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Home My WebLink About06-15-12COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280607 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX111-96) NO. CD 016122 BRUNSKI MARY L 7 HILLTOP DRIVE MT HOLLY SPRINGS, PA 17065 fold ESTATE INFORMATION: SSN: 302-74-041 FILE NUMBER: 2112-0642 DECEDENT NAME: PEARCE CATHRYN DATE OF PAYMENT: 06/15/2012 POSTMARK DATE: 06/06/201 2 COUNTY: CUMBERLAND DATE OF DEATH: 02/ 1 8/201 2 REMARKS: ACN ASSESSMENT AMOUNT CONTROL NUMBER 121 18621 ~ 53.19 121 18619 ~ 520.1 1 TOTAL AMOUNT PAID: 523.30 CHECK# 4187 INITIALS: CJ SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS ~\; PENNSYLVANIA INHERITANCE TAX BUREAU DF INDIVIDUAL TAXES INFORMATION NOTICE PD Box 280601 pennsylva _~"=~ ~~~;''` (~ - AND FILE N0. 21- L~-~(I,~~-, HARRISBURG PA 17128-0601 "( ~»-J V 12118619 DEPARTMENT OFREVENU ' AC N ifs ; ~~ ;~~ j~YER RESPONSE REV-1543 ES AFP (05-11~ `+~~~ `:-, ~ ~'~ 'j ii (b~ DATE 03 -16 - 2012 MARY BRUNSKI 7 HILLTOP DR MT HOLLY SPGS PA 17065-1830 REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS CHECKING TRUST CERTIF. MEMBERS 1ST F CU 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 notifyethendepartmentnofoyour relationship tofthetdeceased by checkingnBoxlCTin PARTllnbelowtandowritingy"spouse" intPART 2. If you believe tthe information is incorrect, please obtain written correction from the financial institution, attach a copy to this form andUretusn 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. 208129-00 Date 08-06-2001 To ensure proper credit to the account, two Established copies of this notice must accompany Account Balance $ 2, 68U . 95 Payment to the Register of Wills. Make check Percent Taxable X payable to "Register of Wills, Agent". 16.667 Amount Subject to Tax $ 446. $3 NOTE: If tax payments are made within three Tax Rate months of the decedent's date of death, X . 0 4 5 deduct a 5 percent discount on the tax due. Potential Tax Due $ 20.11 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 obt i C H E C K a discount or avoid interest, or return this notice to the a n Register f W C 0 N E ~ an official assessment will be issued by the PA Department o ills and of Revenue. B L 0 C K 0 N L Y B. ~ The above asset has been or will be reported and tax paid with the P l filed by the estate representative. ennsy vania inheritance tax return PART _` -~ ~e~iriy a airrerent tax 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 and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due OF TAX ON JOINT/TRUST ACCOUNTS 2 $ 3 X 4 +~ 5 6 7 X 8 $ PART ^S DATE PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL CEnter on Line 5 of Tax Computation) g 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. ~y~ ~ HOME C' / ) ~. ~ ~~~ ~ ~ /~.G ~/1~: WORK C 7I7 1 a~-~ 9 /Do~~a ~ o~~/ TAXPAYER S E TELEPHONE NUMBER nwTr C. ~ The above infarma ion is incorrect and/or debts and deductions were paid. Complete PART ~2 and/or PART 3~ below. ZDlZ JUN ! 5 P~ !2= SST. OF CATHRYN PEARCE SSN 302-14-1041 .,~~~` _ DATE OF DEATH 02-18-2012 (~~~~~'~~~Ur .~t.J~{~± COUNTY CUMBERLAND ,~1~R~./~1 ~} C~„ pq REMIT PAYMENT AND FORMS T0: PAD 1 2 3 4 5 6 7 8 DEBTS AND DEDUCTIONS CLAIMED OFFICIAL USE ONLY ~ AAF PA DEPARTMENT OF REVENUE ~ PENNSYLVANIA INHERITANCE TAX BUREAU OF INDIVIDUAL raxES ~~~~ INFORMATION NDTICE FILE N0. 21-I~-~(n~d' PD sox zaocol A N D HARRISBURG PA lnza-o6ol "~: t ~+T+~~4~~'e+~4td~1 TAXPAYER RESPONSE ACN 12118621 ~, .g~v lsat'ez z~P ,os',;, DATE 0 3 -16 - 2012 ~~2 SUN 15 Pty 12~ 54 ~'v'~ ~ ~~Uti~. V~T~ ff`~t~O~~~P, BLAND CQ., MARY BRUNSKI 7 HILLTOP DR MT HOLLY SPGS PA 17065-1830 EST. OF CATHRYN PEARCE SSN 302-14-1041 DATE OF DEATH 02-18-2012 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT ^ snvlNGs ® CHECKING ^ TRUST ^ CERTIF. MEMBERS 1ST F CU 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. 208129-11 Date OS-06-2001 To ensure proper credit to the account, two Established copies of this notice must accompany Account Balance $ 425.00 payment to the Register of Wills. Make check payable to "Register of Wills, Agent". Percent Taxable X 16.667 Amount Subject to Tax $ 70 83 NOTE: If tax payments are made within three Tax Rate months of the decedent's date of death, X . 0 4 5 deduct a 5 percent discount on the tax due. Potential Tax Due ~ 3.19 Any inheritance tax due will become delinquent nine months after the date of death. PART TAXPAYER RESPONSE 1^ 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 0 N E ~ an official assessment will be issued by the PA Department of Revenue. B L 0 C K 0 N L Y g, ^ The above asset has been or will be reported and tax paid with the Pennsylvania " h i filed by the estate representative. in er tance tax return C. ^ The above informs ion is incorr ect and/or debts and deductions were paid ~ Complete PART ~2 and/or PART IJ I below. . rnKi •r inaicacing a alfferent tax 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 and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due OF TAX ON JOINT/TRUST ACCOUNTS 1 2 3 X 4 5 6 7 X 8 $ PAD 1 2 3 4 5 6 7 8 OFFICIAL USE ONLY ^ AAF PA DEPARTMENT OF REVENUE PART DATE PAID PAYEE DEBTS AND DEDUCTIONS CLAIMED DESCRrPrrnN 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. H OME C ~ ) ~ ~p. ` b TAXPAYER SIG UR WORK C ) a ~0~ S ~/ TELEPHONE NUMBE AT ~v~~ ~, i~ ~~ 3 1' :~ y 'i i o- a ~ 'si '~f.. 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