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,.~:tV'-1!43 EX AFP (1-91) '*
CO,,"OIIWElL IH Of PENNSVLVAN14
DEPAnlHENI OF REVENUE
BURE.U OF INDIVIDUAL IAXES
DEPT. lB060l
HARRISSURQ. PA 17121-0601
1'1- J ,'). .3
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
'6
V
FILE NO. 21- 9ti-61 f
ACN 94129644
DATE 07-13-94
TVPE OF ACCOUNT
HARRIETT C ~ SAVINOS
CHECKIN~
TRUST
CERTlFICATF.
REHIT PAYHENT AND FORHS TO,
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
ESTATE OF GODDEN
5,5. NO. 186-30-4731
DATE OF DEATH 04-23-94
COUNTY CUMBERLAND
SPENCER
3206 COULSON OR
LOWER BURRELL
NANCV
PA 15068
COHttUHITY SAVINGS BANk hll provid.d thl DIParta.nt with thl Infar..ticn list.d baloN whloh h.. bun u..d In cllhulatlng thl
potlntlal tlM dUI. Th'lr r.cordl Jndie't' th~t ~t thl dlath of thl abovI dlcldlnt, you w.r. I Joint owntr/b.neflolary of thl, account.
If YOU f.. 1 thl. tnfor..tlc" 11 Incorrlct, pl.a~. obtatn wrltt.n corr.otlon fro. thl flnanattil Inltltutlon, attach q copy to thl, for.
"r'lrt ,.tu,.... It tn th_ ....nil" ,....ri~".. T..l. .~~..,..t I. .!'~..~l~ In :,c:l"':f:::n:c. 1:1\11 ~h:: !~.!.:.rl't::"'i~c 1'..;1 LU~:l uf ':il. CllSU:;..I..II....tt~', G' 1'1lr,,,;r,'1.uill..,
QuuUonl 'IV bl .nl.'i',d bV cllllno (111) 781.1527,
COHPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILINU AND PAVHENT INSTRUCTIONS
Account No. 0207200266 Dote 05-08-72
E.teblhh.d
Account 8.hnc. 3,317 . 02
Paro.nt T...bl. K 50 . 000
AMount Subj.ct to TIX 1,658.51
T.. R.t. K . 15
Potentlol To. Du. 248.78
PART TAXPAYER RESPONSE
[I] IPAILUIIITO IIISPOND WILL RISUL T 1M AN OPFICIAL TAX A8S1S8HIHT lAUD OM THIS HOTZCI J
A, ~ Th, ebuvI lnfor..tlon and ta~ dUll. corr.ct.
I, You 'IV chao.. to r..lt pay..nt to thl Rlgl.tl' of Will., with two copll' of thl. notlc. to obtlln
e dl.count or avoid lnt.r..t, or vou .ay ch.ck bo~ "I" and r.turn thl. notl~1 to thl Rlgl.t.r of
Will. and .n offlcl.l ........nt will b. I..u.d by th. PA nIP.rt..nt of Rlv,nu..
To In.url prop.r cr.dlt to your .ccountl two
(2) cop I.. of thl. not Ie, .u.t accnlp.ny your
pIY'lnt to thl RIgl.t.r of Willi. Hakl chick
ply.bll tOI "Rlul.t.r of Wlllt, Aalnt".
NOTEI If tl~ p'Y.lnt. ar. .Idl within thr'l
(3) tonth. of thl dlc.d,nt.. d.t, of d.,th,
YOU .IY dlduct . 5X dl.count of the tl~ dul.
Anv inh.rltlncl taM due will byco., d.llnqu.nt
nln. (9) Month. after thl d.tl of d.ath.
[CHECK ]
ONE
BLOCK
ONLY
a, [J Th' aboYI ....t hI' b.,n or will bl r,port,d and t.~ paid with the P.nn'Vlvant. Inh,rltencl Ta~ rlturn
to b. fllld by th, dlold.nt'. r~pr"lntatlvl.
C, [] Thl .boy. Infor'atlon I. Incorrect .nd/or d.btl and d.ductlon. w.rl paid by you,
You IUtt co.pl.te PART [] and/or PART [3J below.
If you Indlo.t. . dlff.r.nt t.. r.t., pl.... .t.t. your
r.l.tlon.hlp to d.o.d.nt,
PART
~
Tilii "Ii Jii:iHT/TiUj:ij AC;"ii';iiTo
OFFICIAL USE ONLY. DAAF
PA ~l'I,IRT",ENT OF REVENUE '
I,.....'" '.: t ";"?
11:1. '.,
TAii R~TURN - CuH~UiATIOH
LINE I. D.t. E.tobll.h.d
2. Acoount 8010no.
3. Porcont To.oblo
4. AMount Subj.ct to To.
5. Dobt. and Doduotlon.
6. AMount To..blo
7. To. Rate
a. To. Duo
uF
I
2
3 X
4_
5 -
6
7....l1.-
b
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PART
I!J
DATE
DEBTS AND DEDUCTIONS
rAil
1
2
3
4
5_
6
7
8
CLAIHED
-.
'II
. ~
PAID
PAVEE DESCRIPTION AMOUNT PAl D
I (Entor on llno 5 of To. COMPutotlonl I
TOTAL .
Undor ponoltlo. of por~urYI I d.oloro that tho fact. I
cORPloto to tho bo.t of MY kno.lodgo and bollof.
~):~bR{ f N""I
hay. rlported above Ir. truI, aorreot and
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\. ~. ~lll~~.~~I'~~'J.h,~'1.4.u IJ~.i:l,....\~~~\~. ,i..iit\' ~1.\"'~'1.WJ1b'~kS4n>h'd l'ilt-':lI,{;\"JI~~:..l\lJl!\\Y{ ',' \'1" .l!:i\,\fl
RECEIVED PROM,
s
ACN
ASSESSMENT I!'
CONTROL Ii:iI
NUMBER
AMOUNT
NANCY SPENCER
-~I
.CJ6.31t
3206 COULSON DR
.LOWER BURRELL PA
1 !5(lb(~
mATE INfORMATION,
m R
m
II
B
~-~
21-1994-0618
1!AS'rT~
GO~q~~..L.. HARRIETT C
AMENT
SSN 18f,-30-4731
IF/RST)
07/18/'14
OUNTY ? II ~ 194
CUMBERLAND
DATE OF DEATH
04/ 3/9/1
REMARKS NANCY SPENCER
I TOTAL AMOUNT PAID
SEAL CHECK" 2E:'16
REGISTER OF WII.I.S
MARY C. LE:WI
RESISTER OF WILLS
~".--'- -- -- ...._--..~ -~-~,!-,--" -- ._-. -:--.. -- h.R.. --_.~ .....- -.-. "'--' .-..- -__, '_.'_ _"UR -..... ..---.. .--.-.....,...,.t",-"""", .~~ _\ _/ !'
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, RM~543 EX AFP (1-911 '*
rOHHOHWUllII OF PENNSVLVANIA
Dt'PAR1HEHT 01 RF.I/EHUE
BUREAU OF INOIVIUUAl IAHES
Dt'PT. 210601
IIARRISBURG. PA 11126"0601
('
11- 2~3 'IJ'
(~
FILE NO. 21-' q '1- ,,/8'
ACN 94132934
DAT! 08-03-94
TVPE OF ACCOUNT
HARR I ETT C ~ SAVINOS
CHECKINg
TRUST
CERTIFICA TE
REHIT PAVHENT AND FORHS TO,
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
ESTATE OF GODDEN
S.S. NO. 186-30-4731
DATE OF DEATH 04-23-94
COUNTY CUMBERLAND
SPENCER
aGe CLlllRII:~
+I~
NANCV M
P~. lDe~
J,J.(,~ ('O"nUN Ol.!
/..LoWijJ/. JjuJo!./wa PI! IJ,,~~
PNC BANK hll provided the VIPart,.nt with the InfOrtUltlon Ihtld below which hu bun und In calculating th.
pottntltl t.~ dUI. Thtlr r'~Qrd. l~dlcat. that at the d.ath of the abovI dOCldlnt, yOU w.r. a jolnt ownlr/beneflclary of thll aocount,
U yOU ,..1 thll Infor..Ucn II Incorrect, phau obtain wrltt.n eor..otlon frol the 'IMnolal Irl.t1tutlon, aUleh . copy to thll for.
tlllU ,..turn 1\ to tho III""" tllldt..lllf. '1,111I II..:'...,. I. HI"IlI... j". "J'JI~I.,,.,.. "~('l ill'J :'.11,11""; ....; ~h. 'J. 1.."....).\1..: r.ll....';.l..,.l.~
Qu..Uonl ..y bl anlw.r.d by o.l1lng (711) 187.UZ7.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAVMENT INSTRUCTIONS
AcC\ount No, 04815426 D.t. 10-07-71 To In.ur. prop.r or.dlt tc. your aocount, two
e.t.blhhed eZl cop I.. of thh notJc" lust aCC/Clpany your
plvunt to the R.gllhr of Wllh, Hlk. ch.ck
Plyabl' tUI "R.ghter of Wl1h, AII.nt".
Aoccunt Bolano. 1 , 501 , 79
P.rc.nt T...bla X 50 . 000
Anount Subj.ot to Ta. 750.90
T.. R.te X .15
Pot.nU.l To. Du. 112 . 64
PART TAXPAYER RESPONSE
COI FAILURITO RIIFOND WILL RIIULT IN AN OFFICIAL TAX ASSIIINENT BASID ON THIS NOTltl I
A.
HOTEl If taM pay..nt. .r. lad. wlthJn thr.,
e]) lunthl of the d.e.d.nt'l dati of d.ath,
VOU IIII' d.duct a S% dl.count of the taM uu.,
AnII' Inh.rltanc. t'M dUI will b.coI. d.llnqulnt
nlnl (9) lonthl aftlr the date of dl.th.
[CHECK ]
ONE
BLOCK
ONLY
~ Th. abevy Jnfor.atlon nnd tlM dUI II corr"nt,
1. 'feu IOY choOI' to ruU pay.,nt to the R.ghhr of Wllh, with two copl.. of thh notlc. to obt"ln
. dlsoount or ovoid Int.rllt, or yoU IIII' chlllck bUM "A" and rlturn thh notlco to the R.ghter of
Willi .nd an offlol.l I.......nt will b, 1.luld by thl PA D.part'lnt of Ravlnu..
ft. 0 Th. above a...t hit bun or will bl rlportld and talt paid with thl PlhnJylvlnla Inh.rlhlnc. TaM r.turn
to b. fll.d bV th. d.c.d.ntl, rtpr...ntatlv..
c. 0 Th. above Inforutlon I~noorr.ct andlor dlbts and dtdllctlon. Wlrt p.lu by you,
Vou IU.t c~lpl.t4 PART 2 andlor PART rjl below,
L:J - (
If you Indlo.t. . dlff.r.nt t.K";.t., pl.... .t.t. your
r.l.tlon.hlp tc d.o.d.nt,
PART
f!)
T~X Ril:TUHII - COhPUIAnClN Or
LINE 1. D.t. E.t.bll.h.d 1
2. Aooount 8.l.no. 2
5. P.ro.nt T...bl. 5 X
4. AMcunt Subj.ot to T.. 4
S. D.bt. Ind D.ductlon. S
6. AMcunt ToH.bl. 6
7. Tox R.te 7 X
a, reM Due a
1'AX ,," J~ANl "'iI\US'1 "..COiJ,1 i:'
rAil
1
:2
3
4 TR
S
6
7
8
DEBTS AND DEDUCTIONS CLAIMED
o .FICIAL USE ON~Vi';O AAF
PA DEPARTMENT OF REVE~UE
---
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-
PART
[!]
DATE
PAXD
PAVEE
DESCRIPTION
AMOUNT PAID
1-
TOTAL IEnt.r on Lln. S cl TIH COMput.tlon)
I
.
-
-
Und.r p.n.ltl.1 01 p.rjury, I d.ol.r. th.t tho I.ot. I
uOMpl.t. to tho b..t 01 MY knowlldg. .nd b.ll.f.
TAXP))~Rf0 W" L
hlv. report~d above Ire true, OQrrect
HOME ('/11 ) B '1- J,7.'ij
WORK ('i / 2. ) fi )- - 0 '/ u 'J
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NOlICE. 10 fulfill lho roqulr.o.ni. of Ioollon 21~0 of lho Inhorll.... ond E.t.l. I.. Aol, "I 22 of 1"1. (12 P.I.
IooUon 21~OJ. .' .
PAYMEIfT. Doloolllho 10f' porUon of Inlo NoU.. ond ...It .ltn ....r p......1 10 lho Rlllolor of Nlllo prlnlad on lho
r.v.rM Itdl
..~ MIk.- cheok or IOMW orellar p.VItI1. tal ReGISTER Of' IIflLlS, AOQfT.
All po_II r...lvad tholl flrol be _Hod 10 M' lrilor..1 lIhloll ... be ckJo, .1\n M' r_Incftr _Hod 10 lho I...
mtICD (tIUIA r.fn of . tax or*,U, ...,loh Nil not nqullted on the tax r.turn, ..v " r.qulltld bv capl.tS". In "AppUHUMI
for R.knI of Penn.y1....,.. Inhlrltlno. and Elt.t. ")eft (REY-UUl, Applloation. Ir. IVIU.,I. It thl Offlo. of
the R..I,t.r of Willi, MY 0' the 25 R.yenue D).trlot O'flc.. or by Cll11"1 the IPIGI.l Z4"hour ,"lNIrl", ..,yJa.
nuIbIr. for for.. or.rl",1 In Pemlyllf...t 1~'OO-"1.20!i~, outlldl P""'vlva'll. Ind NUt'lln 100.1
Herrllburl .r.. (1111 lI1-10~. lOOt (1111 112-2151 (Hoarl.. lop.lrod Onl."
OIACTlDHlI Any p.rb In lnt.r...t not ..thfled with thl wr.hlHnt, IUOWInO. or dl..l1CMfWW)' of dtduotion. or ..n....,,'
of tlX (Inoludlnt dl.oount or Int.r..t' II fhown on thlt Motlcl ..v ObJlOt within .INt~ (60) dav. of reellpt of
Inll Noll.. b..
uNfitt." prot..t to thl PA Dlpert...,t of Rev.,.,., aoerd of AppMh, Dept. ZII02l, "'rrllbur., PA 111Z1~I02l, 0,.
ulllOU", to MVI ttw ..tt.r det.r.'r*' at the aucUt of thleecN'lt of thl per'OMI reprlllf'ltlUv" OR
~".....I to t.... Orpn.n.' Court
AlIIlIN.
""'Ally!
CORRECTJDNlI flotuel .rrorl dlHoVlr1d on thh ........"t mould bllddr'''1d In wdUne tal PA o.plrtlllf'lt of RIVInUI,
aureeu of Indlvl~1 'IK", ATTHI Po.t A......-nt R.vltw unit, DEPT. 210601, Hlrrllbur., PA 111'1.0'01
Phone (111) 717"6505. ... Pltl S 0' thl bookl.t '''In.truaUOfl. for JnhlrltlnC' TaM R,turn for. Rlddent
DIotdInt'" (REY~150\) for In IKPltnltlon of adllnl.tr.tlv.l~ carreetlbl. Irror..
DI SCOlt4T .
If In, tiN due I. p.ld within tllrH (S) ClI"'r IOnth. after thl dMtdtnt'. dHth, . flv. Plrcent tUJ
~I......I of lho I.. p.J~ II .11_.
IIfIEJlIIT.
Inter..t .. cherl'd betlmlnt wlth flret etav a' dellnquencv, or nine (.) ""the lInd one UJ dew
frOll the dat. of _th, to thl dlt. of paltMnt. hx.. whlch bla.. allnquant blfor. JlnUlrv I I 1911
belr Int.r..t at thl r.ta 0' ,IN (6XJ Plrcent Plr ennui a.leul.tld at a dlllv ratio' .000164.
All tlX" whIch bM_ allnt,UMt on or aftar Jenuerv 1, 1912 will tMIr lnt""t .t I ret. whloh w111 VlrV frOll
alllndtr 'Hr to ollend1r VI" wlth th8t ret. lIMO\Ned bv thl PA DepartMnt of RlvlnUe. The IIPPllctbll
lnt.r..t rat.. for 1.11 thrOUlh 1"4 Ire,
'/Ill; Int...... Altl D.ll~ Int.....t Faatar l:ur Intlr..t hh DIJlv Int.r..t Faator
IME 20X ,00014' 19,. lOX .ooom
1m 16X ,ooo;sa 1911 IX .00OZ~1
1914 IIX ,OODSDI 1961-1"1 IIX ,OODSOI
191' ISX ,OODSH 1"1 IX .0001\1
I"S-I"~ lX ,OOOIt!
utnttr..t II OllOt,llttMl '1 '0110.1.1
IKTERElt . IALAHCI OF TAX UNPAID N NUNIER OF DAYI DELINqUENT " DAILY INTERElT FACTOR
--Anw Nollo. 10_ .ft.. lho I.. _. doll_I .111 rlfllOl M Inlorlll c.lcul.Uon 10 1111_ (Ill don
bennd lho dol. of lho ....._1. II po_I to _ .ftor lho lnlor..1 ._I.Uon dol. .- on lho
NoU.., lIddlUonol Inlor..1 ....1 ho o.loul.lod.