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REV-1S43 EX AFP (8-941,*
CDHHOHWEAl nt Of PENHSYlY'HIA
DEPARTHENT OF REVENUE
IUREAU OF INDIYIDUAL TAMES
DEPT. ZI0601
HARRISIURa, PA 111za~a601
/!/-. i/ t... ;)-
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
ESTATE OF LAURA HOPPLE
5.5. NO. 171-28-5407
DATE OF DEATH 04-29-95
COUNTY CUMBERLAND
FILE NO. 21 ~ y.j-'" ~-.!J-J
ACN 95132647
DATE 07-15-95
TYPE OF ACCOUIlT
~ SAVIHGS
CHECKIHG
TRUST
CERTIFICATE
RE"IT PAY"EHT AHD FOR"S TO,
REGISTER OF WILLS
CUMBERLAflD CO COURT HOUSE
CARLISLE, PA 17013
EDITH MI LLER
C/O MR NOEL
20 SHUGART RD
.CARLISLE
PA 17013
HELLON BANK NA h.. provld.d th. D.part..nt with the In'or..Uon lllt.d b.low which h.. b..n u..d In celculaUng the
potentl.l t.M du.. Th.lr r.cord. Indlcat. that at the d..th 0' th. above dac.dent, you w.r. a joint own.r/b.na,lcl.rw 0' thl. account.
I' you ,..1 thl. In'oraatlon I. Incorr.ct, pl.... obtain wrlttan corr.ctlon 'roe the 'Inancla' In.tltutlon, .ttach a copv to thl. 'Dr.
and r.turn It to the above .ddr.... Thl. account I. taMable In .ccordanc. with th. Inh.rltanc. Ta. law. 0' th. Co..onw.alth of Penn.vlvanla.
~...tJ~. .'W b. an.w.r.~ hv c.lllng (117) 7~7~a)l7.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account Ho. 00220-010367 D.t. 05-17-71
eatabU.h.d
Account B.lanca
Parcant TaMabla
Anount Subjact to
TaM R.ta
Potantial T.M Dua
To In.ur. prop.r cr.dlt to your account, two
(Z) cop I.. 0' thl. notlc. .u.t acco~enV your
ply..nt to thl Rlgl.t.r 0' Will.. "eka ch.ck
p.vabla tOI "R.al.t.r 0' Will., Agent".
PART
II!
1.535.22
50.000
767.61
.06
46.06
TAXPAYER RESPONSE
FAILURE TO RESpOND WILL RESULT IN AN OFFICIAL TAX ASSESSHENT.BASED ON THIS NOTIC!
x
HOTEl If ta. payaent. .r. ..d. within thr..
e)) .onth. of the dac.d.nt'. d.ta of d..th,
you .av d.duct . 5~ dl.count of the ta. du..
Any Inh.rltance te. due will b.co.e d.llnquent
nln. (9) .unthl .ft.r th. d.t. of d.ath.
T..
x
[CHECK ]
ONE
BLOCK
ONLY
.. t4 Th. above Infor.eUon and t.. dua II corr.ct.
1. You .ay chao.. to r..lt p.y..nt to th. R.al.t.r of WillI with two cop I.. of thl. notice to obteln
. discount or avoid Int.r..t, or you ..y ch.ck bo. "A" and r.turn thl. not Ie. to the Rag,.t.r 0'
Will. end an official ........nt will be I..u.d by the PA Dep.rt..nt of R.v.nu..
a. c:J Th. above ....t ha. b..n ar will b. r.portad and tllM paid with th. P.nn.ylvanl. Inheritance TeM r.turn
to b. fll.d bV the d.c.d.nt's r.pr..ant.tlve.
en
c. 0 Th. above l"for..Uon I~ncorr.ct and/o~.bh IInd d.ducUon. wu. P.f~. D)I you. \ ",
You .u.t coapl.t. PAnf l!J end/Dr PART ~ b.low, .' ' \ I,n
:u
:,'1(10
, .
If you indicat. a diffarent taM rata, pl.... .tat. your
rel.tion.hip to dacadantl
DFFICIAL'!JSE ONLY. 0 AAF
PA DEPARTHENTDF REVENUE
~,
1....."1
PART
~
TAX RETURN - COMPUTATION OF TAX ON
LINE 1. aata eatablishad 1
2. Account Balanca 2
3. Parcant Ta~.bla 3 X
4. AMount Subjact to TaM 4
5. Oabt. and Deduction, 5
6. A.ount TaMabl. 6
7. Ta. R.ta 7 X
a. Ta. Cua e
JOINT/TRUST ACCOUNTS
..-. .--- ---~
PAD
1
2
3
4
5
6
7
8
CLAIMED
'I:~ ;..
l./l
PART
~
DATE PAID
DEBTS AND DEDUCTIONS
DESCRIPTION
AMOUNT PAID
PAYEE
I
.
I
TOTAL CEnter on Lln. 5 of Ta. COMPutation)
Under pan.ltia. of perjury, I declera that th.
eonplat, to th. bait of .Y know}ad'Ja and baUaf.
, MA ):x~{) C
TAXPA ~ E t'l'
fact. I
hay. raportad abova are tru.,
HOME (7/71 1L.""?:2
WORK ( 1
TELEPHONE NUMBER
carract land
l-
t'/ L,/ .~ -""
,
GENERAL INFORMATION
1. fAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESS"ENT .,1th "'P1Jcabll In'.ru' b,ud on In'or..Uon
tuIMIltted b~ the fJnanchl InltitutJon.
I. IntMrltMCI 'I. beeOllU delinquent nine INM'lthl situ thl dlcedant'. data of d..th.
J. A Joint account I, t..~l. Ivan though thl d.c.d~t.. n... ..a. added II . ..tt.r 0' conv.nt.ne..
,. 'cc~t. Ilncludlng tho,. htld ~tve~ hulband ~ .,1'11 which thl dlcadent put In Joint n.... within one y..r prior to
d..th .r. fully I.. able .1 tran".r..
5. Account. ..tIbIJ~.d Jolntl~ bltw.en hu.b~ ~ wlf. ~r. th~ one y..r prior to d..th .r. not t'.abla.
6. Account. held by . dleadent ftln trutt for" ~ther or o'h.r. .r. tswabl. fully,
REPORTING INSTRUCTIONS - PART 1
- TAXPAYER RESPONSE
1. BLOCK A . If the 1"'0,..11011 ~ co.put.tlon In the notlcl .r. corrlet ~ dlductlon. .r. not bllng cl.I.~, pl~. an "X"
In block "A" of P.rt 1 of the "TI.Plver A..pan..M ..ctlon. Sign two copl.. and .ubelt th.. with your check 'or the ..aunt 0'
te. to the R.,J.t.r 0' Will. 0' the county Indlc.tld. ThI PA Deplrt'lnt 0' R.v.nue will I..u. an 0"101.1 ......-.nt
('ore R[V-U41 EX) upon r.c.lpt 0' the r.turn fro. the R.ght.r Of "IU..
r. ILoeK I . I' the ....t .p.clfled on thl. notlc. h.. ~an or will be r.port.d and t.. P.ld with the Penn.vlvanl. Inh.rltance
T.. Rlturn '111d bv the dlc.dant'. rlpr..antltlvl, PIICI an MXM In block MIM of P.rt I 0' the MTI.p,v.r A..pon... ..etlon. Sign on.
copy and r.turn to the PA DIP.rt..nt 0' R.vanul, lur..u of Indlvldull T...., Dept ZID6DI, H.rrl.burg, PA 171Z.-0601 In the
Inv.l~ provJd~.
s. ILDCX C - I' the notlcl In'or.atlon I. Incorrlct andlor deduction. Irl b.lng clal.ed, chick block .C. and cOlPllt. P'rt. Z and 3
Iccordlng to the In.tructlon. b.low. Sign two copll' and .ub.lt tha. with your ch.ck 'or the aaount 0' tax p.y~le to the RIgI.t.r
of ~III. 0' the county Indlcot.d. j~. PA U.perta.nt 0' R.venu. will I.au. ~ Offici.. .a.u....~t "orl RtV-.5~. EX) ~, r.ellpt
0' the r.turn 'rol the Regl.t.r 0' Will..
TAX RETURN - PART 2 - TAX COMPUTATION
LINE
1. Ent.r the d.t. the account orlalnlllY wa. ..tlbll.had or tltl.d In the lanner .xl.tlng .t d.t. 0' d..th.
HOTEl For I d.c.dant dylna I,t.r IZ/Illlzr Account. which the d,c'd.nt put In Joint n.... within on. (I) ya.r 0' d..th _rl
t..abl. fully.. tran,'.r.. Hawlv.r, there I. an ..olu.lon not to ..c..d tS,aaD p.r tran".r.. rlg.rdl'.1 0' the vllu. 0'
thl account or thl nu.a..r of accounh held.
I' I doubll I.tlrl.k (x.) ,pp..r. b,'or. Vour 'Ir.t n"l In the .ddrl" portion 0' thl. not lei, thl tS,aaa e.olu.lon
alr.ldv ha. baan dlducted 'rol the ,ccount balenel I. raPOrt.d bv thl ,lnlnGl.1 In.tJtutlon.
Z. Entlr the tot.1 balanc. 0' the account lnoludlng Int.rl.t IccrUed to the d.t. 0' d..th.
S. ~ p.rcent of the account thlt I. tlxlble for .ach .urvlvor I. det.rllned I' 'ollowII
A. The plrcent tlxlbll for Joint ....t. ..tabll.hId lor. than one va.r prior to thl d.c.dant'. delthl
I DIVIDED IY TOTAL NUHIU OF
JO I NT OWNERS
Ex-.pllr A JoInt ....t r.al.t.rld
DIVIDED IV TOTAL NUttIER OF X lOG . PERCENT lAXAILE
SURVIVING JOINT OWNERS
In thl n... 0' thl d.c.dant and tNO oth.r par.on..
I DIVIDED IY 3 (JOINT OWNERS) DIVIDED BY Z (SURVIVORS) . .167 X loa . 16.7% (TAXABLE FOR EACH SURVIVOR)
I. ThI percent t.xabl. 'or ....t. cr..t.d within one v..r 0' thl d'cldent'. d'lth or ICCount. oNnad bv the decld.nt but hlld
In trult for -.othlr Indlvldu.l(J) (tru.t b..-flcJlrlull
I DIVIDED IY TOTAL HOHlER OF SURVIVING JOINT
OWNERS OR TRUST BENEFICIARIES
E..-plll Joint .ccount rlgllt.r.d In the nl'l 0' thl d.eldlnt and two oth.r p.r,on. ~ ..t.bll.h.d withIn on. y..r 0' d..th by
thl d.cadent.
1 DIVIDED IY Z CSuqVIYORS) ..50 X loa . 5GlC (fAXAlLE FOR EACIt SuqYIYOR)
X loa . PERCENT TAXABLE
4. TMlNtOUrlt .UbJ.ct to tu (lhM 4) II dltar.Jnld bV IKIltJphlng the account b.lene. Uln. ZJ by thl parcent t.xable ClInl 3'.
5. Ent.r thl tot.1 0' the dabtl and d.ductlonl II.t.d In P.rt 1.
6. ThI laount taxabll (line 6) J. d.t.r.ln.d by IUbtractlng the d.bt. end deduction. (line 5) 'roe the IaOUnt IUbJect to t.x (line 4).
1. Entar the IPprOOrlltl t.~ r.t. Illn. 1) R' det.rllned ~elow.
A. For d.t.1 0' death occurring "t.r 6/30/94, the taw r.t.. 'or tren,'.r. to apou... .r. .. 'allow.!
1. Oat., 0' d..th on or a,t.r 7/1/94 and b,'or. 1/1/96 thl rat. I. SX.
2. O.t.. 0' de.th on or .ft.r 1/1/96 and be'or. 1/1/91 the r.t. I. Z%.
3. D.t.. 0' de.th on or .'t.r 1/1/97 and b,'or. 1/1/9. the rat. I. 1%.
4. D.tl, 0' d.ath on or ,'t.r 1/1/91 tren".r. to ,paul.. will b. .x.~t 'roe tl..
Notl' For dlt., 0' d..th prior to 111194 tran".r. to lpaul.. .r. t.xlbl. .t 6X.
I. Tranl'lr. to Ilnel. d..clnd.nC.:rnciudlng 'eth.r, eothlr, Ion, deught.r, grandchildren, lon-In-Iaw,
daught.r-ln-I.." .t.pchlld and. ttwill- J....ua...,'. t,xIb1. .t .Ix perunt (':el.
C. Trani"" to III oth.,. InclUdIng brother, .lIhr, unci., aunt, n.ph.w end nllc, Ira t,xabl. .t 'Ift..n p.rcant (U:U.
D. I' YOU change thl t.. rlt., pl.... .pacl'y your rll.tlon.hlp to the d.cedent In thl .r.. provided.
e. The eeount 0' taM due Ulna I) II detar.ln.d bv IlUltJplvlng thl a.ount h.abl. Ulna 6) by the tlM ntl Ulna n.
CLAIMED DEDUCTIONS - PART 3
DEBTS AND DEDUCTIONS CLAIMED
Allowabll dlbt. end deduction. Ir. d.t.ralned .. 'ollow'l
A. You 1...lly .rl r"pan.lbl. 'or ply..,.t, or the ..t.t. lubJect to .a.lnl.tratlon by . per.onll repr..ent.tlvl I. In'uf'lelent
to p.v thl dlductlbl. It....
I. You actuallY P.ld the d.bt. ..t.r d..th 0' the d,cedent and cen 'urnllh proa' 0' Plvaant.
C. Debt, bal", ellllld lU.t ba It..lzed 'ullv In Part 3. I' Iddltlonwl .pac. I. na.o.d, u.. pl.ln paper e l/l" x 11-. Proof 0'
PIYllnt ..y ~ requa.tad bv the PA DlPartlant 0' R.vll'lUl.
TAXPAYER ASSISTANCE
IF YOU NEED FURTHER INFORHATION DR ASSISTANCE, CONTACT ANY
REGISTER OF WILLS. PA DEPARTMENT OF REVENUE DISTRICT OFFICE
OR CALL THE BUREAU OF INDIVIDUAL TAXES, TAXPAYER INQUIRY UNIT IN
HARRISBURG AT (717) 787-8327. TOOl (717) 772-2252 (HEARING IMPAIRED ONLY)
---. -.,,--",--.. '''-.
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!:::li______ __ _._...__ _____ _ _. ____ __ ~ __ _ _'_._ __ _ .__0____ __ '0__ __ _4 _ _ _ ___ ___
r .' . . . . " COMMONWE~LTHOF PENNSYLVANIA
D N~/~A048940u DEPARTMENT OP REVENUE
"'i'.';""i"', " OFFICIAL RECEIPT.' PENNSYLVANIA INHERITANCE AND ESTATE TAX'
.'..,...,
',,/',
RECEIVED FROM:
fJ
ACN
ASSESSMENT III
CONTROL ...
NUMBER
AMOUNT
EDITH MILLER
24 W HARRISBURG STREET
101
.4b.Ob
DILLSBURG PA 17019
~ 1010 HUf 1010 HUf.
ESTATE INFORMATION:
t:t FILE NUMBER
Y 21-199~-0:5~3
EJ NAME OF DECEDENT (lAST)
II DATE OF PAYMENT
m POSTMAR
COUNTY
SSN 171-2e-:5407
(FIRSTI (Mil
DATE OF DEATH
REMARKS
fa TOTAL AMOUNT PAID
.4b.....06
c;W
EDITH C MILLER
\ \
RECEIVED BY )"'.' ;
( "
SIGNATURE.
!
SEAL
CHECK" 2917
REGISTER OF WILLS
MARV C. LEWIS
REGISTER OF WILLS
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V
REV-1607 EX AFP (12-94*
CO""ONWUlTH OF PENNSYLVANIA
DfPARTIt[H' Of REVENUE
BUREAU OF INDIVIDUAL TAMES
DEPT. "0601
HARAIS.URa, Pi 17UI.0601
;f)- '1(, -;?
ACN 95132647
INHERITANCE TAX
STATEMENT OF ACCOUNT
DATE 10-02-95
HOPPLE LAURA FILE NO. 21 95-0553
04-29-95 COUNTY CUMBERLAND
NOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS FORM WITH YOUR TAX
PAYMENT TO THE AODRESS SHOWN. MAKE CHECK PAYABLE AND REHIT PAYHENT TO' ,
EDITH MILLER
C/O MR NOEL
20 SHUGART RD
CARLISLE PA 17013
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
A.aunt R..ltt.d
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR FILES ....
ifilj=i6"oi-ix-"FP--nZ-=94y-n---iiilii-iilHiiiiTAiicE"T;.X-STA'fEHENT-OF'-AifcoiJiff--jiiii---n--nm-u---m
ESTATE OF HOPPLE LAURA FILE NO. 21 95-0553 ACN 95132647 DATE 10-02-95
THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED
ESTATE. SHOWN BELOW IS A SUHHARY OF THE PRINCIPAL TAX DUE. APPLICATION OF ALL PAYMENTS.
THE CURRENT BALANCE. AND. IF APPLICABLE, A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT DR RECORD ADJUSTMENT, 09-18-95
PRINCIPAL TAX DUE..
46.06
PAYMENTS (TAX CREDITS).
PAYMENT
DATE
07-25-95
RECEIPT
NUMBER
AA048040
DISCOUNT C+)
INTEREST (-I
2.30
AMOUNT PAID
46.06
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
48.36
2.30CR
.00
2.30CR
. IF PAID AFTER THIS DATE. SEE REVERSE
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL OUE IS LESS THAN tl,
NO PAYMENT IS REQUIRED.
IF TOTAL OUE IS REFLECTED AS A "CREOIT" ICRI.
YOU MAY BE DUE A REFUNO, SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS,
>
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IIUlAIA.UU'd 'PI"no 'OSDZ-Z'(-OOI-r IIUlAr;l:'UUld ul tBUI"IP"o '1"0' JO, '''.qenu .'IA.... Bu,.I''''UI
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'I IrCIIU'^1 I'" ,uofl,ol1ddy 'Crtrt-^:aH) ..xll I""l put 1:KIII""'\4U1 'IWAtAIWld '0 pun,.u "0' UOfllOl1dd,..
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RIV-1548 IX AFP (12-94*
COHHONW[Al1H or PENNSYLVANIA
Dr:PAATttrHT OF' R[Y[MJ(
IURtAU Of INDIVIDUAL TAMES
DlPT. 111'11
HARRIIIURG, PA 17.'.-0'01
ESTATE OF HOPPLE
LAURA
15~ ~~-~
~
NOTICE OF INHERITANCE TAX
APPRAISEnEHT. ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONs t. AND ASSEBSHEHT OF TAX ON
JOINTLY nELD OR TRUST ASSETS
DATI! 09-25-95
DATE OF DEATH 04-29-95
COUNTY
CUMBERLAND
ACN
FILE NO. 21 95-0553
S.S/D.C. NO. 171-28-5407
ESTATE OF HOPPLE
LAURA
EDITH MILLER
C/O MR NOEL
20 SHUGART RD
CARLISLE PA 17013
95132647
REHIT PAYHENT TO:
REGISTER OF WILLS
CUMBERLAND CD COURT HOUSE
CARLISLE. PA 17013
AltOunt R..1tted
CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~
R-Eii:i54-8-iiC-AFji-ii2~94i------------------------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLOWANCE DR DISALLOWANCE OF
DIDUCTION8, AND ASSESSHENT OF TAX ON JOINTLY HELD OR TRUST ASSETS .
DATE 09-25-95
FILE NO. 21 95-0553
TAX RETURN WAS.
DATE OF DEATH 04-29-95
COUNTY CUMBERLAND
ACN
95132647
S.S/D.C. NO. 171-28-5407
(XI ACCEPTED AS FILED ( I CHANGED
JOINT DR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION. MELLON BANK NA
ACCOUNT NO.
00220-010367
TYPE OF ACCOUNT. (~SAVINGS ( ) CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 05-17-71
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
IF PAlO AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
IF TOTAL DUE IS LESS THAN '1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" I CRI, YOU NAY SE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS. J
-'-.._--'..,........_-,.... ----. .. '.
Account Bahnca
Percent Taxebla X
Amount Subject to Tex
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
TAX CREDITS:
PAYMENT
DATE
RECEIPT
NUMBER
PAYMENT MUST 8E MADE BY ol-30-96M.
.
1.535,22
0.500
767.61
.00
767.61
.06
46.06
NOTE. TO INSURE PROPER CREDIT,TD
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
DR MONEY ORDER PAYABLE TO.
"REGISTER OF WILLS, AGENT."
DISCOUNT (+)
INTEREST (-)
AMOUNT PAID
.00
46.06
,DO
46,06
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