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Home My WebLink About04-20-12COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX(11-96) NO. CD 015873 TAYLOR OLLIE L 3828 CARRIAGE HOUSE DRIVE CAMP HILL, PA 1701 1 fold REMARKS: CHECK# 3680 ACN ASSESSMENT AMOUNT CONTROL NUMBER TOTAL AMOUNT PAID: INITIALS: CJ 530.00 SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS BUREAU OF INDIVIDUAL TAXES PO BOX 260601 HARRISBURG PA 17128-0601 ~Jj PENNSYLVANIA INHERITANCE TAX ~~ 1. ~. ` i~,;F Q~ INFORMATION NOTICE Pe lwani~ ~.~'~ I ~ AND FILE DEPA~oF~REoEN~E~ ~ ~ TAXPAYER RESPONSE ACN REV-1543 EX AFP (R5-~~, DAT E N0. 21-/~-O~~F'~ 12125046 04-12-2012 CLERK ~~- ORPHaN`S GGt)~T CUMRF~?{. ~~.~(~ ~;i~ . PA EST. OF OLLIE L TAYLOR SSN 407-24-974b DATE OF DEATH o3-21-2012 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT ® SAVINGS ^ CHECKING ^ TRUST ^ CERTIF. MEMBERS 1ST FCU ecords indicate that at the death of the above-named decedent, provided the department 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 you are the spouse of the notify the de artment of your relationship to the deceased byechecking Box7Cnin'PART lfbelowaandnwriting "spouse" in PART it to the above address. Please call 717-787-8327 with questions. YOU mUSt If you believe he information is incorrect, please obtain written correction from the financial institution, attach a copy to this form and return 2. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 409327-05 Date 02-08-2011 Account Balance Percent Taxable Amount Subject to Tax Tax Rate Potential Tax Due PART CHECK ONE BLOCK ONLY PART relationship to decedent: -~~ ~`c' please state TAX RETURN - CALCULATION LINE 1. Date Established 2. Account Balance 3. Percent Tazable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due PART OF TAX ON JOINT/TRUST ACCOUNTS 1 2 3 X 4 +fi 5 6 7 X 8 $ OFFICIAL USE ONLY ^ AAF PA DEPARTMENT OF REVENUE PAD 1 Z 3 4 5 6 7 8 0 DATE PAID PAYEE DEBTS AND DEDUCTIONS CLAIMED DESCRIPTION AMOUNT PAID TOTAL (Enter 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 / I ~~ TAXP ER G TURE WORK _ ~~ TELEPHONE Nl1MRFQ _ ROBERT D TAYLOR 3828 CARRIAGE HOUSE DR CAMP HILL PA 17011-1456 Established $ 2,001.45 X 16.667 $ 333.58 X .045 ~ 15.01 TAXPAYER RESPONS To ensure proper credit to the account, two copies of this notice must accompany payment to the Register of Wills. Make check payable to "Register of Wills, Agent". NOTE: If tax payments are made within three months of the decedent's date 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. FAILURE TO RESPOyND 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 a discount or avoid interest, or return this notice to the Register of Wills and an official assessment will be issued by the PA Department of Revenue. 8• ^ The above asset has been or will be reported and tax paid with the Pennsylvania inheritance tax ~e+,,.... filed by the estate representative. C• ^ The above informs ion is incorrect and/or debts and deductions were paid. Complete PART 2~ and/or PART 3LJ below. If indicating a ,fifa.,....-~ ~~' ,~ :~: Y ; ,~.. 4 ~° ;~;: ~; r: ;:. N: :,i.. .+i >~~yr >+'w ~t lV^ Q ;, ~~3 `7~` ~ ~ ~.-i. •. ~ yam" ... ~x ~~ a _~ ~~ ~ 1 .4 f ~. ~ ~ ~R -rr .,x, CLERIC ~- ORPI~N'S , ~ r ~~UfR 0 O ~ ~ ,~~ L, t!~ !Y~ Y' {~ l~ ,~S .j.q COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: REV-1162 EXI11-96) PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 015876 TAYLOR BRENDA 3828 CARRIAGE HOUSE DRIVE CAMP HILL, PA 1701 1 fold ESTATE INFORMATION: FILE NUMBER: DECEDENT NAME: DATE OF PAYMENT: POSTMARK DATE: COUNTY: DATE OF DEATH: REMARKS: BRENDA TAYLOR 407-24-9746 ACN ASSESSMENT AMOUNT CONTROL NUMBER 5.02 TOTAL AMOUNT PAID: CHECK# 3680 INITIALS: WZ SEAL RECEIVED BY: SSN: 2112-0469 TAYLOR OLLIE L 04/20/2012 04/ 19/2012 CUMBERLAND 03/21/2012 GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS