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Home My WebLink About04-21-14 (2) COMMONWEALTH OF PENNSYLVANIA REV-1162 EX01-96; DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT.280601 HARRISBURG,PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT N0. CD 019045 JARRETT DILMUS LYLE III PO BOX 36 QUANTICO, MD 21856 ACN ASSESSMENT AMOUNT CONTROL NUMBER 14108312 $1 ,435.18 ESTATE INFORMATION: FILE NUMBER: 2114-0092 DECEDENT NAME: HARDING CYRUS W DATE OF PAYMENT: 04/21/2014 POSTMARK DATE: 04/16/2014 COUNTY: CUMBERLAND 4 DATE OF DEATH: 12/07/2013 TOTAL AMOUNT PAID: $1,435.18 REMARKS: D LYLE .JARRETT III CHECK# 1198 INITIALS: WZ SEAL RECEIVED BY: LISA M. GRAYSON, ESQ. REGISTER OF WILLS REGISTER OF WILLS BUREAU OF INDIVIDUAL TAXES ' pennsytvania PO Box 280601 Pennsylvania inheritance Tax HARRISBURG PA 17128-0601 Information Notice i DEPARTMENT OF REVENUE ' ___� acvnsae ex mccxee <oeav And Taxpayer Response FILE N0.2114-0092 RECORDER OFFICE OF ACN 14108312 REGISTER jI ff%VISED NOTICE * * * DATE 03-25-2014 2014 APR 22 Pfd 12 30 Type of Account CLERK OF Estate of CYRUS W HARDING Savings Checking ORPHANS' COURT Date of Death 12-07-2013 Trust D L IIIJARRETT CUMBERLAND CO., PA County CUMBERLAND Certificate PO BOX 36 QUANTICO MD 21856-0036 PNC BANK NA provided the department with the information below indicating that at the death of the above-named decedent you were a joint owner or beneficiary of the account identified. Account No.5114119205 Remit Payment and Forms to: Date Established 12-23-2011 REGISTER OF WILLS Account Balance $19,680.04 1 COURTHOUSE SQUARE Percent Taxable X 50 CARLISLE PA 17013 Amount Subject to Tax $9,840.02 Tax Rate X 0.150 NOTE`: If tax payments are made within three months of the Potential Tax Due -$1,476.00 decedent's date of death,deduct a 5 percent discount on the tax With 5%Discount(Tax x 0.95) $(see NOTE*) due. Any inheritance tax due will become delinquent nine months after the date of death. PART Step 1: Please check the appropriate boxes below. 1 A [:]No taxis due. i am the spouse of the deceased or i am the parent of a decedent who was 21 years old or younger at date of death. Proceed to Step 2 on reverse. Do not check any other boxes and disregard the amount shown above as Potential Tax Due. g ❑lie information is The above information is correct,no deductions are being taken,and payment will be sent correct. with my response. Proceed to Step 2 on reverse. Do not check any other boxes. C The tax rate is incorrect. ❑ 4.5% 1 am a lineal beneficiary(parent,child,grandchild,etc.)of the deceased. (Select correct tax rate at right, and complete Part 12% 1 am a sibling of the deceased. 3 on reverse.) 15% All other relationships(including none). D gChanges or deductions The information above is incorrect and/or debts and deductions were paid, listed. Complete Pail 2 and part 3 as appropriate on the back of this form, E [—]Asset will be reported on The above-identified asset has been or will be reported and tax paid with the PA Inheritance Tax inheritance tax form Return filed by the estate representative. REVA 500. Proceed to Step 2 on reverse. Do not check any other boxes. Please sign and date the back of the form when finished. PART 2 Debts and Deductions Allowable debts and deductions must meet both of the following criteria: A. The decedent was legally responsible for payment,and the esTate is insufficient to pay the deductible items. B. You paid the debts after the death of the decedent and can furnish proof of payment if requested by the department. (If additional space is required,you may attach 8 1/2"x 11"sheets of paper.) Date Paid Payee Description Amount Paid /.2-.23-/1 eria+an No,n !F"e Gat 3777 1,243-t3 a cAt 6me-4 Creel: t' ,A ;It Z8,'16 /;-31.13 CANse ducl Serv.ces Cred, con( 6.It ya01 7-14ed�G•N (/ o TL4 or Me S 6 q,00 a /S; i J + sm4• t2 fY y 1 +1M j SjM Yn t r L3J �g 3 ♦W-ef t+�y+�� rL:l X IN ag Ali �y r