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Home My WebLink About10-25-12 (2)COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 11128-0601 RECEIVED FROM: FOSTER PATRICIA ANN 2126 BERRYHILL STREET HARRISBURG, PA 17104 Bald ESTATE INFORMATION: ssN: 1~z-zs-sals FILE NUMBER: 2112-1 142 DECEDENT NAME: MYERS WILLIAM G DATE OF PAYMENT: 10/25/2012 POSTMARK DATE: 10/24/201 2 COUNTY: CUMBERLAND DATE OF DEATH: 01 /30/2012 PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EXI11-961 N0. CD 016689 AMOUNT ACN ASSESSMENT CONTROL NUMBER 101 ~ 52,1 1 1.40 TOTAL AMOUNT PAID: REMARKS: RECEIPT TO ATTY 52,111.40 CHECK# 8152 INITIALS: HEA SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS BUREAU OF INDIVIDUAL TA%ES PO BOX 280601 pennsylvania HARRISBURG PA 17128-0601 DEVARTMENT nF REVFNIIE REV-]543 EX .4FP (05-131 PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE FILE AND ACN TAXPAYER RESPONSE DATE PATRICIA A FOSTER 2126 BERRYHILL ST HARRISBURG PA 17104-2005 EST. OF WILLIAM G MYERS SS DATE OF DEATH 01-30-2012 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WLLLS 1 COURTHOUSE SgUARE CARLISLE PA 17013 ND. 21 ~a-~~~~- 12152114 09-20-2012 TYPE OF ACCOUNT SAVINGS CHECKING TRUST CERTIF. SOVEREIGN BANK Provi detl the department with the information below, which was used in calculating the inheritance tax due. Records intli Cate that at the death of the above-named decedent, you were a 7of nt 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 deDa rtment of your_relatlons hiD to the deceased by checking Box C in PART 1 below and writing "spouse" in PART 2. it tou thbelabove atltl ress rmaP easescallo7]]~787 ~8327e wi tha0ues ti ons~ correction from the financial institution. attach a copy to this form and return COMPLETE PART 1 BELOW ^ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS _ Account No. 1055454455 Date 11-13 -2003 Ta ensure proper credit to the accounk, two Established eooies of this notice oust accompany pavnenk to the Register of Wills. Make check Account BalanC¢ $ 2B r 151 . 95 pat able to •'Register of wills, Agent". Percent Taxable X 50. 000 NOTEv If tax payments are made within kh ree Amount Subdeet t0 TaX Tax Rate POt¢ntial Tax Due $ ~( $ 14r075.9B 1 ~j 2x111.40 nonths of the tlecedenk's date of death, deduct a 5 percent discount on the tax due. Anv inheritance tax due will becone tlelinmuenk nine months after the ~te of death ~~ PART TAXYATtK Kt SI'UK.IC > 'Zli:~ O '' ~ 7 -+ - ,:.v ~ ~ _ ' ' A. l~he above inforn ation and tax due is correct. ~j ~ ~~ r Renit Daynent to 4he Register of Wills with two copies of this notice to 9Xn Ca ~- ~ ~;] a discount or avoid inters s4, or return this notice to the Reg star of Wi~t~d. ,.~ !;"'_~;"-~. C HEC K an official assessment will be issued Dv the PA Depa rtment of Revenue. O~ 3. ONE ~ "rliheri orted and tax paid with the Pennsvlva e ill b tanc@w,tax - rq~l~ BLOCK ~ ¢ r p B. ~ The above asset has been or w r ONL Y filed by the estate representative. GIl N ~ C. ~ the above inf orma eon is incorrect and/or debts and de tluctions were paid. ~ and/or PART ~ below. C Deplete PART PART If indicating a different tax rate, please state 1~iG~~ f ~~~~~ l, relationship to decedent: k k ~ 'I TAX RETURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS it t LINE 1. Date Established 1 2. Account Balance 2 $ 3. Parc ent Taxable 3 X 4. Amount Subject to Tax 4 $ 5. Debts and Deduetibns 5 6. Amount Taxable 6 $ 7. Tax Rate T X 8. Tax Due B $ DEBTS AND DEDUCTIONS CLAIMED PART 3^ Herr porn PAYEE DESCRIPTION AMOUN T PAID Under penalties of perdury, I declare that the facts I reported above are 1: ru e,_ orrVeSt an~ co.-m~p~l etc to th e~ybest of my k owledge and belief. HOME C7~ ~ ) O_'E/ J7 D P?Ah/i:~A! lit., ~ WORK S~ I ~ ~'~ ~~ m~ g~ 9~ y IAN 1i~~' pn 1„~ s..~. la1 t:1 (yl ~~ ~~ ~~; I r ~ - - 1! \. ~~ t_• , ~ T ,'fem. ~ I ~ ~3 4 ~-. 0 ~. *-~n , _, ,`N t l . r: >.1 ~ f Y ' ~~ c . a 'c ~a ~ 'C1 ~. 9 1 ~'~