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Home My WebLink About07-24-12COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX111-96) NO. CD 016290 MARPOE BRYAN K 1416 RITNER HWY SHIPPENSBURG, PA 17257 -------- fold ESTATE INFORMATION: FILE NUMBER: 21 1 2-0804 DECEDENT NAME: MARPOE HAROLD A DATE OF PAYMENT: 07/24/2012 POSTMARK DATE: 07/23/201 2 COUNTY: CUMBERLAND DATE OF DEATH: 07/04/2012 REMARKS: CHECK#153 ACN ASSESSMENT AMOUNT CONTROL NUMBER 12139978 ~ 5120.25 TOTAL AMOUNT PAID: 5120.25 INITIALS: HMW SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS ~,, PENNSYLVANIA INHERITANCE T ~' INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES PD BDX 2BB6BI Pennsylvania {5~,?~,'r`_- ~~~ :-~. , HARRISBURG PA 171ZB-0601 DEPARTMENTDFREVENUE -C~.,f,t,~-~~~~~~ ESPONSE ~l;i!. - REV-1543 EX AFP (05-11) iL. ~4~i: %-`-,~~ FILE NO. 21 - I~j ACN 12139978 DATE 07-16-2012 :`i.s~~ Jt}L Z4 ~~~?.(~~F HAROLD A MARPOE DATE OF DEATH 07-04-2012 _~.!::, 0#~PNi~v~;~ V~~~~#JNTY CUMBERLAND C11,~~~f71 /~t~.+('~ n~ M~~ PAYMENT AND FORMS T0: BRYAN K MARPOE f1L/'VViJ l~ REGISTER OF WILLS 1416 RITNER HWY 1 COURTHOUSE SQUARE SHIPPENSBURG PA 17257-9774 CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS CHECKING TRUST CERTIF. MEMBERS 1ST FCU 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 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 coDY 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. 287992-42 Date 01-10-2011 To ensure proper credit to the account, two Established copies of this notice must accompany payment to the Register of Wills. Make check Account Balance ~` 5, 625.74 payable to "Register of Wills, Agent". Percent Taxable X 50.000 NOTE: If tax payments are made within three Amount Subject to Tax $ 2 ~ 812.87 months of the decedent's date of death, Tax Rate X . 045 deduct a 5 percent discount on tie tax due. Any inheritance tax due will become delinquent Potential Tax Due $ 126.58 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 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 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 ~ below. PART If indicating a different tax rate, please state OFFICIAL USE ONLY ~ AAF relationship to decedent: PA DEPARTMEN-~F--$F"'1~~VENUE TAX RETURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS PAD LINE 1. Date Established 1 1 2. Account Balance 2 +fi 2 3. Percent Taxable 3 X 3 4. Amount Subject to Tax 4 $ 4 5. Debts and Deductions 5 6. Amount Taxab 6 $ 6 7. Tax R 7 X 7 8. ax Due 8 $ 8 PART DEBTS AND DEDUCTIONS CLAIMED I~---' _._~---_ DATE PAID PAYEE _,..N-•-~'~-J---DESCRIPTION ~ AMOUNT PAID TOTAL CEnter on Line 5 of Tax Computation) S Under penalties of perjury, I declare that the facts I reported above are true, correct and compl to to the best of my knowledge and belief. HOME C 7~.7 ~ S~~' ~~(p~j TAX AY SIGNATURE TELEPHONE NUMBER DATE ~.~~ i ••~ ,::;. r, iii f:i it7 ;~i ~1.} !L) ~(`,~1RhF(1 nc~ir~c rc r<- ~i~ .. F v' ... _ ~ . -.~..'J ~~'~2 JUG 24 ~ I f : l~Z Ui i~F~1 N-~I~~,t7 VUl.ii C11MB~R~ APd;; CO.. PA ,~ c~ s ~ ~, ~~f\~ 1 /~ , ~ ~/~ 1 ~° ~ '1 `~, \ 7~ -~ ~ ~ ~;; •~ ~ C~ ; _ --L `J Y V'~ ~+ }--C ~ ~ ~ ~ ~ {-` t ~ (~ ~,. ~ k~. {';; _: :~, T r ~' €_. ft: ~ ~~~ ' ^ 4 +: ~) ~/ ., ~ `. UU ~ S" t;~~ ~'`; ~ ~' ~: ~. ~ ~ x ~__. w ~ o '- r ~~~ .. ~ ,Fi r'~~ri~s~ ,~.