~