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Home My WebLink About06-06-07 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NEELY JUDITH 28 LINDEN AVENUE QUEENSBURY, NY 12804 --..---- fold ESTATE INFORMATION: SSN: 160-16-8651 FILE NUMBER: 2107-0552 DECEDENT NAME: W ALLOWER EVA DA TE OF PAYMENT: 06/05/2007 POSTMARK DATE: OS/29/2007 COUNTY: CUMBERLAND DATE OF DEATH: 02/28/2007 NO. CD 008248 ACN ASSESSMENT CONTROL NUMBER AMOUNT 07119692 I $30.29 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: CHECK# 883 SEAL INITIALS: CJ RECEIVED BY: REGISTER OF WILLS $30.29 GLENDA FARNER STRASBAUGH REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU DF INDIVIDUAL TAXES DEPT. 2B0601 HARRISBURG, PA 17128-0601 '* INFORMATION NOTICE . AND TAXPAYER RESPONSE FILE ACN DATE NO. 21-0'1.()SS~ 07119692 05-03-2007 REV-1Sit3 EX AFP (09-00) .,7 ~.~ \J f" II ;2: 1_; ,.) EST. OF EVA WALLOWER S.S. NO. 160-16-8651 DATE OF DEATH 02-28-2007 COUNTY CUMBERLAND TYPE OF ACCOUNT !iI SAVINGS o CHECKING o TRUST o CERTIF. JUDITH NEELY 28 LINDEN AVE QUEENSBURY NY 12804 REMIT PAYMENT AND FDRMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 MEMBERS 1ST FCU has provided the DepartMent with the info,..ation 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 joint owner/beneficiary of this account. If you feel this inforMation is incorrect, please obtain written correction from the financial institution, 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 _.&. P~r.n3:ylvaniae :;:t;astions IIlIs be .H1SfW'crad 17.; c&lliiiiiJ (717) 787-8327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 6050-00 Date Established 03-15-2000 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". Account Balance Percent Taxable Amount Subject to Tax Tax Rate Potential Tax Due x 4,250.80 16.667 708.48 .045 30. 2CJ I~s,.~~ TAXPAYER RESPONSE 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) m he date of death. x PART [!] I [CHECK ] ONE BLOCK ONLY A. D The above information and tax due is correct. ~ 1. 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 "A" and return this notice to the Register of Wills and an official asseSSMent will be issued by the PA Department of Revenue. 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. If yoU indicate a different tax rate, please state your relationship to decedent: PART [!J DATE PAID DEBTS AND DEDUCTIONS CLAIMED PART ~ TAX RETURN - COMPUTATION LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions OF TAX ON JOINT/TRUST ACCOUNTS 1 2 6. Amount Taxable 7. Tax Rate 8. Tax Due 3 4 5 6 7 8 x x PAYEE DESCRIPTION AMOUNT PAID TOTAL (Enter on Line 5 of Tax Computation) $ Under penalties of perjury, I declare that the facts I T*2~::!:~kno...". .nd ..".f. are true, correct and COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NEELY JUDITH 28 LINDEN AVENUE QUEENSBURY, NY 12804 _nn_n fold ESTATE INFORMATION: SSN: 160-16-8651 FILE NUMBER: 2107-0552 DECEDENT NAME: W AllOWER EVA DA TE OF PAYMENT: 06/05/2007 POSTMARK DATE: OS/29/2007 COUNTY: CUMBERLAND DATE OF DEATH: 02/28/2007 NO. CD 008249 ACN ASSESSMENT CONTROL NUMBER AMOUNT 07119696 I $519.21 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: CHECK# 885 SEAL INITIALS: CJ RECEIVED BY: REGISTER OF WILLS $519.21 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 FILE ACN DATE NO. 21-o1-5~2.; 07119696 05-03-2007 REV-1543 EX AFP (09-00) . i J .', ; -.J F,i 2: "~iT. OF EVA WALLOWER S.S. NO. 160-16-8651 DATE OF DEATH 02-28-2007 COUNTY CUMBERLAND TYPE OF ACCOUNT Ii] SAVINGS o CHECKING o TRUST o CERTIF. nr" I.." , ., ,. JUDITH NEELY 28 LINDEN AVE QUEENSBURY NY 12804 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 MEMBERS 1ST FCU has p..ovided the Depa..tnnt with the info..mation listed below which has been used in calculating the potential tax due. Thei.. ..eco..ds indicate that at the death of the above decedent, YOU we..e a joint owne../beneficia..y of this account. If yOU feel this info..mation is inco....ect, please obtain w..itten co....ection f..oM the financial institution, attach a copy to this fo... and ..etu..n it to the above add..ess. This account is taxable in acco..dance with the Inhe..itance Tax Laws of the Co.monwealth of Pennsylvanis. Quasti~ns ~ay be answer;d by cQ~l~~~ ~717~ 781~8327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 6050-05 Date 03-15-2000 Established To insure proper credit to your account, two (2) copies of this notice must aCCOMPany you.. pay.ent to the Registe.. of Wills. Make check payable to: "Registe.. of Wills, Agent". Account Balance Percent Taxable Amount Subject to Tax Tax Rate Potential Tax Due 75,639.98 X 16.667 12,606.92 X .045 567.31 TAXPAYER RESPONSE NOTE, If tax paYments a..e made within th..ee (3) months of the decedent's date of death, you may deduct a 5% discount of the tax due. Any inhe..itance tax due will beCOMe delinquent nine (9) months afte.. the date of death. PART [!] A. ;:] The above info..mation and tax due is co....ect. . I. You may choose to ..e.it payment to the Registe.. of Wills with two copies of this notice to obtain a discount 0.. avoid inte..est, 0" yoU may check box "A" and ..etu..n this notice to the Registe.. of Wills and an official assessment will be issued by the PA Depa..tment of Revenue. [CHECK ] ONE BLOCK ONLY B. r=J The above asset has been 0" will be ..epo..ted and tax paid with the PennsYlvania Inhe..itance Tax ..etu..n to be filed by the decedent's ..ep..esentative. C. ~ The above info"Mation is inco....ect and/o.. debts and deductions we..e paid by you. You must complete PART ~ and/o.. PART ~ below. PART ~ TAX RETURN - COMPUTATION If yoU indicate a different tax ..~e, please state your relationship to decedent: ..l)d.U1 ~"";(. 5. Debts and Deductions 6. 7. 8. Amount Taxable 6 7 8 ON J~IN1/TRUST ACCOUNTS 01 IS I :),000 ~ S; b ?CJ'. 98 J b. I./. 7 I 2} ..oe t;~ LJkJl. 1..' J '2., I 45. :L C. OtiS .59. '" Percent Taxable OF TAX I 2 3 4 5 X LINE I. Date Established 2. 3. Account Balance 4. Amount Subject to Tax Tax Rate Tax Due PART [!] DATE PAID V ~~t>71 PAYEE DESCRIPTION AMOUNT PAID T L?lJ,'TJ./ A AlI~~ I=tJ/lRr~1 S~L".r,(" 4",,'. kb TOTAL (Enter on Line 5 of Tax Computation) * Unde.. penalties of pe..jury, I declare that the facts complete to the best of my knowledge and belief. have ..eported above are t..ue, cor..ect and HOME ( WORK ( TELEPHONE COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NEELY JUDITH 28 LINDEN AVENUE QUEENSBURY, NY 12804 -------- fold ESTATE INFORMATION: SSN: 160-16-8651 FILE NUMBER: 2107-0552 DECEDENT NAME: W ALLOWER EVA DA TE OF PAYMENT: 06/05/2007 POSTMARK DATE: OS/29/2007 COUNTY: CUMBERLAND DATE OF DEATH: 02/28/2007 NO. CD 008250 ACN ASSESSMENT CONTROL NUMBER AMOUNT 07119694 I $9.66 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: CHECK# 884 SEAL INITIALS: CJ RECEIVED BY: REGISTER OF WILLS $9.66 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 FILE ACN DATE NO.21-07.()S5L 07119694 05-03-2007 REV-IS'! EX AFP (09-00> -:) i"; I (_. EST. OF EVA WALLOWER S.S. NO. 160-16-8651 DATE OF DEATH 02-28-2007 COUNTY CUMBERLAND TYPE OF ACCOUNT o SAVINGS IiJ CHECKING o TRUST o CERTIF. JUDITH NEELY 28 LINDEN AVE QUEENSBURY NY 12804 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 MEMBERS 1ST FCU has provided the Departllent with the info.....ation 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 joint owner/beneficiary of this account. If yOU feel this information is incorrect, please obtain written correction froll the financial institution, 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 Comllonwealth of Peiilisjll.Ciroia. Q..,~zticns z,a.y ba an:;.wv:""ad ~:; c;llinii (717) ?~7..33Zi. Account No. 6050-11 COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS 03-15-2000 Account Balance Percent Taxable Amount Subject to Tax Tax Rate Potential Tax Due Date Established To insure proper credit to your account, two (2) copies of this notice must accolIPany your payment to the Register of Wills. Make check payable to. "Register of Wills, Agent". x 1,356.25 16.667 226.05 .045 10.17 k5S S-CI... TAXPAYER RESPONSE NOTE: If tax paYllents are made within three (3) 1I0nths 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 fter the date of death. x PART [!J [CHECK ] ONE BLOCK ONLY A. ~ The above information and tax due is correct. 1. 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 lIay check box "A" and return this notice to the Register of Wills and an official assessllent will be issued by the PA Department of Revenue. 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 lIust complete PART ~ and/or PART ~ below. If YOU indicate a different tax rate, please state your relationship to decedent: 1:>0.-"-) h te-r- PART ~ TAX ON JOINT/TRUST ACCOUNTS 1. J.j{.~D LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due RETURN - COMPUTATION OF TAX I 2 3 X 4 5 6 7 X 8 PART [!J DATE PAID 6J..;!.5-/ P J , PAYEE ~wJ./1-h II. DEBTS AND DEDUCTIONS CLAIMED DESCR I PTI ON tltlu t l'/I1rJ AMOUNT ~ .$. . <,-/ Mecll I'~ d,.,-/u/c/'OV'l.- JJItVH"J~ +- / I J...J;~/"t :> ~~~ 'I TOTAL {Enter on Line 5 of Tax Computation} $ Under penalties of perjury, I declare that the facts complete to the best of my knowledge and belief. TA have reported above are true, correct and (Sf?) 79--:?'-S:..z J..., WORK ( ) TELEPHONE NUMBER HOME ~~/o7 TE . r--- I I I I "W Cl ~ C/) ,0 '11- a: 'W '11- "0 I: a: , ~,~ 0\.", ""7,, ' ... r ~ , ,p I , ,.I' , ! :~: I ", ' ;... il- l' 'N ;.4 ~ 'E (J {.... tt: '8 ~ :N iA ')., ~( ft '~ c( '2'1 :c '\"f .~ iO o S. x' w. -~ W :K ~f. j '~ , -, ",," i.} I uTI ,II ~, ]" I:~\ wffl :)><z 0 ffi~o ~ (ij..JCi) cO cx:c(:; ~ ii.6c ~ 0:;>< c( I-c~~D. ffi~w~C) ~~~~~ cx::)~><(/) ~c(-oa: WWffia:lcx: CCX::l:oc( c(=ZD.:I: 0......- o ~ CO) o j::: C o ~ c ! c( (11" OJ (,; Cl ;:' <( ~" I- m o -::: n. :::~ (j) ~i ::; etll" ~., ,:::;; 'i....f\. ".' I':: t~'lf 'i'... , ...=(:t ILJi .-",. ~~, \.... 1l..;;:J: %; ~n"" ,11il'1!>P..j1 Ul 0::; H G:l H Z H 0::; 3: ~ Ii.< Ii.< 0 ~ 0 0::; Z G:l G:l E-i H Ul L'J H L'J Ul G:l 2 0::; -. -. - -. -. -. -' - - -. -' -' o' ~ '8 ~ :> ;;.. i(l ;gQ)~ ~ ~::lf-< 9 ~~_ 00 4-<~g ~ OQ)"'O r--- ...s::: ~ ';>- ~'O]~~ Q).....~O..... ::: ~ 4-< 00 Ol) asoNs St::~~~ S 8. 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