HomeMy WebLinkAbout97-00598
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C~AL'H OF PENHlYlYANI.
DEPMTIEHT OF Rtvt....
I_AU Of INOIVIDU.l TAMEI
DEP'. 2106,01
H.MAI.IURa, PA 111Z'~D601
*'
t>-':.fl/ -- !:.?
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILl
ACN
DATI
NO. 21 ~ ~?.. tf'l'l
91130237
06-30-91
~n."41 u "' 41.",
DOROTHV U. BAKER
105 MESSIAH VLO
MECHANICSBURO PA 11055
TVPE OF ACCOUNT
EST. OF J P BAKER CJ 'AVlNOI
5.5. NO. 181-01-2093 BCHECKlNO
DATE OF DEATH 05-11-91 TRUST
COUNTY CUMBERLAND [ CERn,.
RE"IT rAV"ENT AND FOR"' TOI
REOISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 11013
"ELLON lANK hll provld1d the n.,.rt..nt with the lnfor'IUOf1 Ihtld below which h.. b.." ",..d In ulc:ullUnt tM
potent III tl~ due. 'hllr rlCord. Indlclt. thlt It the d..th Qf the Ibov. ~~tl YOU w.re _ joint oNnlr/blnlflcl.ry of thl. eacount.
Ifvou f..l thll InforHlIon II lncorrlCt, pl.", abtll" written corrlClUon frOll the flnMCI.1 In.tltutlon, ..Ulch . cOPV' to thh for.
Ind r.turn It to thl IbDv. Iddr.... 'hi. account I. tlMabl, In IccordlftOl with the Inherlt~. T'M law. of thl C~'llth of Penn.V'lvenl..
Que.tlont "V' bI an'..r~ bV' c.lllnt (717) 117-1521.
COM'LITI PART 1 BILOW M M M SII RIVIRSI SIDI FOR PILING AND PAVMINT INSTRUCTIONS
Aooaunt No. 162-122-0412 o.t. 06-04-90
Eotobllched
Aooaunt ..1..,.,,, 20.101.55
r.roont T..obl. X 50.000
bount '''joot to T.. 10.353. 18
T.. R.t. X .15
rotonU.l T.. Du. J., 553.01
rART TAXPAVER RESPONSE
1II.1'~~~~~.~,jIi'~_,~~~~~~r~"~~~"~'.~~~..1~~~..~"~t.~fl.1!J"'''''lfl.HOWlll
a. 0 'he aboVI Infor'ltlon and tllC dw I, corrilCt.
1. You "v choo.. to r..lt p.v-.nt to thl R.gl.t.r of Will. with two copl.. of thl. notlc. to obtain
, dlsco...,t or -'lvold Inter..t, or YOU .ay crn-ck bo!( ..... end r.turn th" notice to thl R....ter of
wl1h end en offlal,1 ........"t Mill H l..uM bv thl PA o.,.rbtent of R.venue.
'0 InJur. proper cf.dlt to your IICCount, tHO
(Z) aopl., of thh notlcI ...t ICCQlIpMY your
pav..nt to t~ Re,I'ter of Will.. "~. check
plylbl. tOI "Regl.t.r of Will., Atent".
NOTE I If teJC ply..nt. are ,.. within thr..
(J) aonth. of thl ct.oldlnt', eMltl of ..th,
you .IY dMluct a SiC dllcount of the talC due.
Any InherltanOI tllC due will blco.. delinquent
nln. \9) ItOnth. after the nt. 01 d..th.
[CHECK ]
ONE
BL OCK
ONLY
.. 0 The abov. 1I...t ha. bHn or will be reported end tlM peld with thl PIM.vl...."t. Inherltencl 'alC return
to be filed by the ~.OInt'. repr...nt.tlv..
C. ~he 1bo...1 InfarAtloo l~nClorrlCt ancI/o~Rt. end dIcIuotlon. ....re p.ld by you.
You IN.t coepl.t. PART L!J endlor PART ~ tNllow.
If you Indl..t. . dlff.ront t...r,t,.J p-l.... .t.t. your
r.l.tlonahlp to dooodontl ~ ~ ~
rART
~
T~X ~2TURK :CMrUTAT:CN
LINE 1. D.t. Eatobl1.hod
2. Aooount a.leno.
S. '.roMt Te><_l.
". _t '''joot t. T..
I. Dobh and D.-Uona
.. _t T..obI.
7. T.. Rot.
a. T.. Duo
"', ,OFFICtAI,USE ONLY 0 AAf"
. ... ~"DEPART"ENT OF REVENUE
PADr .,'
.. 2.. . ~~~I . ,1.,l . ."(":~:~~I:~' . .
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4 ::,.,':;
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DilTS AND DIDUCTIONS CLAIMED
OF TAX
1 ',"
2 ()
5 li 0
"0
I (:)
. 0
7 xl>
a ()
'ART
I!l
DATE
,,',
PAID
PAVEE
DESCRIPTION
AMOUNT PAID
t--
1=-
,.,,'
";i
FOR REGISTER'S OFFIcE OSEONI. V
County COdo----yoai----- -T--FUo N-lliliti&1
21 97 \ 598
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nI!V.]411 EX (fl'nl Q:'Jl.'<9_
PA DEPARTMENT OF REVENUE 'e:~
ESTATE INFORMATION SHEET
DECEDENT INFORMATION: Enter datn liS It will appear on all documents submllled to the department.
~f':"~""":;';~9 ]J~~"' ;;.t:---- .. -1"~";';~9/(:::: -- ---I
TYPE FILING: Enter chnck (0--) merk to Indlca'e the nature of the return to be filed with the department,
[JProbale Retu~=---- ~JJ~~~~~sseta o~~:--'--~]:al.le Ta'-:nly_~=_.1 ILllIgallon Purpose. (No Olher Aa.els) \
LETTERS GRANTED: Enter check (0--) mark to Indicate the nature of the proceedings at the Register of Willi
Office. (Allnch additional Iheetl If eKplanatlon Is necessary.)
~JTestementarY [JAdmlnlalrotlon '-~~:~etlor.~.=_~ []Other (Plee~e E'~laln)__~
ATTORNEY ICORRESPONDENT Enter all data concerning the attorney or other IndivIdual to receIve all
INFORMATION: tax Information and correspondence,
Ne:~ (LaSI)_.___.~_.__,_=' (F~::,t)_=- ,___,...~._":~d.dle~-_..--,...~..-I~~:rem~:urt I'~~__.......__~.__...,
Street Addre..
---.-------...-.-......---...-----.--........---.------..-..--.-L---.-..-...----
City State Zip Code Telephone Number
PERSONAL REPRESENT A TIVE Enter all data concerning the peraonal representatlve(s) of the eltate
INFORMATION: authorized by the Register of Wills
Executorl Administrator
Name (Last)
BAKER
Street Addresa
(First)
DOROTHY
(Middle) Soolal Seourlty Number
U. 172 01 9007
___...______.. ..._.......L...______L____..____
~---.----~-_._-----~_.~
965 NORTH BRIGHTON CIRCLE # 120
---~-----.._---_._--_._.._-------~_._----_._-_._-_...-----.-
City Slate Zip Code
CRYSTAL LAKE ILL 60012
Co-Executorl Administrator
Nome (La.t) (Flral)
KUHNS PARKER
Telephone Number
(815 )477-6120
(Middle)
H II
Soolal Seourlty Number
1.91 34 4408
___....L...._____L_____
--,_.-~--_._-~-_.~-~._..__..._~---_..._------_..
Street Addre.a
812 FLEETLOCK RIDGE ROAD
City M ECHAN I CS BllR~-- ---.------.---------si~A--. Z'ff8~ 5"- .- Wfe~~ge7 ~u~~i~ w
____ 717-695-4574 H
Co-Executorl Administrator
Nam. (LB.t) (Firat) (Middle) Social Seourlty Number
______._......___,_..__..___....._._________....~.__.._.___...L___Ln._____.....
Str.et Addrea. .
-_.._~--_...-.~-_._---------_.......---_._-_._--_.."..~~
..,______~__H._____
Telephone Numb.r
City
State
Zip Code
Prepared ay
DbROTHY U. BAKER AND PARKER H. KUHNS,II
re -~
!~/92--J
.,
1..,1 I I' IVl
IURBAU OF INDIVIDUAL TAMil
INlCRITANCE "I ~IYIIIOll
IIEP'. ZI0601
HARRIIIURO. p, 111ZI'0601
DIPARTMINT OP RIVINUI
l.-'
-
INHIRITANCI TAX
RICORD ADJUITMINT
JOINTLY HILD OR TRUIT AIIITS
DATI
IITATI! OF
DA TI! OF DIA TH
FILl NUMIIR
COUNTY
SIN/DC
ACN
In-It.." '" ""'"
DOROTHV U. BAKER
965 N BRIOHTON CIR WEST
1120
CRVSTAL LAKE
04.~0.9S
BAKER
05-17-97
21 97-059S
CUHBERLANO
181-07-2093
97130237
E=~~~~tod -="1
MAKE CHECK PAYAILE AND REMIT PAY MINT TOI
REOISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
p
J
It 60012-0000
CUT ALONG THIS LINE ~ RETAIN LOWER rORTlON FOR VOUR RECORDS ~
- - - - - - - --...-- -.. -.. - ..-....- -. - -........ -........ - .......... .......... - -.........- - ....-...... ............. -- -.. ........ -.... -.... - --- -..- -.... -..... ....-....-.... -..........
REY-l'04 EX AFP (03-97)
.. INHERITANCE TAX RECORD AbJUSTMENT JOINTLV HELD OR TRUST ASSETS ..
DATE 04-30-98
ESTATE OF BAKER
J
P DATE OF DEATH 05-17-97
COUNTY
CUMBERLAND
FILE NO. 21 97- 0598
ADJUSTMENT BASED ONI
S.S/D,C. NO. 181-07-2093
ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
ACN
97130237
FINANCIAL INSTITUTION: MELLON BANK
ACCOUNT NO. 162-122-0472
TVPE OF ACCOUNT I () SAVINOS (X) CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 06-04-90
Account bhnc:e
Percent Texeble X
Amount Subject to Tex
Debt. end Deduction.
Texeble Amount
lex Rata X
Tex Due
,00
0,500
.00
,00
.00
.15
.00
NOTEI TO INSURE PROPER CR~DIT TO VOUR
ACCOUNT, SUBMIT "HI. UPPER PORTION
OF THIS NOTICE WITH YOUR TAX
PAVMENT TO THE REG liTER OF WILLI
AT THE ADDRESI SHOWN ABOYE.
MAKE CHECK OR MONEY ORDER PAVABLE
TOI "REGISTI!R OF WILLS, AGINT,"
TAX CREDITS I
PAVMENT
DATE
.
COUNT (+) AMOUNT PAID 1
T/PEN PAID (-)
- -
TOTAL TAX CREDIT ,00
BALANCE OFTAX DUE .00___
INTEREST AND PEN. ""
TOTAL DUE .Q"
RECEIPT
NUMBER
DIS
INTERES
. If 'AID AfTER THII DATE, SEE REVERSE fOR CALCULATION Of ADDITIONAL INTEREST.
( If TOTAL DUE IS LESS THAN n. NO PAYNENT IS REIlUIRED. If TOTAL DUE IS REflECTED AS A "CREon" (CR),
YOU NAY IE DUE A REfUND. SEE REVERSE SIDf Of THIS fORN fOR INSTRUCTIONS,)