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Home My WebLink About05-29-12 (2)COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 71 28-0601 RECEIVED FROM: WILLIAMS GREGORY 122 CAMBRIDGE DR MECHANICSBURG, PA 17055 fold ESTATE INFORMATION: ssrv: »s-2o-5729 FILE NUMBER: 2112-0531 DECEDENT NAME: WILLIAMS DONNA B DATE OF PAYMENT: 05/29/2012 POSTMARK DATE: 05/04/201 2 couNTY: CUMBERLAND DATE OF DEATH: 03/ 1 2/ 201 2 REMARKS: CHECK# 616 SEAL PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX(11-96) NO. CD 016025 ACN ASSESSMENT AMOUNT CONTROL NUMBER 12128707 ~ $48.24 TOTAL AMOUNT PAID: INITIALS: HMW $48.24 RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS COMMQNWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: SHORT WILLIAM M 71 SMITH RD NEWVILLE, PA 17241 ~o~a REV-1162 EX(11-96) PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ESTATE INFORMATION: ssrv: o69-is-$222 FILE NUMBER: 211 2-C~5r3-2' ~~1 DECEDENT NAME: MICHELSON MURRAY E DATE OF PAYMENT: 05/07/2012 POSTMARK DATE: 05/04/201 2 couNTY: CUMBERLAND DATE OF DEATH: 03/29/2012 ACN ASSESSMENT CONTROL NUMBER NO. CD 015944 AMOUNT 12128707 ~ 548.24 TOTAL AMOUNT PAID: REMARKS: CHECK# 616 SEAL INITIALS: HMW 548.24 RECEIVED BY: GLENDA EARNER STRASBAUGH ~~,, //r~~ ~~~ ~~ ~~~~j~~ >>REGISTER OF WILLS J - - 'rte % C~~~~t~/~~~ ~~. ~ l~li !~~~~"1 ~~ REGIS ER OF WILLS / jj;;~ ~ ~, -, ~~~~ ~ ~~ • ~ PENNSYLVANIA INHERITANCE TAX BUREAU OF INDIVIDUAL TAXES - f'•'t-~'~ INFORMATION NOTICE FILE ~_~_~ NO. 21 '~' PD BDX 2BB6gl HARRISBURG PA l~lzs-ocol pennsyly~ a- ~ -- r~_;c ~ AND ~` ACN 12128707 ~ I DEPARTMENT OF REV i .._ ~;~ AY E R R E S P O N S E DATE 04-30-201 REV-1543 EX AFP (OS-11) - -•-~J '~.~~ ~ ~; ~, ` 7 ~~~ TYPE OF ACCOUNT , • ~ ~ EST. OF DONNA B WILLIAMS ~ SAVINGS .~~ SSN 178-20-5729 CLEP i< ^ CHECKING ; ,. DATE OF DEATH 03-12-2012 ~`C _ Q~P~~` ^ TRUSr ~ .~ a~ ~-~ `- vt~~Jr;1 COUNTY CUMBERLAND ~~ ~ Cl1r `' ^ ^ CERTIF. ,,,, , ~ ~'~~ ~ c1',i ~ ~ REMIT PAYMENT AND FORMS T0: GREGORY R WILLIAMS REGISTER OF WILLS 122 CAMBRIDGE DR 1 COURTHOUSE SQUARE MECHANICSBURG PA 17055-3560 CARLISLE PA 17013 PNC BANK NA 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 art 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 INS7RUCfIONS Account No. 5130051685 Date 01-29-1990 To ensure proper credit to the account, two Establ ished copies of this notice must accompany Account Balance $ 00 6 770 payment to the Register of Wills. Make check " , . payable to Register of Wills, Agent". Percent Taxable X 16.667 ---- Amount Subject to Tax $` 1,128.36 NOTE: ax payments a made within th month of the decedent's d to of death, ~ Tax Rate )( . 045 deduc 5 percent disco t on the tax due. ~ Any in - e will become delinquent Potential Tax Due $ 5 0 • 7 $ nine months after the date of death. PART TAXPAYER RESPONSE FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT A. IiXThe above information and tax due is correct. MJ 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 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 information is incorrect and/or debts and deductions were paid. Complete PART ^2 and/or PART 3^ below. PART If indicating a different tax rate, please state OFFICIAL USE ONLY ^ AAF relationship to decedent: PA DEPARTMENT OF REVENUE TAX RETURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS PAD LINE 1. Date Established 1 1 2. Account Balance 2 $ 2 3. Pcrceet Taxable ? X ? ~__ _,____ ~~.-°-.---__ _"-~. 4. Amount Subject to Tax 4 $ 4 5. Debts and Deductions 5 - 5 6. Amount Taxable 6 $ 6 7. Tax Rate 7 X 8. Tax Due 8 +~ $ PART DEBTS AND DEDUCTIONS CLAIMED ^3 DATE PAID PAYEE DESCRIPTION AMOUNT PAID Under penalties of perjury, I declare that the facts I reported above are true, correct and cd~np ete to the best of my k owledge and belief. HOME C 7 ~ ~ ) ~9~~ ~ ~ ~~~~ ~ ~, ~ ~ WORK ( I ~ a~~3~` ,.5 "~ ~~~ T XPAYE SI ATURE TELEPHONE NUMBER DATE TOTAL CEnter on Line 5 of Tax Computation) S