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COMMONWELlL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT 2806lJ1
HARRISBURG, PA 1 28'0601
REV,1162 EX(11,96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
VENKATADRIJAYANTH
3817 CHIPPENHAM ROAD
MECHANICSBURG, PA 17050
-------- fold
ESTATE INFORMATION: SSN: 331-34,2983
FILE NUMBER: 2105-1046
DECEDENT NAME: VENKATADRICHAMAKURA
DATE OF PAYMENT: 07/11/2006
POSTMARK DATE: 00/00/0000
COUNTY: CUMBERLAND
DA TE OF DEATH: 11/13/2005
NO. CD 006951
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $1,300.00
I
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TOTAL AMOUNT PAID:
$1,300.00
REMARKS:
CHECI(# 108
SEAL
INITIALS: AJW
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WillS
r
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Register of Wills
Cumberland County Court House
Carlisle, P A. 17013
July 10, 2006
Re: Estate of Chamakura Venkatadri
S.S. #: 331-34-2983
Date of Death: 11/13/2005
Enclosed is a guesstimated payment of $1300 towards the above referenced estate.
Please apply the payment pending filing ofthe final Inheritance Tax Return with the
Department of Revenue. Any questions, please call 717-805-6197.
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J ayaltth Venkatadri L ~
Executor
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COMMONWEALTH OF PENNSYLVANIA
CEPARTMENT OF REVENUE
BUREAU OF IIJDIVIDUAL TAXES
CEFT
H":"RRIS~,LJRG, F-'A ) 7128-0601
REV-1162 EX! 11-961
RECEIVED FROM:
PENNSYLV ANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
VENKATADRIJAYANTH
3817 CHIPPENHAM ROAD
MECHANICSBURG, PA 17050
n___n_ fold
ESTATE INFORMATION: SSN: 331-34-2983
FILE NUMBER: 2105-1046
DECEDENT NAME: VENKATADRICHAMAKURA
DA TE OF PAYMENT: 07/11/2006
POSTMARK DATE: 07/10/2006
COUNTY: CUMBERLAND
DA TE OF DEATH: 11/13/2005
NO. CD 006957
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
05500710 I $787.63
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARI<S:
CHECI<# 506
SEAL
INITIALS: JA
RECEIVED BY:
REGISTER OF WILLS
$787.63
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
INFORMATION NOTICE
AND- _
TAXPAYER RESPONSE
REVISED NOTICE * * *
FILE
ACN
DATE
NO.21 05-1046
05500710
03-03-2006
*
REV-1543A AFP <I-DOl
*
TYPE OF
EST. OF CHAMAKURA VENKATADRI
S.S. NO. 331-34-2983
DATE OF DEATH 11-13-2005
COUNTY CUMBERLAND
ACCOUNT
o SECURITY
[XJ SEC ACCT
o STOCK
o BONDS
SURYAKALA VENKATADRI
3817 CHIPPENHAM RD
MECHANICSBURG PA 17050
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
MERRILL LYNCH has provided the Department with the information listed below which has been used in
calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a beneficiary of this asset.
If you feel this information is incorrect, please obtain written correction from the transfer agent, attach a cOpy to this form and
return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth of Pennsylvania.
Questions may be answered by calling (717) 787-8327.
COMPLETE PART 1 BELOW * . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 87249228
x
17,502.90
100.00
17,502.90
.045
787.63
TAXPAYER RESPONSE
To insure proper credit to your account, two
(2) copies of this notice must accompany your
payment to the Register of Wills. Make check
payable to: "Register of Wills, Agent".
000 Valuation
Percent Taxable
Amount Subject to
Tax Rate
Potential Tax Due
x
NOTE: If tax payments are made within three
(3) months of the decedent's date of death,
you may deduct a 5% discount of the tax due.
Any inheritance tax due will become delinquent
nine (9) months after the date of death.
Tax
PART
[!]
above information and tax due is correct.
You may choose to remit payment to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest, or you may check box nAu and return this notice to the Register of
Wills and an official assessment will be issued by the PA Department of Revenue.
[CHECK ]
ONE
BLOCK
ONLY
B. [] The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
to be filed by the decedent's representative.
C. [] The above information is incorrect and/or debts and deductions were paid by you.
You must complete PART ~ and/or PART ~ below.
PART If you indicate a different tax rate, please state your
~ relationship to decedent:
TAX RETURN - COMPUTATION OF TAX ON ABOVE ASSEHS)
LINE 1. ODD Valuation 1
2. Percent Taxable 2 X
3. Amount Subject to Tax 3
4. Debts and Deductions 4
5. Amount Taxable 5
6. Tax Rate 6 X
7. Tax Due 7
PART
~
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
PAYEE
DESCRIPTION
AMOUNT PAID
I
$
TOTAL (Enter on Line 5 of Tax Computation)
Under penalties of perjury, I declare that the facts I
complete to the best of my knowledge and belief. HOME
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