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Home My WebLink About07-09-12COMMONWEALTH 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(11-961 NO. CD 016228 SCHERRER JOSEPH J 1478 CLOVER ROAD CAMP HILL, PA 17011 fold ESTATE INFORMATION: ssN: 2os-20-sz6~ FILE NUMBER: 2112-0514 DECEDENT NAME: SCHERRER JOSEPH J DATE OF PAYMENT: 07/09/201 2 POSTMARK DATE: 07/07/2012 couNTY: CUMBERLAND DATE OF DEATH: 04/28/2012 REMARKS: CHECK#1036 ACN ASSESSMENT AMOUNT CONTROL NUMBER TOTAL AMOUNT PAID: INITIALS: CJ 529.89 SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS ~, PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE BUREAU OF INDIVIDUAL TAxes FILE N0. 21 --~ h~ PD eox zsB6ol Pen aRla AND HARRISBURG PA 17128-0601 pEPART ~"~'' ` - ~1 ~ `(~,j TAXPAYER RESPONSE ACN 12134535 REV-1543 -~~>' '~ ~~~~''~ DATE 06-05-2012 ~~ll1 JUL -9 Fib i2= 4 i ORPh~~~ ;~ „v~~T ('UM8~RtAND Ca., P~- LISA A SCHERRER 1478 CLOVER RD CAMP HILL PA 17011-1101 EST. OF JOSEPH SCHERRER SSN 209-20-6267 DATE OF DEATH 04-28-2012 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS ® CHECKING TRUST CERTIF. 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 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 i BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 51401b5475 Date 02-06-1984 To ensure proper credit to the account, two Established copies of this notice must accompany ACCOUnt Balance $ 3,979.00 payment to the Register of Wills. Make check payable to "Register of Wills, Agent". Percent Taxable X 16.667 NOTE: If tax payments are made within three Amount Subject to Tax $ 663.18 months of the decedent's date of death, Tax Rate )( .045 deduct a 5 percent discount on the tax due. Any inheritance tax due will become delinquent Potential Tax Due $ 29.84 nine months after the date of death. PART TAXPAYER RESPONSE FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL..~AX 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 an official assessment will be issued by the PA Department of Revenue. ONE B L 0 C 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 informs ion is incorrect and/or debts and deductions were paid. Complete PART ~ and/or PART ~ below. PART If indicating a different tax rate, please state relationship to decedent: TAX RETURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS 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 1 2 $ 3 X 4 5 - 6 $ ~ X 8 $ PAD OFFICIAL USE ONLY ~ AAF PA DEPARTMENT OF REVENUE 1 2 3 4 5 6 7 8 PaRr DEBTS AND DEDUCTIONS CLAIMED 0 DATE PAID PAYEE DESCRIPTION AMOUNT PAID Under penalties of perjury, I declare that the facts I reported above are true, correc~yt and comple\ the best of my knowledge and belief. HOME C fvrJg ),dlv/ (I 3b+~ WORK (w'Itl ~~loC,.~,3~ ~,~:.. - _ TAX AVER SI TURE TELEPHONE NUMBER DATE TOTAL CEnter on Line 5 of Tax Computation) 5 ~~ ~ ~0~1 ~~ ~, a ~~ 3 =~ s ~` ~~` ~ti, :~ ',~ ;J ~'i '~ ~; ;r ;> ~.. `" N v ~r~ ,, ...~r~ ~~ ` I 1~+ ~~l1 Ji1L -9 Pty 12~ 42 ~~~ o~~~~s ~o~~~ CUM~ERLAt~ CO., PA Y _~ ~ -. C~ ~; -~ /"~OJ G- '"~ 7 '-~,- L M a p,~,i