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Home My WebLink About06-11-12BUREAU OF INDIVIDUAL TAXES PO BOX 280601 HARRISBURG PA 17128-0601 A PENNSYLVANIA INHERITANCE TAX ia_ INFORMATION NOTICE FILE No. 21 / {)i-F~t,E AND ACN 12132047 r;,;',,1~~~~ AXPAYER RESPONSE DATE o5-1s-2012 2Qi2 JUN I I PM t~ 24 (N rn~i nr //yyOggR~~P~~HppA~~ta~~P'~~S~~ ~~/yt'1~RT[~A t'L1NII7CnL./YV~ W„ f71 KAREN L MOHLER 335 W MAIN ST MECHANICSBURG PA 17055-3240 EST. OF MALCOM L FINGER SSN 202-20-2454 DATE OF DEATH 05-07-2012 COUNTY CUMBERLAND REMIT PgYMENT ANO 1=0RM5 T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS ® CHECKING TRUST CERTIF. MEMBERS 1ST FCU prpvi detl the department with the informatt on below. which was usetl in calculating the inheritance tax due. Records indt ca to that at the tleaM of the above-named decedent, you were a joint owner/beneficiary of this account. If ypU 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 de artment of your relationship to the deceased by checking Box C in PART 1 below and writing "spouse" in PART 2. ]f you believe the information is incorrect, please obtain written correctt on from the ftnan vial institution, attach a copy to this form antl return it to the above address. Please call 717087-8327 with ouesti ons. COMPLETE PART 1 BELOW ^ SEE REVERSE SIDE FOR FILING AND PAYMENT IH$TRUC7IONS - Account No. 320857-11 Date 01-04-2008 To ensure proper credit to the account, two Established cooies of this notice oust acconpany ACCOUnt Balance $ 1,520.73 Dares nt bo the Re9i star of Wills. Make check payable to "Register of Wills, Agent". Percent Taxable Amount Subject to Tax Tax Rate Potential Tax Due PART CHECK ONE BLOCK ONLY REV-156} X 50.000 S 760.37 X .15 S 114.06 NOTE: If tax paynents are natle wikhin three non the of the decedent's date of tleathr tleduct a !i percent discount on the kax due. Aron inhe r:itance tax due will becone delinquent nine nonkhs afker 4he tlate pf death. above inf ornation antl kax tlue is correct. Reeit paynenk to the Repi ster of Wills with two cooies of this notice to obtain a discount or avoid interest, or return this notice to the Re 6:ister of Wills and an official assessne nt will De issued by the PA Oeoa rteenk of Revenue. B. ~ The above asset has been or will be repo rtetl and tax paitl with the Pennsylvania inheritance tax return filed by the estate representative. C. ~ The above inf orna eon is incorrect antl/or debts antl tledut4ions wen! paitl. Cowplete PART 2~ and/or PART 3~ below. PART If indicating a different Sax rate, please state relationship to decedent: TAX RETURN - CALCULATION LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts antl Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due OF TAX ON JOINT/TRUST ACCOUNTS 1 2 $ a X PART ^3 DATE PAID PAYEE DEBTS AND DEDUCTIONS CLAIMED DESCRIPTION eMn11uT pwrn DATE wnear penaa a es or peryury, I declare that the facts I reported above are true, correct and complat to the best of my knowledge and belief. HOME C~7 ~ 7 )~ Q ~ ~ 7 ~~ ~N ~ ~ m...~ f. ..__.- _ - ` COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HAgRI6BURG, PA 1 ]128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EXI11-961 N0. CD 016092 MOHLER KAREN L 335 W MAIN ST MECHANICSBURG, PA 17055 1oIJ ESTATE INFORMATION: ssN: zoz-20-2a5a FILE NUMBER: 2112-0656 DECEDENT NAME: FINGER MALCOM L DATE OF PAYMENT: 06/11/2012 POSTMARK DATE: 06/08/2012 COUNTY: CUMBERLAND DATE OF DEATH: 05/07/2012 REMARKS: AMOUNT ACN ASSESSMENT' CONTROL NUMBER 12132047 ~ S 1 14.06 TOTAL AMOUNT PAID: S 1 14.06 CHECK#2117 INITIALS: HEA SEAL RECEIVED BY: GLENDA FA.RNER STRASBAUGH REGISTER CIF WILLS REGISTER OF WILLS w• {~• uG..7 ti '~ ~ 4; l "" o C~ C r ~ ~ _,- 7 r't7 ~' 1 Ci J C~Q V '~ ( VI w ~- ~ ~7 ~ r ~ d ~ ~ ~ ~ ~> s ~,-- ~ c ~ -~ G' -z>'\ r <, ~~ ~\ ~; "I: ~ .~ ~, ~1 _'~'~l r ~.~"~ ~~ ~1.5'. ~ Y~ fR ~r ' rM dh ~~ ~ ~H ~W f: ~j L..~iii""J~GG4I .~ 47