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Home My WebLink About02-04-13COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ARNOLD C MICHELLE 46 TAVERN HOUSE HILL MECHANICSBURG, PA 17050 REV-1162 EX(11-96) NO. CD 017133 ACN ASSESSMENT AMOUNT CONTROL NUMBER -------- fold ESTATE INFORMATION: FILE NUMBER: 2112-0685 DECEDENT NAME: KRETZING JOYCE ELIZABETH DATE OF PAYMENT: 02/04/2013 POSTMARK DATE: 02/02/2013 COUNTY: CUMBERLAND DATE OF DEATH: 05/31 /2012 12135806 ~ 5225.19 TOTAL AMOUNT PAID: REMARKS: SEAL CHECK# 1412 5225.19 INITIALS: HMW RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS ~. BUREAU OF INDIVIDUAL TAXES PD BDx z8o6o1 Pennsylvania HARRISBURG PA 17128-0601 DEPARTMENTOFREVENUE REV-1543 EX AFP (05-11) PENNSYLVANIA INHERITANCE TAX pp~~ INFORMATION NOTICE FILE N0. 21"""`f ~'(.l/~~~ AND ACN 12135806 TAXPAYER RESPONSE DATE 06-12-2012 `~~3 ~~B ~ F~ 12 2~ ~~~~ 46 TAVERN HOUSEOHL d~P~~~s~ ~``'~`'~~ MECHANICSBURG PA ~i1~1+~f6E~~.~ (;~,~ ~~ EST. OF JOYCE E KRETZING DATE OF DEATH 05-31-2012 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS CHECKING TRUST CERTIF. MEMBER S 1S T F C U 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 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 11777- 00 Date 10 -21 - 1970 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 $ 10 ~ 008 .47 payable to "Register of Wills, Agent". Percent Taxable X 50.000 NOTE: If tax payments are made within three Amount Subject to Tax ~` 5 ~ 004.24 months of the decedent's date of death, Tax Rate X . 045 deduct a 5 percent discount on the tax due. Any inheritance tax due will become delinquent Potential Tax Due $ 225.19 nine months after the date of death. P~T TAXPAYER RESPONSE ~ ~ c~ ~- FAILU TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT ~ ~,•l~ A. The above information and tax due is correct. L~ Remit payment to the Register of Wills with two copies of this notice to obtain ~ ~ 1~, '~ C H E C K a discount or avoid interest, or return this notice to the Register of Wills and •°+ 0 N E an official assessment will be issued by the PA Department of Revenue. + ~/~~ ~~~ I~ B L 0 C K B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania inheritance tax return Q 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 IJ below. PART If indicating a different tax rate, please state OFFICIAL USE ONLY [~ AAF relationship to decedent: PA DEPARTMENT OF REVENUE TAX RE TURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS PAD LINE 1. Date Established 1 1 2. Account Balance 2 $ 2 3. Percent Taxable 3 X 3 4. Amount Subject to Tax 4 $ ~ 5. Debts and Deductions 5 - 5 6. Amount Taxable 6 $ 6 7. Tax Rate 7 X 7 8. Tax Due 8 $ ~ PART DEBTS AND DEDUCTIONS CLAIMED ^3 DATE PAID PAYEE DESCRIPTION AMOUNT PAID Under penalties of perjury, I declare that the facts I reported above are true, correct and complete to the best of my knowledge and belief. A ~ /' HOME ( ~ ~ ) 1 ~ ~ C : ~-~ 1C~,,.~____~~ c4. l~~ ! ,rYl v~'~ W O R K C "~ I '"~ ~ ~ C~ ~ ~ ~ S TAXPAYER SIGNATURE TELEPHONE NUMBER D T TOTAL (Enter on Line 5 of Tax Computation) ~ oiz . 7 ~ W t~`` ~ 4- 1 O a '~~ L~ fi~ •~~ ~~ ._~ ~. ~.~ _: ~~~ ~' ~~ ~-~ _ ~ ;li ,..; ~.:.= ~~~ ~~~ Yj+ Vic.: ~~ ~4 r~ ^.. ~~ ~ ~~ -_ ._.._. ~ ~~ ' `~ .~ ~~ ', ~ , J ,~ ,` ~~ ' ~ ~ ..... ..~ pp u C ~+ CLFRK Or ORRHANS'COURT CUMBERLA~iO ~0., RA. ~= .... '~+ M ~~ ~' "."" --~ o.. ~, ~~~ ~~~, :~~ ;~~ ~~ ~_} 3.=~ ;~~ ~_::_ ~... :i..~