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Home My WebLink About07-24-12 (3)COMMONWEALTH 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 EX111-96) NO. CD 016287 MARPOE BRYAN K 1416 RITNER HIGHWAY SHIPPENSBURG, PA 17257 fold ESTATE INFORMATION: SSN: 208-24-0437 FILE NUMBER: 2112-0804 DECEDENT NAME: MARPOE HAROLD A DATE OF PAYMENT: 07/24/201 2 POSTMARK DATE: 07/23/2012 couNTY: CUMBERLAND DATE OF DEATH: 07/04/2012 REMARKS: ACN ASSESSMENT AMOUNT CONTROL NUMBER 12139977 ~ 5655.33 TOTAL AMOUNT PAID: 5655.33 CHECK# 151 INITIALS: CJ SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS ~ PENNSYLVANIA INHERITANCE T BUREAU OF INDIVIDUAL TAxes .INFORMATION NOTICE PO BOX 280601 „~ HARRISBURG PA 17128-0601 p@11~+iS~/~V81117 4_ l-~`` DEPARTMENT OF REVENUE AND REV-1511~~~+,,, . s ~...-..~ TAXPAYER RESPONSE 212 Jt1L 24 PIS 12~ 50 OFc~K~~V'~ u~,J)#=~T BRYAN CUMBERLAND CO., PA 1416 RITNER HWYPOE SHIPPENSBURG PA 17257-9774 FILE N0, ACN 12139977 DATE 07-16-2012 EST. OF HAROLD A MARPOE SSN 208-24-0437 DATE OF DEATH D7-04-2012 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT ^ SAVINGS ^ CHECKIN( ^ TRUST a CERTIF. MEMBERS 1ST FCU Records indicate that at the death of the above named decedent, provided the department with the information below, which deceased and any amount other than zero is reflected below on notify the department of you were a joint owner/beneficiar was used in calculatin If you believe the information Our n oraect nshi the Potential Tax Due yline his account. 9 the inheritance tax due. it to the above address. Please call 717-787p8327 w°thaen weCtteedo Ye thonkf om Bhe CnanciaARTn titutnote n0 taxlma Ou are the Spouse of the COMPLETE PART 1 below and wrttin y be due, but you must questions. attach a co ~~sPouse" in PART 2. BELOW * SEE REVERSE SIDE FOR py to this form and return Account No. 287992-41 FILING AND PAYMENT Date 05-05-2D10 INSTRUCTIONS Account Balance Established 7p ensure pro Percent Taxable $ 30,658.66 Amount Subject to Tax X 50 • 000 Tax Rate $ 15,329.33 Potential Tax Due X • 045 PART $ 689.82 TAXPAYER RESPON; FAILURE TQ,, RESPON'~ WILD RES ~, per credit to the account, two copies of this notice must accompany payment to the Register of Wills. Make check payable to "Register of Wills, Agent". NOTE: If tax payments are made 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. ~~ I~LT IN AN OFFICIAL TAX AS'SESSj~ENT A. The above information and tax due is correct. CHECK Remit payment to the Register of Wills with two copies of this notice C ~j a discount or avoid interest, or return this 0 N E I an official assessment will be notice to the Register of to obtain BLOCK J issued by the PA Department of Wills and 0 N L Y B' ^ The above asset has been or will be reported and t Revenue. filed by the estate representative. ax paid with the Pennsylvania inheritance tax return C~ ^ The above informs ion is incorrect and/or debts Complete PART 2~ and/or PART 3^ and deductions were PART If indicatin below. paid. g a different tax rate, please state relationship to decedent: TAX RETURN - CALCULATION OF OFFICIAL US TAX ON JOINT/TRUST ACCOUNTS PA DE Y ^ AAF LINE I. Date Established T OF REVENUE I P 2. Account Balance 2 $ 1 3• Percent Taxable 4• Amount Subject to Tax y $ 2 5. Debts 3 and Deduction g _ 4 6• Amount Taxable 6 $ 7• Tax Rate 5 7 X 6 8. Ta ue 8 $ 7 PART 0 DATE PAID PAYEE DESCRIPTI AMOUNT PAID TOTAL (Enter on Line 5 of Tax r........~_. Under penaltio~ .. comp to to '~~~'~`"' 1 declare that the facts I reported `yv", ~ the best of my knowledge and belief. above are true, correct and HOME ( ~-~ ~ S _ XPAY SIGNATURE CE ~ ( ~ O TELEPNnNF .~~~..~$ ~ 9 .~ ~ "Sy.l ( ~ DEBTS AND DEDUCTIONS CLAIMED