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BUREAU OF INDIVIDUAL TAXES
ennsyl
PO BOX 280601 p
HARRISBURG PA 17128-0601 DEPARTMENT OFII
REY-1543 EX 11FP t
PENNSYLVANIA INHERITANCE TAX G
INFORMATION NOTICE FILE N0. 21- lo~-~~~o
AND ACN 12136202
~~~} ~~-~AYER RESPONSE DATE 06-15-2012
~~{~ JUL -z PM 2' ~ 7 S ~• OF ROBE086C20A1999ELL
DATE OF DEATH 05'22-2012
(~~j ti-'~l ~~ i~ COUNTY CUMBERLAND
~+""'" ",~ ~~~~ REMIT PAYMENT AND FORMS T0:
~~••~~ ~~~ ~ REGISTER OF WILLS
ALISON H MACDOWELL 1 COURTHOUSE SQUARE
1304 CHATHAM RD PA 17011-6001 CARLISLE PA 17013
CAMP HILL
TYPE OF ACCOUNT
SAVINGS
® CHECKING
TRUST
CERTIF.
CITIZENS BANK OF i~ENNSYLYANIA provided the departm'OtWwiOth the information below, which was used in calculating the inheritance ax ue.
the death of the above named decedent, you were a joint owner/beneficiary of this account. If you are the Spouse of the
n the Potential Tax Due line, note no tax may be due. but you must
"s ouse" in PAR
Records indicate that a
deceased and any amount other than zero is reflected be
notify the department of your relationship to the deceased by checking Box C in PART 1 below and Writing p
mation is incorrect, please obtain written correction from the financial institution, attach a copy Lo this form and return
If you believe he infor
it to the above address. Please call 717-787-8327 with questions.
...~T i mc1 AW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS.....,t. tro
COMPLt~~ ~^^' ~ ----_ 10-21-1992
Date
Account No. 6105206422
Established
14,693.34
Account Balance X 50.000
Percent Taxable 7 ~ 346.67
Amount Subiect to Tax ~ ,1 5
Tax Rate X 1,102.00
Potential Tax Due $ ~~~R
PART
To ensure proper crew. •° -••- -----
copies of this notice ^ust accompany
payment to the Register of Wills. Make check
payable to "Register of Wills. Agent".
NOTE: If tax vayments are wade within three
months of the decedent's date of death.
deduct a 5 percent discount on the tax due.
pry inheritance tax due will become delinquent
nine months after the date of death.
CHECK an official assess
BLOCK ~ B, ~ The above asset has been or will be reported and tax vaid with the Pennsylvania inheritance tax re urn
ONE
C L Y filed by the estate representative.
O N C The above informs ion is incorre3t be owr. debts and deductions were paid.
Complete PART 2~ and/or PART
PART If indicating a different tax 5 ~ O U ea~e state
a relationship to decedent:
TAX RETURN - CALCULATION
LINE 1. Date Established
2. Account Balance
3. Percent Taxable
4. Amount Subieet to Tax
5. Debts and Deductions
6. Amount Taxable
7. Tax Rate
B. Tax Due
PART
DATE
scCOUNTS
TOTAL CEnter on Line 5 of Tax r,oer3+u~-~-°••-
Under penalties of periury. I declare that the facts I vapor HOME oyC'7/ ~ 1 a, a rre=t a ~ u 9
cowplete to the bast y knowledge and belief. WORK ~ ~ 1 ` ~ ,
~~/~~ ~ ~ / /)~}Q,y>~ ~~ counNE NUMBER DATE
r c~c^ _
AMOUNT PAID
__ DESCRIPTION
A, ^ The above infonation ana ~~ ~°° •°-^
Remit payment to the Register of Wills with two copies of is no
a discount or aVOi:enttwilltb@ issuedrbytthe PAt[lepart~ nt ofgRevenuef Wills and
BUREAU OF INDIVIDUAL TAXES ~p • ~~
PD BOX 280601 1''~n
HARRIS6URG PA 17128-0601 oEPA {~~,
ec~_iRaa ~ T1~)~
PENNSYLVANIA INHERITANCE TAX
NFORMATION. NOTICE FILE N0. 21-j7--~~Z~
~~F ~ AND ACN 12136203
~~~, ,ti~~~,C~TAXPAYER RESPONSE DATE 06-15-2012
~~~ ,lU1. -2 PM '~' ~ 5
~J~
~ As
.~D ~.,
ALISON H MACDOWELL
1304 CHATHAM RD PA 17011-6001
CAMP HILL
EST. OF ROBERT C MACDOWELL
SSN 086-20-1999
DATE OF DEATH 05-22-2012
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
TYPE OF ACCOUNT
SAVINGS
® CHECKING
TRUST
CERTIF.
CITIZENS BANK 0~ aPENNS~ ath ofAhe aboveVnamedtdecedenttmynt with the information below. which was used in calculating the inheritance tax ue.
ou were a joint owner/beneficiary of thinoteono tax m y be due h but you mUSt he
Records indicate t
deceased and any amount other than zero is reflected below on the Potential Tax Due 1 ne.
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. Dlease call 717-787-8327 with questions.
. arlf~W m SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
GD111'Lt~c r'-^' --` 08-13-2002
Account No. 6106841199 Date
Established
47,472.93
Account Balance $ 50.000
Percent Taxable X
23,736.47
Amount Subiect to Tax ~ .15
Tax Rate X 3,560.47
Potential Tax Due ~ ^~~
A
CHECK
ONE
C BLOCK
ONLY
0
To ensure proper creoaz ~o •~~- -----°-•
copies of this notice oust accompany
payment to the Register of Wills. Make check
payable to "Register of Wills, Agent".
NOTE: If tax payments are rade within three
months of the decedent's date of death.
deduct a 5 percent discount on the tax due.
Any inheritance tax dua will become delinquent
nine months after the date of death.
^ The above infonation and tax due is correct.
Resit 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.
The above asset has been or will be reported and tax paid with the Pennsylvania inheritance tax return
filed by the estate representative.
The above info a ton is incorrect and/or debts and deductions were paid.
Complete PART ~ and/or PART a below.
PART If inalcac u~a ~ --•'-'- U ~ -
relationship to decedent:
TAX RETURN - CALCULATION OF TAX ON JOINT/TRUST ACCOU!
1
LINE I. Date Established
2. Account Balance 2
3. Percent Taxable 3 X
4. Amount Subiect to Tax 4
5. Debts and Deductions 5
6. Amount Taxable 6
7 X
7. Tax Rate e ~
DEBTS AND DEDUCTIONS CLAIMED
•
TOTAL CEnter on Line 5 of Tax Computation)
Under penalties of periury, I declare that the facts I repor HOME ov( a! t ) •, oorreAty y ~ 9 ~
complete t the best o mY knowledge and belief. -' ~ ',~
WORK ~ ~
jita~ ~,. ~ .~.ll,`t7^t7 ~ v ~ DATE
1P~,., / 1. ~ TELEPHONt nuno~R ___.
PART
AMOUNT PAID
PAYEE DESCRIPTION
DATE PAID
_.
r PENNSYLVANIA INHERITANCE TAX
~ INFORMATION NOTICE
~. AND
BUREAU OF INDIVIDUAL TAXES
PO BOX 280601 P~ .~, ~~ ~ L AXPAYER RESPONSE
HARRISBURG PA 17128-0601 pEpgpT
n ~~,7t
REV-154! ~~'
~:~12 ~~~ ~~ ~~ ~~
.r4..i..t ::``, ~.~ ,
ry~j~(~~ ~~~~~~~~
ALISON H MACDOWELL
1304 CHATHAM RD PA 17011-6001
CAMP HILL
FILE N0. 2L~~'~~c~a
ACN 12136204
DATE 06-15-2012
EST. OF ROBERT C MACDOWELL
SSN 086-20-1999
DATE OF DEATH 05-22-2012
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
TYPE OF ACCOUNT
® snvlNGs
CHECKING
TRUST
CERTIF.
use of the
CITIZENS BANK OF PENNSYLVANIA provided the deDartmen0 were ahjoint owner/beneficiarYiof thisuaccount~al IfayoY are th2rspoce ax ue.
e Potential Tax Due line, note no taxi nay~~beouse" intPART m2ast
Records indicate that at the death of the above named decedent, y
deceased and any amount other than zero is reflected below on th
the department of your relationship to the deceased by checking Box C in PART 1 below and wr 9
notify lease obtain written correction from the financial institution, attach a copy to this form and return
If you believe he information is incorrect. D
it to the above address. Please call 717-787-8327 with questions.
n~~ nm ^ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTION ..,,..e. tvo
COMPLt~e rw^' -'--""
Account No. 6142148135
Account Balance
Percent Taxable
Amount Subiect to Tax
Tax Rate
p~fential Tax Due
Date 03-15-1978
Established
$ 25,643.26
X 50.000
$ 12,821.63
X .15
~ 1,923.24
....
PART
a
To ensure proper cr.~~~ -- -•-- -
copies of this notice must accompany
payable to tRe9Rystertof Wi11s11Agent~e check
NOTE: If tax payments are ^ade 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.
CHECK an official assess
BLOCK ~ B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania inheritance tax re urn
ONE
C L Y filed by the estate representative.
ON C ~ The above infona ion is incorr 3t bed/oor debts and deductions were paid.
Complete PART ~2 and/or PART
PART If indieatin9 a different tax r~a~e~ P~ ~ ~ state
relationship to decedent: TS
TAX RETURN - CALCULATION
LINE 1. Date Established
2. Account Balance
3, percent Taxable
4. Amount Subiect to Tax
5. Debts and Deductions
6, Amount Taxable
7. Tax Rate
8, Tax Due _
DATE
AL CEnter on Line 5 of Tax Comput
Under penalties of perjurY~knowled9e ~ ~ ~ lieffaets I
complete tfj the _b~st o~~Y
OF TAX ON JOINT/TRUST ACCOUN
1
2 ~
s X
4
5 '
6 ~
7 X
8 ~
DEBTS AND DEDUCTIONS CLAIMED
reported above are true ~ ^ A ect 4 U
PART
CI DESCRIPTION AMOUNT PAID
A, ^ The above infonation ana cax ..~ ~ -----•-
Remit payment to the Register of Wills with two copies o 1s
a discount or avoi:en~twilltbeoissuedrbytthe PAtDepartment ofeRevenuef Wills and
_... ..
~ PENNSYLVANIA INHERITANCE TAX -1
INFORMATION NOTICE FILE N0. 21tI~-01~
BUREAU OF INDIVIDUAL TAXES AND ACN 12136205
Po BOX 280601 ~~ TAXPAYER RESPONSE DATE 06-15-2012
HARRISBURG PA 17128-0601 p ^~~y~,~.r„r,~Ef_„. { di i t1
~~~~ ~R;
~.,
ALISON H MACDOWELL
1304 CHATHAM RD PA 17011-6001
CAMP HILL
OF TAX ON JOINT/TRUST ACCOUNTS
TYPE OF ACCOUNT
SAVINGS
CHECKING
TRUST
® CERTIF.
CITIZENS BANK OF PENNSYLVANIA provided the departmenu were ahjoint owner/beneficiaryi of thisuaccountcal Ifayou ere therspousetof the
w on the Potential Tax Due line, note no tax may be due. but ou must
' ouse" in P RT 2.
Records indicate that at the death of the above-named decedent, y
deceased and any amount other than zero is reflected belo
notify the de~artBient of your relationship to the deceased by checking Box C in PART 1 below and writing 'sp ---
If you believe he 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.
___. ___ .,.er , >nci nW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
..« . *,.~
cunr~~ ~ c ~..... - ---
6244346705
Date
11-14-20
Account No. Established
~ 44,421.39
Account Balance 50.000
Percent Taxable X
22,210.70
Amount Subiect to Tax $ ,15
Tax Rate X
3,331.61
Potential Tax Due $ ~~^~~
PART
a
To ensure proper creau .~ ~••- ---------
copies of this notice wust accowpary
paywant to the Register of Wills. Make check
payable to "Register of Wills, Agent".
NOTE: If tax pavwents are wade within three
wonths of the decedent's date of death,
deduct a 5 percent discount on the tax due.
pry inheritance tax due will becowe delinquent
nine wonths after the date of death.
p, ^ The above inforwation and sax uu.e •~
Rewit paywent to the Register of Wills with two copies of this no ice
a discount or avoid interest, or return this notico to the Register of Wills and
CHECK an official assesswent will be issued by the PA Departwent of Revenue.
BLOCK ~ B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania inheritance tax return
ONE
C L Y filed by the estate representative.
O N C~ ~ CowpleteePART n2 land/or1PARTre~ beer debts and deductions were Daid
H I v , i
If indicating a different tax ra ~,Pn~~S Estate ~ '
PART
relationship to decedent:
TAX RETURN - CALCULATION
LINE 1. Date Established
2. Account Balance
3. Percent Taxable
y. Amount Subiect to Tax
5. Debts and Deductions
6. Amount Taxable
7, Tax Rate
8. Tax Due
PART
a
DATE PAID PAYEE
Under penalties of periury,
..nselwte to yfle bls;t of a~Y~
1
2 ~
3 X
4
5
6 `~
7 X
8 $
DEBTS AND DEDUCTIONS CLAIMED
EST. OF ROBERT C MACDOWELL
SSN 086-20-1999
DATE OF DEATH 05-22-2012
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
DESCRIPTION
t
pL CEnter on Line 5 of Tax CarppUtation]
AMOUNT PAID
I declare that the facts I reported aDov• are t~ e3 ca ~ c~ l ~ y
nowledge and belief . HONE C11"1 at C~ ~ 6 ' ~ ` ~
WORK L ?
TELEPHONE NUMBER DATE
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