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Home My WebLink About01-1011 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 BENDER COLIN C 217 S ENOLA DR ENOLA, PA 17025 -------- fold ESTATE INFORMATION: SSN: 197-40-5437 FILE NUMBER: 21 - 200 1 - 1 0 1 1 DECEDENT NAME: BENDER SYLVIA E DA TE OF PAYMENT: 11/02/2001 POSTMARK DATE: 11/01/2001 COUNTY: CUMBERLAND DATE OF DEATH: 08/15/2001 NO. CD 000468 ACN ASSESSMENT CONTROL NUMBER AMOUNT 01149833 I $35.78 01149836 I $35.78 01149837 I $35.78 01149838 I $35.78 01149839 I $35.78 I I I I TOTAL AMOUNT PAID: $178.90 REMARKS: COLIN BENDER 1 OF 2 PAGES CHECK#1515 SEAL INITIALS: VZ RECEIVED BY: REGISTER OF WILLS MARY C. LEWIS REGISTER OF WILLS 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 BENDER COLIN C 217 S ENOLA DR ENOLA, PA 17025 -------- fold ESTATE INFORMATION: SSN: 197-40-5437 FILE NUMBER: 2 1 - 200 1 - 1 0 1 1 DECEDENT NAME: BENDER SYLVIA E DA TE OF PAYMENT: 11/02/2001 POSTMARK DATE: 11/01/2001 COUNTY: CUMBERLAND DATE OF DEATH: 08/15/2001 NO. CD 000469 ACN ASSESSMENT CONTROL NUMBER AMOUNT 01149843 I $35.78 01149844 I $35.78 01149841 I $35.78 01149842 I $35.78 01149840 I $35.78 I I I I TOTAL AMOUNT PAID: REMARKS: COLIN BENDER 2 OF 2 PAGES CHECK#1515 SEAL INITIALS: VZ RECEIVED BY: REGISTER OF WILLS $178.90 MARY C. LEWIS REGISTER OF WILLS ~~ ._.~ \' ~ .......... .. f - ~ ~p . " -\~ 0 ~ t r :: ~I< = ~~ _ <::> 1""'" =- g ~I~ :: 0 ~ ~ : .~. : !",".. 0- -. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 *' Il-JB-/~ .\,. . I INFORMATION NOTICE AND TAXPAYER RESPONSE FILE NO. 21 -01- J 0 II ACN 01149833 DATE 10-19-2001 REY-1545 EX AFP (0'-00> EST. OF SYLVIA E BENDER S.S. NO. 197-40-5437 DATE OF DEATH 08-15-2001 COUNTY CUMBERLAND TYPE OF ACCOUNT D SAVINGS lXJ CHECKING D TRUST o CERTIF. COLIN C BENDER 217 S ENOLA DR ENOLA PA~17025 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE~ PA 17013 PNC BANK 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 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 fo~ and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth of Pennsylvania. Questions ..ay be anSWdrllld ~y ci!illing (717) 787-~327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 5140110183 Date 02-01-1970 Established Account Balance Percent Taxable AMount Subject to Tax Rate Potential Tax Due x 7~028.64 50.000 3~514.32 .045 158.14 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". 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 [!] A. [ CHECK ] ONE BLOCK B. ONLY c. [] 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. [] 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. ElY The above information is incorrect and/or debts and deductions were paid by you. You must complete PART ~ and/or PART ~ below. PART ~ TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Date Established 1 2. Account Balance 2 3. Percent Taxable 3 X 4. A.ount Subject to Tax 4 5. Debts and Deductions 5 6. AMount Taxeble 6 7. Tax Rate .045 7 X 8. Tax Due 5% = $1.89 8 $11 '}t) ?qO Hit) 17 11:\ q4 00 q4 f.,7 If you indicate a different ~te~ please state your relationship to decedent: 7P. DEBTS AND DEDUCTIONS CLAIMED PAYEE DESCRIPTION AMOUNT PAID tiOIl TOTAL (Enter on Line 5 of Tax COMputation) $ Under penalties of perjury, I declare that the facts I have reported above are true~ correct and COMplete to the b?Jt of MY knowledge and belief. HOME ( 717) 732-2276 [)./J.i~:.u (1. /~ WORK ( 717) 671-7621 TAXPAYER SIGNATURE TELEPHONE NUMBER / tfJ -;:.g I-(J { DATE #-- Richardson Funeral Home, Inc. Michael G. Murray Supe~or 29 South Enola Drive Enola Pennsylvania 17025 (717) 732 - 0587 To whom this may concern: The total floral expenses for Sylvia Bender's funeral on August 15, 2001, was $200.00. The funeral account has been paid in full. Sincerely . . /1 ~ 4J~~f~ /' Michael G. Murray c:?" Supervisor Richardson FWleral Home, Inc. . \ _.-~ -z: !"'".' '. ~~:~~ ,:' .. . "{]Le. /fi;; ~:;) ~ . .'">1.': ~._'~.: i}l.... 22~:?? ~ ~tia.~r. S1 J soaol~~ar,&II".. ~_~ :t~i!..' . . ,J- OOOOpaS-(lDD:l~' S~6o~5~~I~6;i;=~g6~~g ..(),2~.008Lj661 09- iZ-Of ;-?~3(~'3I~~3 ,of..: 3Iii.Jl'oo.il:';t.FJ\>..-..,",,~ ~. g,.ftio6TY'!t".!t 10 3" ~'fi 5C ~~ ~1l~~~?-<~ . iUi~;f -]; Jj,J tt!'.t. ~' :R- . .~ ~ ,~ ~ ~..~ ~~-~ }.~ ~~ ~t \:\ ~ ~\ - ?j~jf:}~?:::=;~l :~ James R. Gingrich Memorials 568 N. UNION STREET MIDDLETOWN PA 9/13/2001 17057. COLIN BENDER 217 S. ENOLA DR ENOLA PA. 17025K Item Description ITEM SUMMARY Qty. Price Each Inscription work for: BENDER 40.00 Total 40.00 '-- ..J6 DO ~1V f~f ~.. ~,!(p...t>' '-- '-- Total 40.00 Lettering was done on: 9/13/2001 Please call us with any questions at (717) 944-3441 cut along dotted line -- - -- - - - - - -- - - - - -- - - - - - - - -- - -- - - - - --- - ~._- , I.: 'j,." : . . . 1~. ~'" ;", -. .~_. ....'{. . .r'" . " .~ : ..,~' "- .~ . " {\.o:,..i17.41:.2:' ::,.' .' . ~~ ~ ,I.;.. . .~.:.."? it. .: '7" " i'~ ". .' ""1' '.' .'- ~.;~j t.~~,.,,~~,: :. -" ~ .....,:. .' !.' .; '. . 6u-1213JZ't311J8 ",: ' . ......._ .:f~ . .< "-CQiaN.:cl;~~'~' ':". · {7-17}'~.,.22:1& '~,;':.:: . .::-,,':' . - 217 S E5Q~ OfilIVE:-:' ",~ ~E~lfi~n~~:~: ,'. ,.... " ". "'~~14.~"t ." . $,:::--i{[,;'~~':'-'~~ . . -,,'~- DO~ l!J ~_... lOR. [b I.Q.; .. r ,.508031:1 581;811- (l ~ ... J, "J lOO 000.011000,11 II' ~1_ PRC~ESSEfi . ~--5 ~1i~~1-. .fl;61'.E.:~i r1..~!3DO- PI:? I LA . *"**"~~F%lr...C;l;;~-Jrl~ ':;t ,'.',. ,.~ !;-~ ..... .. 4 < . 4, 1. ZZ"Z O?.{;... "a~~'~ &..,.,. tn' ~...~ C t'"" t~ { '''I +'l'~':' .t' S"'t f'" ,.'" ,!:...., ,', -( 4[104 'i ~ .~ ..... U - ~ ~04 ....;.0'. .;... -- " .. .~~~... .q- t - fl _ _ ~ "" / 2 09- ? 1- _"'" ~ !;.. 'elf'! " .... I ..~ n, .,...' - "'-" _. 'f,Y1" .;Lt .'. -;;.' ..,~" ~"".' '.~. .::1 I:.~ I:.. (" t. J f~ "ft . " ,... ., "'. ' ~' '~ "'\ I' ~ ..~ ':I: . .. ~ ',' . .... i~::: - I=, 1f,~~1 (~ "1'::1, (::.~Itlld: ~.'. ... 'f lit ~aRm::l. , "0 ~.:;;'< :~~!&~m~ ~; :~.,~.,., ~y ;~ .... 1ft; C'$ ;= ~ ," ,....: ZO::ciU-t . ~." (U ~2'!lz~ :::. ;'~;:~ 'C S~C~!< .~ :' l2:Eg(.t~ "r- : ~~,,~??l # . ... Lj-'l W ~ .t r~~. ?~f)~}~:~BtS3S --.: '"'-r .~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. Z80601 HARRISBURG1 PA 17128-0601 * 11~IB~13 INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DATE NO. 21 - 0 1- , 0 I \ 01149836 10-19-2001 REY-1545 EX AFP (09-881 EST. OF SYLVIA E BENDER S.S. NO. 197-40-5437 DATE OF DEATH 08-15-2001 COUNTY CUMBERLAND TYPE OF ACCOUNT D SAVINGS D CHECKING D TRUST !Xl CERTIF. COLIN C BENDER 217 S ENOLA DR ENOLA PA 17025 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE1 PA 17013 PNC BANK has provided the Depart.ent with the infor.ation listed below which has been used in calculating the potential tax due. Their records indicate that at the death of the above decedentl you were a joint owner/beneficiary of this account. If you feel this infor.ation is incorrectl please obtain written correction fro. the financial institutionl attach a copy to this for. and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Co..onwealth of Pennsylvania. Questions .ay be answered by calling (717) 787-83Z7. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 31800155839 Date 06-02-1999 Established Account Balance Percent Taxable A.ount Subject to Tax Rate Potential Tax Due x 21253.87 50.000 11126.94 .045 50.71 TAXPAYER RESPONSE To insure proper credit to your accountl two (2) copies of this notice .ust acco.pany your pay.ent to the Register of Wills. Make check payable to: "Register of Willsl Agentw. x NOTE: If tax pay.ents are .ade within three (3) .onths of the decedent's date of deathl you .ay deduct a 5% discount of the tax due. Any inheritance tax due will beco.e delinquent nine (9) .onths after the date of death. Tax PART [!] A. [ CHECK ] ONE BLOCK B. ONLY c. c=J The above infor.ation and tax due is correct. I. You .ay choose to re.it pay.ent to the Register of Wills with two copies of this notice to obtain a discount 'or avoid interest I or yoU .ay check box WA" and return this notice to the Register of Wills and an official asses~ent will be issued by the PA Depart.ent of Revenue. c=J 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. [2g The above infor.ation is incorrect and/or debts and deductions were paid by you. You .ust co.plete PART ~ and/or PART ~ below. x $1176 q4 ?qO 00 R16 Q4 17 67 111 7R DEBTS AND If you indicate a different tax ratel please state your relationship to decedent: ~ PART @] TAX RETURN - COMPUTATION LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. A.ount Subject to Tax s. Debts and Deductions 6. Anount Taxable 7. Tax Rate .045 8. Tax Due 5% = $1.89 OF 1 2 3 4 S 6 7 8 x TAX ON JOINT/TRUST ACCOUNTS PAYEE DESCRIPTION tion PAID TOTAL (Enter on Line S of Tax Co.putationl $ Under penalties of perjury 1 I declare that the facts I have reported above are truel correct and c~plete to the ,"st of .y knowledge and belief. HOME ( 717) 732-2276 , 1~/Lti..L0 WORK ( 717) 671-7621 /tfJ~/-t)j SIGNATURE TELEP ONE NUMBER DATE Richardson Funeral Home, Inc. Michael G. Murray ~uPen.'isor 29 South Enola Drive Enola Pennsylvania 17025 (717) 732 - 0587 To whom this may concern: The total floral expenses for SylviaBender~s funeral on August 15, 2001, was $200.00. The funeral account has been paid in full. Sincerely . /1 ~ ~~5&f~ /' Michael G. Murray ~ Supervisor Richardson Funeral Home, Inc. ....,.:....... ) ~~.ii!~~\ . ORD,ER~F' .;C .;~. .. o ~. .R. 0" .~.". ..... 0 ':'0;; '-E"~. '.. O.~7'-" .,~. .:.~ .'. . .,..0';"..... :J:lrem....._......:..:,.:....~.....; .. ><<.. :.;: Ptiin', ' ."(1K(J.ll2;;~)~ ~-~~f~~j;~~!~' " ' " . -'. . . . .,.,:' : ~.~. i}'.... CC~??~~Bai:A'~S:.~?, '~ 'II~SOBO:\"l5ab&/l"" ~r.JJ1~~ l0000005O'OO:..- PRB- PH I LA.. ******l"lI XED O~008066i 03iO--0004-0 .Q.;2'OOS0661 09-i2-0f p;a~r-..,....;:--r-1""il .: n\._~10 ...,~--........... ~~..;.. J:f$~~I:~~~~ . ;:~3'13?2:=:H7{.. ~~.\'~__-'''- ~'l" ~!t-'.~tl"!i ~~ ~11~fig ,~~ ~~ N~ f'.!- . ~.~ ,. i' -V ..1~" ~~ ~~ ~t \:~ ~"' ~; ?!~}f~~~~?~~l ~ 568 N. UNION STREET MIDDLETOWN PA James R. Gingrich Memorials 9/13/2001 17057 COLIN BENDER 217 S. ENOLA DR ENOLA P A. 17025K Item Description ITEM SUMMARY Qty. Price Each Inscription work for: BENDER 40.00 Total 40.00 I-- ..f& DO ~1V .p,!.- f Jt-4-' ~'Il#"'C 1 I-- I-- Total 40.00 Lettering was done on: 9/13/2001 Please call us with any questions at (717) 944-3441 cut along dotted line -- - -- - - - - - -- - - - - -- -- - - - -- - _. --- - - - - - - - _. A___ ___ __ -I. . f,-'" ," _~.:t~ . ,: \\ ;-' ,::~: '{,. .~:' : ~:"1' "~1. ;.""2' : ':. . ~: ,'c~ .J. .,,~ !_.''- ". - - . :~ ~,., :i ~.;' "o.COiIN.;CtBEN8E,i'.'~' '.-~. (TT1) '~.,.221f!j '~}..:: ',217 S.~qt)\~E:.:, _:',; ,n ENQLA.:;;tt~~;' .' > . :' :'~:1.': ;.;~j r ~~__3~--": ~ 0' ,~ ' . :,. : < '.~:, .- ':...~iEq~/~.t..: '. 6u-1~3-ma "'.i'\. . ".--,~...,... ,..~". ..._,. .$' '1~..~ . ',_ ,. J -~. -- ..., ,....-.. ..-2. .' ~"'i,.~ . . m...~- DO~ o=..~ RJR (O~CL ~ AI.... U) .. .1'.00 boo.o 1.000,1- r .5080 3q SagSII- ~,- ? ~f~0f:}B t636 PRR- p....,,.. i" . . .~.. '-,"' 14- O~D4'- ~..!. '-'~. *'**~"X.&:":Jl~~rl:.l'~ ,.....7 !'-Pt..... ..... .. , i ' ~:::::.. ..t:' c::... C) ~ f ~ n .SA. ~.' t.., .....~ I.... t"" "'. l I", +'( ~.' If". 1"" ,.~ (''"r .'. 1.40041 L /2 09- ~:; ~.;;94 -:'0' f:""l~~~~'C' .... 'j "'J ::~. : .:" i::. ii Co t.) . -, L..L. 7'r.4:, .;L,' . ,,'", -::.,' p. S- "'" f...h,:. .::1 .:.. (; (() I'~ i ' . - ...... - f- ~. ,. f.- "r \"~l ). ~ ".~& ...:1: It. ',' . ....,::;: - I=, ~~: (~ ..~ll:i (~~~I~ c" . ; ..,''W.,c'' ,~~-<"!I~::l . , .tr::~,_.. bC,; o~Ii!~~ : ,.,' ' l't. .' '.;" u., I'll iI: n ~., '7'" .,;: ~j;ii _. ;';;:~ ~ 1~1t~!< !:~gn'41 .~ ".C~ ggi>~'~ ,'" ",,",' $~r- ,) '.. .. .-(....... ,';: t}'''j W ,~ i0 t-~5- P~~:;ESS~ll ' 3.- 5' ~:f2R:~ t:~i~l"E.~ ~Jtia -..: ,'. r .: COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. Z80601 HARRISBURG, PA 171Z8-0601 *' 11~{ ~~I:} ... INFORMATION NOTICE AND TAXPAYER RESPONSE FILE NO. 21 - 01 - ) 0 II ACN 01149837 DATE 10-19-2001 IEV-1545 EX AFP U9-00> EST. OF SYLVIA E BENDER S.S. NO. 197-40-5437 DATE OF DEATH 08-15-2001 COUNTY CUMBERLAND TYPE OF ACCOUNT D SAVINGS D CHECKING D TRUST IX] CERTIF . COLIN C BENDER 217 S ENOLA DR ENOLA PA 17025 REHIT PAYHENT AND FORHS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE1 PA 17013 PNC BAtG( has provided the Depart.ent with the infor.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 infor.ation is incorrect, please obtain written correction from the financial institution, attach a copy to this fo~ and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Co.monwealth of Pennsylvania. Questions .ay be answered by calling (717j 787-8327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 31500156201 Date 06-02-1999 Established Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x 21253.87 50.000 11126.94 .045 50.71 TAXPAYER RESPONSE To insure proper credit to your account, two (Z) copies of this notice .ust acco.pany your payment to the Register of Wills. Make check payable to: "Register of Wills, Agent". x NOTE: If tax payments are .ade within three (3) .onths of the decedent's date of death, you .ay deduct a 57. discount of the tax due. Any inheritance tax due will beco.e delinquent nine (9) .onths after the date of death. Tax PART [!] A. [ CHECK ] ONE BLOCK B. ONLY c. [] The above infor.ation and tax due is correct. 1. You .ay choose to re.it pay.ent to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, or you .ay check box "A" and return this notice to the Register of Wills and an official assess.ent will be issued by the PA Depart.ent of Revenue. [] 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. , ~ The above infor.ation is incorrect and/or debts and deductions were paid by you. You .ust co.plete PART ~ and/or PART ~ below. PART ~ TAX RETURN - COMPUTATION 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 .045 8. Tax Due 5% = $1.89 OF TAX ON JOINT/TRUST ACCOUNTS 1 2 3 X 4 5 6 7 X 8 $1126.94 290.00 836.94 37.67 35.78 DEBTS AND DEDUCTIONS CLAIMED If you indicate a different ta~_ratel please state your relationship to decedent: ~ PAYEE DESCRIPTION S of death on Tombsto e $ TOTAL (Enter on line 5 of Tax Computation) Under penalties of perjury 1 I declare that the complete to the best of my knowledge and belief. (I~ t!-,. ~ TAXP R SIGNATURE facts I have reported above are truel correct and HOME ( 717) 732-2276 WORK ( 717) 671-7621 IO-;3I-c;J TELEPHONE NUMBER DATE ~ Richardson Funeral Home, Inc. Michael G. Murray ~upe~or 29 South Enola Drive Enola Pennsylvania 17025 (717) 732 - 0587 To whom this may concern: The total floral expenses for Sylvia Bender's funeral on August 15, 2001, was $200.00. The funeral account has been paid in full. Sincerely ~'" 4J<?'/ ~{~ ~.-" Michael G. Murray &7 Supervisor Richardson Funeral Home, Inc. .... ,~ "!"'. ~ . ?)'\i~~;f~o)~1j~}tlf~~~~:: _ J: _ .-:;:-. ,: . 'Zi-.$~ ~ /1~ :- . ,#, ~.....~.~~.......__.. ;J,....:..:..~ ':- ~: .::'. .:. -: :;.::.:=-r'~f"_ .....~.....)S iL~ ....._..,;c..;.....:.c;,,;~~...... '. ,~fIoIIi'''''. ::'.',' :~{:~~z~;i:~1~~i~~;""" ::...; .'aL(J;::{2~;:}. , . :e'I".:' :~...~..3..... ..2?~~"S? .1I"SOiHll"lSSr.&1I".. '. ..:' . ~ d~;)'" . 0IWaNCI tlI!Il . ' . . t Oo.ooposno-o:..- 'FRB- PH ILl:;';. ******fvl1 XED .g~gg~8~~i g~~'r\zl~g~~4-0 7":in.....~r-...---=-r-T't rn~~lJIt .................:-..:. ~~;.-- tF!~~1..~~ . }!-~3;.13~2~:3 i/.G:'(." ~~)'Im ~~. 'Q:ta~ '\ "~:--':?"'''-:!:Q- i' ~}"i;v~.~~t;~~.(~.; .~~ ~~ ~~ ("~~ ~'~ ~~-~ ~~ }~ ~.~ ,~ ~ ~\ ~ ':'\. t:" ~\ . ~.ti 0f~~~?~ :~l ~ . '- James R. Gingrich Memorials 568 N. UNION STREET MIDDLETOWN PA 9/13/2001 17057. COLIN BENDER 217 S. ENOLA DR ENOLA PA. 17025K Item Description ITEM SUMMARY Qty. Price Each Inscription work for: BENDER 40.00 Total 40.00 I-- ~6.DO 1~1V .p~* ~.. C\,I1I..-t>1 I-- I-- Total 40.00 Lettering was done on: 9/13/2001 Please call us with any questions at (717) 944-3441 cut along dotted line -- - -- - - - - - -- - - - - -- - - - - - - - -- ~ - - - - - - - ~._- :~" ~"; ;i"~ .'" ,~ :;."?"" . ;~ ".~ ': . - ~. ~ . ~ . .. .-.;:-. .' . ';:.' : .r ,'- ~'.$4;'?>~~ .' '6n-1~3 1n8 :< :~';, ~ " ...:.. . ::':...-- < '.;~.; . . ... ",." . _: _ _. __. . <:.:.,:-..,,~.,~;, :~: .,.-,"'J... '';: .......:' ,.-. ;'" 'cCQIJN;'C~,.BENDEfl."..., . ". .. -~'-'--l'-:~- . :."').- :.:~j ~.,~~.,,;-~.:' < ,- ~ ',.'." . ,. ~ Q " ;:~, '. '.. :' '?AiE,';'I~-t'" . $:'~-~ -i{~;'~.~~'__; m~'~- D~~ 2 =:"""~ lOR (b~..jl r 50aO 3q S8~al'. ~ ". J, I. J ,"aD boo.O 1.000 III .. ~,- PRO(;PSS1=fi . 3-5.- ~11~1~ _fl~Gl"[.~Z-~~ . FRP. - p~" T ~ ^ . . .'~ .~. .. i 4- "::::.0" t:;:1.!. L,H , *'**~~"'T."~~rl~ '~ ,"'r''? I;-~"'" lJ' 4 1. 27'2 iU~ ?.{ 0' _' ~C'l. ~'~ ~~. f.... "....~ (~. t:':;. t. J I::, +'{ ~::I .t' l"'~ 1"" ,,- I.':..... .", i 4n04 . ~ .~ ~ J <.il104 -~ ... .... "..., - , , _ . ~ 1. c::. / 2 09-:. 2.:L ~r.q.,- - u E" () {'t ~.. t::j ,I ?~ ~~; ..:{ ~:; - ~ ...... . I I..:. f". .....,. -. ... ~ '.' .::-; "; 1..* ..' I.. '.' 1..- ... . ',' " ....,~.., - b l! 0::, +1'} ;::;"- I~i'''. ,: ., ~ 'f ~~""'''P!ll::3 . Q .~,....' .,>," {"' :~!Ie :D en 0 w.~<~" '~i;':-~ ......i:ma::un - .": ~:~ :z ~ ::C " =i ," ;:.- '.:~. :5 !1 ~ ii ~ fi .- -:'. "i'; -~ "-C ifirs;;e!< ~' ,'_ i!:=e~~:~ _'"'" l: ~...' 00>""" 'J r~ -...1 ~~~..- ~ .~ .-.... LI"'1 W ,t i", !"~;" 7~f~H}~)8tb3S ~ ~-\" .. .- t " COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. Z80601 HARRISBURG, PA 171Z8-0601 *' 11~ I &--13 INFORMATION NOTICE AND TAXPAYER RESPONSE FILE NO. 21 - D 1-1 D I , ACN 01149838 DATE 10-19-2001 REV-151i5 EX IFP [09-00) EST. OF SYLVIA E BENDER S.S. NO. 197-40-5437 DATE OF DEATH 08-15-2001 COUNTY CUMBERLAND TYPE OF ACCOUNT D SAVINGS o CHECKING D TRUST IXI CERTIF . COLIN C BENDER 217 S ENOLA DR ENOLA PA 1702S, REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLEI PA 17013 PNC BANK has provided the Department with the inforllation 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 fOrll and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Comllonwealth of PennsYlvania. Questions may be answered by calling (117) 787-83Z7. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 31100156789 Date 06-02-1999 Established x 21253.87 50.000 11126.94 .045 50.71 TAXPAYER RESPONSE To insure proper credit to your account, two (Z) copies of this notice must accompany your paYllent to the Register of Wills. Make check payable to: "Register of Wills, Agent". Account Balance Percent Taxable A.ount Subject to Tax Rate Potential Tax Due x NOTE: If tax payments 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 (9) months after the date of death. Tax PART [!] A. [ CHECK ] ONE BLOCK B. ONLY c. [] 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 assessllent will be issued by the PA Department of Revenue. [] 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. ~ The above information is incorrect and/or debts and deductions were paid by you. You must complete PART ~ and/or PART ~ below. $1170 ?qO R10 17 1~ q4 00 q4 07 7R If you indicate a different tax ratel please state your relationship to decedent: .~ PART ~ TAX RETURN - COMPUTATION LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. A.ount Subject to Tax 5. Debts and Deductions 6. A.ount Taxable 7. Tax Rate .045 8. Tax Due 5% = $1.89 TAX ON JOINT/TRUST ACCOUNTS OF 1 2 3 4 5 6 7 8 x x DEBTS AND DEDUCTIONS CLAIMED PAYEE DESCRIPTION AMOUNT PAID tior TOTAL (Enter on Line 5 of Tax Co.putation) $ Under penalties of perjury I I declare that the facts I have reported above are truel correct and co~ete t.o thue b\est~of .y knowledge and belief. HO E ( M 717) 712-2270 WORK ( 717) 671- 7 6 21 /tfJ -.,3/-0 / TAXPAYER SIGNATURE TELEPHONE NUMBER DATE { '\ Richardson Funeral Home, Inc. Michael G. Mmray ~up~isor 29 South Enola Drive Enola Pennsylvania 17025 (717) 732 - 0587 To whom this may concern: The total floral expenses for Sylvia Bender's funeral on August 15, 2001, was $200.00. The funeral account has been paid in full. Sincerely 4J~~f~ // Michael G. Murray {./ Supervisor Richardson Funeral Home, Inc. .~ .;'~ ':~ " $;' ~ P'~ -:. -;. ._ -:,;:1;:..; . . '~. :F ..;,.r'AN&. '~!:Jr~~.Jf~ :.. ....{1L.. (J-~~~/)~ ',\ '1~2}c7~~5oaOlq5E1b&ll".' "'QOOQPQSaQ[h~ ~ffl!l7~ '. ':" b~~~;~5J<~I.' 6~i ;=~g6~~g .-~=~,2_008l)66i OSt- iZ-Of ~i"""i~J!'l'=-r-~~r-T't ~ n~~31@ tj9~~1..ffit~:; ?! 0{j -~?~ :~1 ~ .....J:.~~~..t;.~lW~--:~.7...S--;;..G . ~7~c..~;~ 0;~ -;r~~~ i- 1:"... ~ ilAo.~ "2l"'!\. - --'''- ~,. ~liN'i'!i-~ ~ i ~ il ~~ )2:3:'13;:~;i.3s7-< . W~tl1.l\Brl .~~ , ~ ~ ~. "~~ ~..~ 6~'" S ,. ~" - ~S;: ~~.~ .~ t....:.. 'S: . ,tJ t:\ t:" ~,. '--i " 568 N. UNION STREET MIDDLETOWN PA James R. Gingrich Memorials 9/13/2001 17057. COLIN BENDER 217 S. ENOLA DR ENOLA P A. 17025K Item Description ITEM SUMMARY Qty. Price Each Inscription work for: BENDER 40.00 Total 40.00 - .t&.DO 1~1V fJ.- f CJ1--" <\,( 1I,t> 1 - - Total 40.00 Lettering was done on: 9/13/2001 Please call us with any questions at (717) 944-3441 cut along dotted line -- - --- - - - - - --- - - - - -- - - - - - - - -- - - - - - -- - ~ . \. .t.?.. . . .~- .~:>.: :Y ; ,:~ :':. . .' :. "/~. . ~;-1;"~.L:'1: '2'::' :.1, . c~.' . -,' .... ..'. -' '. . . . . ~. .':, '_" '~.:~-J -::" ,:.<: ~j.. .~. . ;;A~Eq~i~~; .. ':: 6u-1213ftn3 1IJ8 < '-cQilK:cl.-;~.{~ '.-'. (7-17)]'32-2'216 '~::':.:: . <.." .:. . 21'7 S EflQtJ\ oa.IVE:.:' . ~EN.QLA~t~!1:~;' ,. :.:. .:> , .:'---' :.,. .' .... -. ,-. ...,~.. .$ If"'..~ . ,. J "~.""~ ...,.-.......;. .-1.. . ~-:..,{~Q. - . m"'~- D~~ ~_.... PN'. 'BANK' PNc lIaDk. N.A." 040 18 ceuUal PA nAD;~, (l. r 5080311 sag.all. Q Ait ~, .. ) ,11.00000.01.000,11 .. FOR CHNIIJINt! ,. PROCFSSt-'F1 '3-5'-- ~a~*l~ .fl~.ijl"[;Q6a FRi=< - pO' 'I T 1 ^ ,', .- .. - I i ~'t n _ 4' ~ .~:~ . * '* * *%Ji":.i .iirr~~ .~ ,'-', ':=- f.....~ ,', .. .., "-+'-'u ~ .c::.. ,.( L O~ {' 0 _~!'> '-~~' t... ~...' r,.,~ t:':" t.J 1"1 .f.'l ~I,l '{' ,"'t f'~' "J;- s""" ,', 1 4004'1. .-.--..-___ '-' ~ f~04 _ rr - .. ...:.' i,,' t- Ii- - f l _ .... C. / L 09 ~ r;:. .( -f~ <' '-' t ~ . (....., ",">. ~-. t'" I ...~ ~'l ' ..: - a;:;;. '.' - ~ 1'1"1- (-. ..,. -. ~ '" .......:. .:~ ':.. (. J;:,J) ,.-: ... , ',' ... .) ~:'.'. - b (:i ?: 1:,1:1 ':;. ~~'.II:'c.. ~ ~-. ',__ ~j11 ",;;.'~'''' f'''~d~f'5 :b~ _ , >,~ . 1!t .- -~-cftl . rn ~ ~~:_.2; {;';' (;~~~~fR ~ w.,. ''>.... .;.' \,;;) 1IIn~~ '" .:., , ,,,", zo::s::~-t (~J. gJ ::rnl: z 0 . ~-' jj; 1ft tj) Z '" '_ "'<i If""'!:~!.< a: =e g 0'0\ : ~~~~'1 .-"" t..~"\ W ).=:: ?~fj~~H:}8tb3S ~~ .~ i.;J -..: E COMMONWEALTH OF PENNSVLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 '* 11~/g~13 INFORMATION NOTICE AND TAXPAYER RESPONSE FILE NO. 21- () I -I 0 I \ ACN 01149839 DATE 10-19-2001 # , . . REV-1545 EX AFP (D9-DOJ EST. OF SYLVIA E BENDER 5.5. NO. 197-40-5437 DATE OF DEATH 08-15-2001 COUNTY CUMBERLAND TYPE OF ACCOUNT D SAVINGS D CHECKING D TRUST [Xl CERTIF . COLIN C BENDER 217 S ENOLA DR ENOLA PA 17025 REHIT PAYHENT AND FORHS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLEI PA 17013 PNC BANK 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 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 of Pennsylvania. Questions .ay be answered by calling (111) 787-8327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 31000155037 Date 06-02-1999 Established x 21253.87 50.000 11126.94 .045 50.71 TAXPAYER RESPONSE To insure proper credit to your account, two (2) copies of this notice must acco.pany your payment to the Register of Wills. Make check payable to: "Register of Wills, Agent". Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x NOTE: If tax payments are made within three (3) .onths of the decedent's date of death, you may deduct a S7. discount of the tax due. Any inheritance tax due will become delinquent nine (9) months after the date of death. Tax PART [!] A. [ CHECK ] ONE BLOCK B. ONLY c. [] The above infor.ation 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. [] 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. ~ The above infor.ation is incorrect and/or debts and deductions were paid by you. You must complete PART ~ and/or PART ~ below. x $1126,94 290.00 836.94 37.67 35.78 DEBTS AND If you indicate a different tax ratel plaase state your relationship to decedent: ~ PART [!] TAX RETURN - COMPUTATION 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 .045 8. Tax Due 5% = $1.89 TAX ON JOINT/TRUST ACCOUNTS OF 1 2 3 4 5 6 7 8 x PART [!] DEDUCTIONS CLAIMED PAYEE onatio TOTAL (Enter on Line 5 of Tax Computation) Under penalties of perjurYI I declare that the facts I complete to the best of my knowledge and belief. ~{l.~ TAXPAYER SIGNATURE $ have reported above are tru81 correct and HOME ( 717) 732-2276 WORK ( 717) 671-7621 TELEPHONE NUMBER /~-oJ YJ/ DATE Richardson Funeral Home, Inc. Michael G. Murray ~up~or 29 South Enola Drive Enola Pennsylvania 17025 (717) 732 - 0587 To whom this may concern: The total floral expenses for Sylvia Bender's funeral on August 15, 2001, was $200.00. The funeral accooot has been paid in full. Sincerely w /1 ~ 4J~~!~ Michael G. Murray c;:/ Supervisor Richardson Funeral Home, Inc. .~ .- '~~I~t-:" ,<:{'~'f.~3f~,,~~~~!~~t~f:iT~~~;, ~. ,~ r'\:",~~J;'-"';:~l:::;\ - ~:..- :'~:.>>~ ~7-~-..~~~~~--:--~ . ~. ;'..;...c.. ~~.~. '-..+ ']IAN\K... ,,:~-::~2ED~:~1~:i1~",: . :~_.,: :;!:>~~~:#~J_' : ,'& CLIfl~;~). .'C'I,.' :~-..l i}. 2nl?~~ilB,,:~I,S? '11\ SoaOl"lSilb8D" IOOOOpOSl:lOO.!' ~.,~~4'~'f~' . . FR.B- PH I Lf-'l.. ******f'11 XED 02Cl()8066 i 03:f Q--~O{J()4-0 (,).2'0080661 09-iZ-Of pn...............,-..-,;:-=.r-T'o 7n~18 ~~l~ ~~~ ?/00~~?J;~1 :~ ;~~3ti'3?2~:fj it~f{" ~'!l'~"1Tm ~<< .~.. 111... on. _._._.. $io _..__ . ":'t.'!);~ 'I "r'p'~." ;I' ..~ ~...~..!~~.~-C~~~ .r,: ,._ ~-?~'ll;i!ill ,~~ ,~ ~~...~ ~~-~ ~- ~ & ~' ~...", ~t \:\ ~ .~,. 568 N. UNION STREET MIDDLETOWN PA James R. Gingrich Memorials 9/13/2001 17057. COLIN BENDER 217 S. ENOLA DR ENOLA P A. 17025K Item Description ITEM SUMMARY Qty. Price Each Inscription work for: BENDER 40.00 Total 40.00 - ~.DO 1~1V fJ-f ~.. <\,tc,...t>l - - Total 40.00 Lettering was done on: 9/13/2001 Please call us with any questions at (717) 944-3441 cut along dotted line !.',: ~I 4' ~ .r..-;:~ ' : ~ ~'.;:-/ ~ I,.' : '....: . r':~;~,.:~,)j.4:\'i2~ :":::.' ~ " . . I,' . '4', ~~1 .' : .~ \ "..';.' .: '!".~ ;. . 6g..1~3 - 1.;._ . :~ :"1: ., .~.;' '-cOiJN.:Cr:sENlieR':, ~ :' ,~*it2-/'" .-.. ., ~.~.~, '. ...~~~,~~t.." '. $::"--if~;'~'~~-~ . . M ~.~"'. D~~Q:=.... ~'L ~,.{..Q . 040 (bAD.; I' f ~OaD jq saba,,- (l 8".JI" J · ,11.00000.011000,11 roR ~,- F~q~ESS~1l . ~--5 . ~:t2~~t ,fii:~l.'[i~"168 'FRB - PH 1 LA . .i.* ~~~"'(:'"'I'" J ~:' '.., ,..... -=- I.....~ ." f4 4.004. ~ ~ i:2 o~~o"':'n~~'4X~~' t.:., ~...~(..;:;. () 1::1 .h'Ji;;1 't' ('~C" T ,!;--Pof'-', _. 0041 2 7? 09"": '-r i -'~9 - Cf i-'{"t ...... C"I". 'j "Of. ::~. : '.' t_ ~. I:' r.... 4- .-' L._ -:-r.tr.t ""'~' ., s "". ....t:r... .::1 1:.4 (~ (:~:)?:... . . ',' .~. ".f:~:';!'~ -- b (} ~"..~: 4;":'1 '~Q.~.Qf-" . ... 'f;I ,-V-' - ....~Ri~i::t P"_~":~I.t;:J"~ G :;e Em:D en 0 _. . '. .~. ~;/ t~:; 111 Ii: (IS ;:to !(! ~,. .~'. 20. -t ',p ~~. !>>:e!: i ~ . .. '" -04 "<i 1f.=11~!< -~ !:~~g~ =.: IE~~' i t...,;..i W ...... ~. . .1::: !"~~' ?~f}EHJ8tb3b :r; .~ i.5 -.; .~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. Z8D6Dl HARRISBURG, PA 171Z8-D6Dl *' ll~1 ~ -)3 INFORMATION NOTICE AND TAXPAYER RESPONSE FILE NO. 21-01-/0' \ ACN 01149840 DATE 10-19-2001 I REV-lS45 EX iFP n9-00> EST. OF SYLVIA E BENDER S.S. NO. 197-40-5437 DATE OF DEATH 08-15-2001 c~OUNTY CUMBERLAND TYPE OF ACCOUNT D SAVINGS D CHECKING D TRUST IX] CERTIF . COLIN C BENDER 217 S ENOLA DR ENOLA PA 17025 RE"IT PAY"ENT AND FOR"S TO: REGISTER OF WILLS CUMBERLAND CD COURT HOUSE CARLISLE, PA 17013 PNC BANK has provided the Depart.ent 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 joint owner/beneficiary of this account. If you feel this infor.ation is incorrect, please obtain written correction from the financial institution, attach a copy to this for. and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth of Pennsylvania. Ques~ions .ay De answered by calling (717) 787-83Z7. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS ... Account No. 31500156197 Date 06-02-1999 Established x 2,,253.87 50.000 1,126.94 .045 50.71 TAXPAYER RESPONSE To insure proper credit to your account, two (Z) copies of this notice must acco.pany your payment to the Register of Wills. Make check payable to: "Register of Wills, Agent". Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x NOTE: If tax pay.ents are .ade within three (3) months of the decedent.s date of death, you may deduct a SX discount of the tax due. Any inheritance tax due will become delinquent nine (9) months after the date of death. Tax PART [!] A. [ CHECK ] ONE BLOCK B. ONLY c. c=J The above infor.ation and tax due is correct. 1. You may choose to re.it pay.ent 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. c=J 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. ~ The above infor.ation is incorrect and/or debts and deductions were paid by you. You must complete PART ~ and/or PART ~ below. PART ~ TAX RETURN - COMPUTATION OF lAX ON JOINT/TRUST ACCOUNTS lINE 1. Date Established 1 2. Account Balance 2 3. Percent Taxable 3 X 4. A.ount Subject to Tax 4 5. Debts and Deductions 5 6. A.ount Taxable 6 7. Tax Rate .045 7 X 8. Tax Due 5% = $1.89 8 $1126.94 290.00 836.94 37.67 35.78 If you indicate a different~ate, please state your relationship to decedent: PART I!] DATE PAID DEBTS AND DEDUCTIONS CLAIMED PAYEE AMOUNT PAID - onatioi TOTAL (Enter on line 5 of Tax Computation) Under penalties of perjury, I declare that the facts I complete to the bes)jof my knowledge and belief. ~ C!.. /~~41~tJ TAXPAYER SIGNATURE $ have reported above are true" correct and HOME ( 717) 732-2276 WORK ( /1/) 671-7621 TELEPHONE NUMBER 1{)-..3/(!) I DATE .. Richardson Funeral Home, Inc. Michael G. MWTay Supervisor 29 South Enola Drive Enola Pennsylvania 17025 (717) 732 - 0587 To whom this may concern: The total floral expenses for Sylvia Bender's funeral on August 15, 2001, was $200.00. The funeral account has been paid in full. Sincerely 4/~~{~ // Michael G. Murray C/ Supervisor Richardson Funeral Home, Inc. '" . ..,-'.., ~jl~ll-, . .'"," ~,,~ . .,.$~. " ;.:.~ ~..;.....;~'::.~.;q,... .~ <.7t;~:~ , :/;0" '.."' '.1,'./" .-: .: '~, .~ "B~NK' :'::'.'.~;;:~~. .~~-:it~i~~t~1f;::F~'~',:, .;.", \{"P~ '''I'. .~ '. .... ~,~..,~ ." . :i'~~~~S~Q3e~. ~QO~o~:~~a~ ClHAIlUIHl) .l9IIl _ . FRB- PH I LA '." ******f"lI XED ,g~gg~8~Ei g~~y;~g'i4-0 PH~10 ......J."..~ .~~.:.._ 1:f!~1:~~~ . ;~~3tl'3?~~:e i~~<" "~lf:t..~""'ro~-'- ~' ~"!r,!:",,'s'!i!t ~ i1 ~~ ~rt~js7<~ . .~~ .' ~ ~~"~ ~~.. ~ ,. ~ ~- ~~ ~:~ .~t \\ t ~. 2/0fJ~?~:~1 :~ ~T 568 N. UNION STREET MIDDLETOWN PA James R. Gingrich Memorials 9/13/2001 17057 COLIN BENDER 217 S. ENOLA DR ENOLA P A. 17025K Item Description ITEM SUMMARY Qty. Price Each Inscription work for: BENDER 40.00 Total 40.00 i-- ..lb.DO ,~1V .pJ..- * ~.. q,(1I ~t) 1 ~ ~ Total 40.00 Lettering was done on: 9/13/2001 Please call us with any questions at (717) 944-3441 cut along dotted line :.:-. it:.-: . . ~'. .' ..~. -... .'- ,~>:,>_,_':..;; ;'g(k):l:- : ;~. .. -. ' :;.-'i4~i?: :':< .~ >. l" 1.. -"c, /;. _ ._ .....-.(... . S" , " .:~: .~:~". . ~. .'~ '~-' ........ .:!,. '.- , i .. ..; ,:' _'"!~;' .' , 60-1~3 - - .' .< --cQilK;cl.>eEN1iiER/,'~-:--" '-a*,~-"'~"'.".:':". .......~~~(~t . _ $:U-~_if~;'~"~."~ ' . --- IiiI .;a..iNdY till"'''' D~ W =::-....... ... ' . . PN-. -BANK PNc ~ N.A. ,,' 040 · ceatnll'A (O~ ~'I,~HJ .. "'00 ooo.ot.ooo,~ IUR. ~,- PRC!!~ESSEfi . ~.- 5 ~ra1€~{l-. .fi;Gl"'E.;~fj . FRB - .......... T 1 ^. ,'~ .~ .. i - _ . 1;-' tj .t _.H . **~.~~":l"r.~_L:" '7 ,"', -:-f !-. '" 004 ~ "" /2 03 i 0 _ Qj;). ,...~' <.. v r:~ ;:.' () ,::\ ,I"l~::' 't' ('i C'" T I!"~ f'-" i -4004 i "" /? 09 ~ ; ;.;04 - u .-./",~', ~-, f' 'j ..~ :-:;' · '.. '- ~ <:. v 4- . _. .:::.:.._ 7f,y,;t C -:,. .'t"J;..tr' ... ' I"'~' "'I":' It. {,. -. .. . -. - ~ , ,., n, I..t. ..' I.. ',. I.. "" . ',' .... .)~:.>;, _ b () ?: .1;l'::t .~~, It~-8i"~' ;:' " .-,,'" r...~~-cap~:::t .' _ ~S-~~ a~~;~ . 'U ~iiii~ -- ,,; -~ "<i I~~~!< .~ ,.'_ !.C~~g:~ " ---". g::D ~ ~ . l :i~" '-~ j;~: ,? ~ .-(..... " U"j W i..:; t ;-.0;;" ? ~~1~:}f:}8tb3S -..; COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG1 PA 17128-0601 '*' Il~\g~iJ INFORMATION NOTICE AND TAXPAYER RESPONSE FI LE NO. 21 - 0 I - \ 0 1 \ ACN 01149841 DATE 10-19-2001 . ~ REY-1545 EX iFP (09-00) EST. OF SYLVIA E BENDER S.S. NO. 197-40-5437 DATE OF DEATH 08-15-2001 COUNTY CUMBERLAND TYPE OF ACCOUNT D SAVINGS o CHECKING D TRUST [Xl CERTIF . COLIN C BENDER 217 S ENOLA DR ENOLA PA 17025 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE1 PA 17013 PNC BANK has provided the Depart.ent Nith the information listed beloN Nhich has been used in calculating the potential tax due. Their records indicate that at the death of the above decedent I you were a joint owner/beneficiary of this account. If you feel this infor.ation is incorrectl please obtain written correction fro. the financial institution I 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 CommonNealth of P.nn~ylv8nia. QuB~tions .ay ba answered by calling (717) 787-8327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 31000155035 Date 06-02-1999 Established Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x 21253.87 50.000 1,126.94 .045 50.71 TAXPAYER RESPONSE To insure proper credit to your accountl two (2) copies of this notice must accompany your pay.ent to the Register of Wills. Make check payablB to: "RegistBr of Willsl AgBnt". x NOTE: If tax payments are made within three (3) months of the decedent's date of deathl you may deduct a 51. discount of the tax due. Any inheritance tax due will beco.e delinquent nine (9) .onths after the date of death. Tax PART [!] A. [ CHECK ] ONE BLOCK B. ONLY c. [] The above information and tax due is correct. 1. You .ay choose to remit payment to the Register of Wills with two copies of this notice to obtain a discount or avoid interestl 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. [] The above asset has been or Nill be reported and tax paid with the Pennsylvania Inheritance Tax return to be filed by the decedent's representative. ~ The above information is incorrect and/or debts and deductions were paid by you. You must co.plete PART ~ and/or PART ~ below. $11?f. ?QO Snf. 17 1t; Ql1 00 ql1 f.7 7P. If you indicate a different ~.t rate, please state your relationship to decedent: PART ~ TAX RETURN - COMPUTATION OF TAX LINE 1. Date Established 1 2. Account Balance 2 3. Percent Taxable 3 X 4, A.ount Subject to Tax 4 s. Debts and Deductions S 6. Amount Taxable 6 7. Tax Rate .045 7 X 8. Tax Due 5% = $1.89 8 ON JOINT/TRUST ACCOUNTS DEBTS AND DEDUCTIONS CLAIMED PAYEE DESCRIPTION AMOUNT PAID 2 tiot TOTAL (Enter on Line S of Tax Computation) $ perjury, I declare that the facts I have reported above are true, correct and my knowledge and belief. HOME ( 717) 732-2276 WORK ( 717) 671-7621 TELEPHONE NUMBER /CJ-..3/~ J DATE ----:j~- <-- '. Richardson Funeral Home, Inc. Michael G. Murray ~up~or 29 South Enola Drive Enola Pennsylvania 17025 (717) 732 - 0587 To whom this may concern: The total floral expenses for Sylvia Bender's funeral on August 15, 2001, was $200.00. The funeral account has been paid in full. Sincerely 4JJJ!~{~ Michael G. Murray {// Supervisor Richardson Funeral Home, Inc. ;z,,'.... ." , }".- ". -1- " .:,!~ ,r,? ~.t;~~~t;~,.';~<~t;il: :;~Y~~;Y'\~~,,;-S,~t :'~~' ~~.~ :.; - .,. '" ." _. *""" . ,. 'J!' ,'M"" .~5ji45n-, " ;:" ': '~;:~~~~~i1~}~!=~::' . . .& (J.t?J;; (I~~) ~. '0'1,.' :l...~. v.:1. 2 c~??~~~B~ S.?..J) S0801<iSBE,&lI"' ~~~ 4(d~' . . t QOOOOOS-(]DD:,~' r:ii""a~r-a=-~r-T"t r~~~~l@ ~~l~ "~~ .....,j:~..t"""~-=i."i;. .r"'Dt'~-:-';'?d-S"-"''; . ~'r-:L:..:!j;~ ~~: ,Y:Z:":-M..1' if: 1:ia. ~mVPO.IHi ~~. )241:~.t~~?( ~.i"-"If t".t:'~qrtr 't;l'_.. __...: It!...... ~f ,~ ~ \.~~ ("'_. t" -- 'N ~ s,. ~ - ~~ ~ ~~ ~t \::\ t ~, FRB- PH ILA.;.******MIXED 020080661 03iO--Q004-0 0.2008066 i 0'S - i 2. - O:f . ?i~:}f~:~~j~~l ~ 568 N. UNION STREET MIDDLETOWN PA James R. Gingrich Memorials 9/13/2001 17057. COLIN BENDER 217 S. ENOLA DR ENOLA PA. 17025K Item Description ITEM SUMMARY Qty. Price Each Inscription work for: BENDER 40.00 Total 40.00 - ~b DO ~1V fJ.- * ~ -If' ~,( II"'C' - - Total 40.00 Lettering was done on: 9/13/2001 Please call us with any questions at (717) 944-3441 cut along dotted line '.. . . ~~..... -,~ ..'" . .. . -....- .~..~ .. "." ':-.;' ~-cQtJK:CJ.,-~~'-"::-~, (7.17).~~~tT ~~:~::-~:~.' ..-::.....: '"":'.' . ,; . -~~!fi~\ {: :', ..:,- .... ;~'- .' ~../ 'i:~ >:. -;--?~. ; ".~ ~.-~ :~.:::; .~:~ . .:~~ '.. 'j. . 'i)J:4"j..i:',:::,' '. . eu-'12731313 m8 :-'"1 ~.~"; . .;;" : .~~~q~'i~-t,':" .> .. r~. ..:., . ,:- ~.l. ;~.,~~ '. $'~'--Jl";'~~~~_i DOLt.MS m~ IUR Premium 040 ~l Plan n~1,-8...J' ~ J .. ,lIDO 000.0 1..000 I~ ~1_ ? ~~j~j-f:}8tb3b , FRB- OH T l A .' . "r~"~'''' Jt ... , i 4- DO; ~_..!. ~>,~ . '* .****\i . T .'V.:.l ? ....,? f?"'" t..... ...... .. , l 4. ~ .c:. .... c::. (] ~ -# r _ M!> "It.'!A.' .~~. t.,. ~..,~ ',.,. t:;' ...) r"j .I"f ~,:r {. s"'~ C' 1" f:'-' ,', f 4n04 >{ ~2 .....'-' - --..' -....Ju04 - rt ~.- ..... .. ....., ..h ~ r:.. fl ~ ~ L / u9-2,i ~Q..r, '-, ~'(J()}."l::' ,I .::, ':~l ,'. -:r - ',' r. I t(,. ~, '. ;, ~ ',~:- ,,:1 I... I..,~.. .) (., .... . ',' .... "'t.~~!;: -- b f...J (::....+1':j '~~ ~ .H"'"C.o~l'-" _ _~, ~~ ~""";;' . .,. I......... ' f5~ b :::J;, . ~.':: ...~~'" '? :':::';:a-<I'II mqJ . .. .' Q .'~' ","" /". l::afDO t,;.} ',,-:" ~,,; <.J Iftn::2 en ___ ",. '.': ., Z!::E: ~ =t .. . (j) YI:rn:ZO . ~:"::'J j;mti)Z :". ,." -...;e -..0 Ii",Sj;2!< a:~~a:~ : I~~~l t....f'i W ; .~~.;:; ~......t r~ ..i~ ~ :a~~~~~ -.......: -"i' .t COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. Z80601 HARRISBURG, PA 171Z8-0601 *' \ 1~. fl g ~.l3 INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DATE NO. 21 - Ol- , 0) \ 01149842 10-19-2001 I- ,,'"\ RE'I-1645 Ell "FP (09-01) EST. OF SYLVIA E BENDER S.S. NO. 197-40-5437 DATE OF DEATH 08-15-2001 COUNTY CUMBERLAND TYPE OF ACCOUNT o SAVINGS o CHECKING o TRUST IX] CERTIF . COLIN C BENDER 217 S ENOLA DR ENOLA PA 17425 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLEI PA 17013 PNC BANK has provided the Depart.ent with the infor.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 inforllation is incorrect, please obtain written correction froll the financial institution, attach a COpy to this forll and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the COllllonwealth of Pennsylvania. Questions .ay be answered by calling (717) 7b7-83Z7. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 31100156787 Date 06-02-1999 Established x 21253.87 50.000 11126.94 .045 50.71 TAXPAYER RESPONSE To insure proper credit to your account, two (Z) copies of this notice .ust acco.pany your pay.ent to the Register of Wills. Make check payable to: "Register of Wills, Agent". Account Balance Percent Taxable A.ount Subject to Tax Rate Potential Tax Due x NOTE: If tax pay.ents are lIade within three (3) .onths of the decedent's date of death, you .ay deduct a S1. discount of the tax due. Any inheritance tax due will beco.e delinquent nine (9) lIonths after the date of death. Tax PART [!] A. [ CHECK ] ONE BLOCK B. ONLY c. o The above inforllation and tax due is correct. 1. You may choose to rellit payment to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, Dr you may check box "A" and return this notice to the Register of Wills and an official assessment will be issued by the PA Depart.ant of Revenue. D The above asset has been Dr will be reported and tax paid with the Pennsylvania Inheritance Tax return to be filed by the decedent.s representative. ~ The above inforllation is incorrect and/or debts and deductions were paid by you. You .ust co.plete PART ~ and/or PART ~ below. ?Of\ Oft. f\f\ If you indicate a different ~ ratel please state your relationship to decedent: ~ PART ~ TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS lINE 1. Date Established 1 2. Account Balance 2 3. Percent Taxable 3 X ". bount Subject to Tax " S. Debts and Deductions S 6. A.ount Taxable 6 7. Tax Rate .045 7 X 8. Tax Due 5% = $1.89 8 $ll?h ~ ~ {" 9 ~I 37 {,,7 ~~ 7~ PART ~ DATE PAID DEBTS AND DEDUCTIONS CLAIMED PAYEE DESCRIPTION AMOUNT PAID TOTAL (Enter on line S of Tax Co.putationl ati. $ Under penalties of perjurYI I declare that the ~;~:: to tho best of ~ knowledge and belief. ( A~.~ (2, ~ TAXPAYER SIGNATURE facts I have reported above are tru81 correct and HOME ( 717) 712-227fi WORK ( 71 7 ) 671- 7621 TELEPHONE NUMBER I{)-~/-{) I DATE Richardson Funeral Home, Inc. Michael G. Murray Supe~or 29 South Enola Drive Enola Pennsylvania 17025 (717) 732 - 0587 To whom this may concern: The total floral expenses for Sylvia Bender's funeral on August 15, 2001, was $200.00. The funeral account has been paid in full. Sincerely 4J~~/~ /' ' Michael G. Murray ~ Supervisor Richardson Funeral Home, Inc. ./~-,~ "--., .:..... '.'.~ . 1 ,~::' .~ . '{1L (].f?J,: it;~)- ';",. : ~'J.:.. "i}~....., CCLi'?~ ~tili.l:~l,'i? . 1~ soaOl"iS8E.&II"" ~MSI ~~4( ,,~' ' .' " , .j- aooOpOS-ODD:)~' 'i""iJi'2'-~r-.-:::=-~1""t rn~t31~~, .....~.-....-~ ~~.:.._- tf!!~~1,-~~~ . "w.f:.:~--~.."i;.~Gf~-:-l.;::-,n;-s-ew'''; . /~~:::1: ,;.z:-=~ !~ :.~.~ ~'!r'!r!'''' lm ~~ ~}t~7-( . '~f2 ,~ ~ ......'>..~ ('~~ ~-.. ~~-~ ~~ ~~ ~t \:\. t ~" . g~ggi8~~1' g~~ ?~~g?:iE:g 2/ ~~:fj~~?~ ~~ 1 ~ -. 568 N. UNION STREET MIDDLETOWN PA James R. Gingrich Memorials 9/13/2001 17057. COLIN BENDER 217 S. ENOLA DR ENOLA P A. 17025K Item Description ITEM SUMMARY Qty. Price Each Inscription work for: BENDER 40.00 Total 40.00 - ~b.DO ,~1V -P6.- * ~.. G.,tll..-t> 1 - - Total 40.00 Lettering was done on: 9/13/2001 Please call us with any questions at (717) 944-3441 cut along dotted line ~ ..... 1.. ~'" ;.~, ~'" ~ ..(.... . .~ -:. .,~:~. ..-:.~~: .~::,.. .. '.' )'. ~ : , .:,'::- . :'~'.$4;'1? ': . . "eo..1~3 - '~ t~~:f:~)' "':: ~_;.:j ~"-~~d~_;~'--' :-......".:' .~' "CQilN;CJ.:';sENIiER(~' '.-". {7-17} '732.,.2Z1.6' >,~:" /~,.~ ,'.' , . 2.17 S $qLA Of.UVE: ~ ~EN.Qt.A~~ft~:g:: ,,:;~ ~:- ~~q~~t; .. .. ., $~~---if~;'~~~._~; . . ~ .. "._ lll&tUru DO~ w~.... PN'. 'BANK. , ~ . PreJDimn PNC~ N.A. '040 p~- teotnl PA J.jIU I R)R. ("b ~ .. r ~oao 3 q 581;8118 (l ~p;~, J .. .~.oO 000.0 !.000 ,II ~1!1!1l PRCi\:::;ESS~fi . _ 3- - S' . m~~l~ .ft{i.ijl"E.;~~ , FRB - p'" "T l ^' .... ,..., .. i --PO' i:?.l. ~n . ***~~". T .'\~ - I ~:~.~ ,'.', '"';f f:-~ ..'., ...4 4. ,-,' 4. 1. Z7'Z 0 ~ {r. ' Me'> ~.~ fM):.. f.... .....~ Co t'" ~: f 1:;1 +'1'';';1 .t' J"'t 1".. '1~ I""~ .'. , n04 i{ '-Y-2 ,...'~.... U - <-U:..a04 "";-Cf ..:.. .- .... .. .~~:....f t- to::;'f. I _ . _ .... Co / ug~ 2,i 7"f.<:l.:t E() f';l=' ~1 .1 ? ~'('I"; - "- ,," ,I I... .(.~ 7' ~, .-.. " ',' .::; ..; I::' ,.' 1..:..< 1:,< I . ",' , ..... ~~.~_~ -- b. "'..1 . (~ +,1"1: <::~ QIa~ i"' ;::"l ,."." '.~;)a~ii!ll ::3.. .. c~ ~9~ 0;;: ci:!_. ~~~g .. . '.U _-;:- '... :;;) ""t, Il!:&~!< ,__ !:o=e~n:~ ....... 0 )llI W' ., '..,~ ~E~--} t.r': W :.,. .:.. ).::: r~) ? ~~3~j-t}8t63b ~ ..,j ~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. Z80601 HARRISBURG1 PA 171Z8-0601 '* 11~ fg-'J3 ,- INFORMATION NOTICE AND TAXPAYER RESPONSE FILE NO. ACN DATE 21-0 \ -I D II 01149843 10-19-2001 REV-1545 EX AFP C09-OD) COLIN C BENDER 217 S ENOLA DR ENOLA PA 17025 TVPE OF ACCOUNT EST. OF SVL VIA E BENDER D SAVINGS S. S. NO. 197-40-5437 D CHECKING DATE OF DEATH 08-15-2001 D TRUST COUNTY CUMBERLAND IX] CERTIF. REHIT PAYHENT AND FORHS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE1 PA 17013 PNC BANK has provided the Depart.ent with the infor.ation listed below which has been used in calculating the potential tax due. Their records indicate that at the death of the above decedentl you were a joint owner/beneficiary of this account. If you feel this infor.ation is incorrectl please obtain written correction fro. the financial institutionl attach a copy to this for. and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Co..onwealth of Pennsylvania. Questions .ay be answered by calling (717) 787-6327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 31800155829 Date 06-02-1999 Established. x 21253.87 50.000 11126.94 .045 50.71 TAXPAYER RESPONSE To insure proper credit to your account I two (Z) copies of this notice .ust acco.pany your pay.ent to the Register of Wills. Make check payable to: "Register of Willsl Agent". Account Balance Percent Taxable A.ount Subject to Tax Rate Potential Tax Due x NOTE: If tax pay.ents are .ade within three (3) .onths of the decedent.s date of deathl you .ay deduct a 57. discount of the tax due. Any inheritance tax due will beco.e delinquent nine (9) .onths after the date of death. Tax PART [!] A. [ CHECK ] ONE BLOCK B. ONLY c. c=J The above infor.ation and tax due is correct. 1. You .ay choose to re.it pay.ent to the Register of Wills with two copies of this notice to obtain a discount or avoid interestl or you .ay check box "A" and return this notice to the Register of Wills and an official asses~ent will be issued by the PA Department of Revenue. c=J 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. ~ The above infor.ation is incorrect and/or debts and deductions were paid by you. You .ust co.plete PART ~ and/or PART ~ below. PART [!] TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS lINE 1. Date Established I 2. Account Balance 2 3. Percent Taxable 3 X 4. A.ount Subject to Tax 4 S. Debts and Deductions 5 6. A.ount Taxable 6 7. Tax Rate .045 7 X 8. Tax Due5%=$1.89 8 $19126.94 290.00 836.94 37.67 35.78 If you indicate a different ta~atel please state your relationship to decedent: ~ PART [!] DATE PAID PAYEE DESCRIPTION ~I~~i~~t I !;~~;~;~~~r~::~:~~~~;n~J~~::~~:;~!;:~:~:::.tR OR t9m8.t8R~ TOTAL (Enter on line 5 of Tax Co.putation) $ ?q(l (l(l Under penalties of perjury 1 I declare that the facts I have reported above are truel correct and complete to the best of BY knowledge and belief. ~ t2. Ao" '" f) 0 TAXPAYER SIGNATURE DEBTS AND DEDUCTIONS CLAIMED AMOUNT PAID $?~U~ HOME (717) 732-2276 WORK (717) 671-7621 TELEPHONE NUMBER /0 -..3/-(!) J DATE "',""-V1T"','. ",", ..~'.-7';Fi"I."f'. -.-'C:'-i' ....~.- "-"f:~"~ r' '7'~'" "~:'i'j';~"J'-' "r.',..-T Richardson Funeral Home, Inc. Michael G. Murray ~uperyisor 29 South Enola Drive Enola Pennsylvania 17025 (717) 732 - 0587 To whom this may concern: The total floral expenses for Sylvia Bender's funeral on August 15, 2001, was $200.00. The funeral account has been paid in full. Sincerely 4J~~/~ Michael G. Mwray t:/'. Supervisor Richardson Funeral Home, Inc. . '-,-- ~-. ,,;.:,. .. :p:.... .,~.~. ..$~,'" ~'.:~:f!t?:~~~ .,~ ~"~.'-;;!.i;' ":~iJ!~':ir'~;t;', ~~-: :-.,. . .. .' .... .. "~'.. . .. ';~ ....-:A... .<:N..:..K....' . ... . '.. ~ .= ". " ~ : -.'. i. . -~~' -; . ';. . :... ."-' .:' . :'~lf;ru-" ,...~>.:.:~ .PlaUi: roi;,..~~,J A;., ~ J f -.J .-' "I,~' l);..l~}'.", 2 2}1 ~ ~ tl a,1:AoIoS? ' ~S DiHJl q 5Hi. &lI" ' ~~~~ ..': . "(ke. .'/d.' .~~ /-fEt: ';t~~) .. ..1- QOOQOOS-aDD:J~' :;~~~'i:3?~3H7{" )ll<AJl.~-"'~~ ~,. ~~'ir't""'i'!O 't !Ii'!! !i ~~ ~11~7Z ' ~'.:~ . K ~ ,~ ~~~ ".!-' ~.;.l, '''- <;> .)~,. ~~ ~~ ~t ~\ t ~,. FRB- PH I LB.. ***~:-**MI XED g~gg~3~~i g~~yl2.~g'i4-0 . ?it}fj~~?~:~l ~ ~- ~~ 568 N. UNION STREET MIDDLETOWN PA James R. Gingrich Memorials 9/13/2001 17057 COLIN BENDER 217 S. ENOLA DR ENOLA PA. 17025K Item Description ITEM SUMMARY Qty. Price Each Inscription work for: BENDER 40.00 Total 40.00 - .f6.DO 1~1V .p~ I CJt-" <\,!II",b 1 - - Total 40.00 Lettering was done on: 9/13/2001 Please call us with any questions at (717) 944-3441 cut along dotted line .' ~ ~_ . -.: ~~ -'-t.~: .' . ~-'. ~ : ',. ,} ],~~ ~~ < .~. ~.....-.:' .~~~. . , ""'~_1~3 U" :,:~<,' ',::", ':"'1' >:'4;'7:' ;2": ~~~~ :' ~ ". '<'1. ~.. '. _~'> _ . ..:; . :. . f,' ~." ;' .... :' :.--~- . , ' . . ~ ; . " -.,--' .' "~'" ,~: <,' ..'; . ,},.':"';, '~.,'"", .;. .'c',":"., .. .,CQtdN,.c",'SENIlEB',' . :~11f*F~" C,"; '~, '. . ..",., . :~ :.;'1 1.... . ,"." '0 'Q .,,' '. ~~E" ;'I~'t" " $:'.--i{{,;'~.'~.._-, ~ ;>~... D~f!l~,.... PN'" 'BANK '. rNc Baok. N.A.' 040 ~ PreJDi1lDl ceattal PA PIan ~f ). :\ ). 2 '( ~al: *l. 7 2 roR, ro a.Q; .. Ct r 50ao ~q sal;Bll. ~~I.JHJ .. ....00000.0 1.000 I~ ~ ,. ~~~~~~ lI3o~o- Pi? 1 LA . *'**\'.;)f:'tfi~;~ii~~ .;=.t ,.....? r~ .~.' ~ 4 '.4 ~ 2'"72 o~ of n':" nr.o'~~~' '.... ~...~ (" .=.. ~.} 1::\ +'I'~::1 '{' I"'~ f'" T 1','" .". l 4>104' ~~ _ ~ - ~ ~ 4 - 0' _ ",c:, ,',,' ,- ~ - I ' . _ L L / L u9-?i -.'V !-'C!f'!<'l~ I -, ", ,'. -; - "" 'J' _. 'r.~l .;L, .1.... -:;.,' ., ~ .~'.' I.~. .=:1 I:., (. .:: t.) (. "II . . ...' J ,,' E" .... "'l r. ,...,:1: I '.' . '.... ~~~.: - l~ r...1 (~ 'Fll~t ~.. ~~Ia ~ ('" , !_" - 1~~~P!ll~ Q ,~, ,;-.: .,-", ,,", :;e s= :D fI) 0 4~',~'" ~;;' ~:r; 'U 111 1ft (IS :2 fIJ "" '~".l ,: .",;: z~::c" =i .. (U ~:D!:zo ,,; :~ ~ ji~;~~ i!:=e~(')01 :: l~~;rl U"l w ;'J~ .1';; ~. 7.:..~ t~~. ?~~)~j~:}8tb3b .~ ~ i..5 --.: .~ " t ll-f~-13 FILE NO. 21- 0 1-( 0 ( \ ACN 01149844 DATE 10-19-2001 COMMONWEALTH OF PENNSVlVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. Z8D6Dl HARRISBURG, PA l7lZ8-D6Dl '* INFORMATION NOTICE AND TAXPAYER RESPONSE RE'I-lS~5 EX "FP (09-00) EST. OF SYLVIA E BENDER S.S. NO. 197-40-5437 DATE OF DEATH 08-15-2001 COUNTY CUMBERLAND TYPE OF ACCOUNT o SAVINGS o CHECKING o TRUST IX] CERTIF . COLIN C BENDER 217 S ENOLA DR ENOLA PA 11n25 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 PNC BANK has provided the Depart.ent with the Infor.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 infor_ation is incorrect, please obtain written correction fro. the financial institution, attach a COpy to this for_ and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Co..onwealth of Pennsylvania. Questions .ay be answered by calling (717) 787-a3Z7. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 31800155828 Date 06-02-1999 Established x 2,253.87 50.000 1,126.94 .045 50.71 TAXPAYER RESPONSE To insure proper credit to your account, two (Z) copies of this notice .ust acco_pany your pay.ent to the Register of Wills. Make check payable to: "Register of WillS, Agent". Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x NOTE: If tax pay_ents are _ade within three (3) .onths of the decedent"s date of death, you _ay deduct a 51: discount of the tax due. Any inheritance tax due will beco_e delinquent nine (9) .onths after the date of death. Tax PART [!] A. [ CHECK ] ONE BLOCK B. ONLY c. [] The above infor_ation and tax due is correct. 1. You _ay choose to re.it pay_ent to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, or you _ay 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. [] 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. ~ The above infor.ation is incorrect and/or debts and deductions were paid by you. You .ust co_plete PART ~ and/or PART ~ below. $ 290.00 836.94 37.67 35.78 DEBTS AND If you indicate a different ~e, please state your relationship to decedent: PART ~ TAX RETURN ~ COMPUTATION OF LINE 1. Date Established 1 2. Account Balance 2 3. Percent Taxable 3 4. Amount Subject to Tax 4 S. Debts and Deductions S 6. Amount Taxable 6 7. Tax Rat. 045 7 8" Tax Due 5 % $1. 89 8 TAX ON JOINT/TRUST ACCOUNTS x ~1,126.~4 x DEDUCTIONS CLAIMED PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL (Enter on Line S of Tax Computation) Under penalties of perjury, I declare that the facts I ~t. to the boS~~ BY knowledge end beli.~. ( I'M 'A~ J f? Kk. J~ d f) A J TAXPAYER SIGNATURE $ have reported above are true, correct and ~~;~ ~;g ~ ~~ ~~;~ TELEPHONE NUMB R /D- ..3/-01 DATE . ... Richardson Funeral Home, Inc. Michael G. Murray ~upervisor 29 South Enola Drive Enola Pennsylvania 17025 (717) 732 - 0587 To whom this may concern: The total floral expenses for Sylvia Bender's funeral on August 15, 2001, was $200.00. The funeral account has been paid in full. Sincerely . /1 ~ ///~~{~ Michael G. Murray {// Supervisor Richardson FWleral Home, Inc. . --~ ,'~ ',- .~~ . . .,,.,,... ~.c"'j.... . i~':~~]::~C~~'~~ ": . . . "{1L (f~;:,~~) ~ ';'1:..: :~'~..l}:\..',.., ,'. 22~.??~ ~Bfii~~S:.'? '~. SO-BC1.lq:SB'b&u.,' ~_ ~ -"< d.,.J.. .' .I~ 000000 'S'(]'OD:.~' ni""'i~r-a-==--r-T't "" r;~~l,A ~~~I-_~ ':-. 2j~=f=>~?~~1 ~ :~~~!~~~~ !'~~.~ ~Tr'~J.l"i ~~, &~1:l~frl( .~~ ,~ ~ ..~ ("~~ ~,~ ~~-~ ~~ ~~ ~t ~\ ~ ~,. FRB- PH 1 Li4 .;., ******MI XED 02C"lOe066 i {)3 i C~'-.OO(J4-0 .'Q.2008U56 i 09- iZ-Of ---~-~ "-~-~ '-'.~ ,- . 'I. 568 N. UNION STREET MIDDLETOWN PA James R. Gingrich Memorials 9/13/2001 17057 COLIN BENDER 217 S. ENOLA DR ENOLA P A. 17025K Item Description ITEM SUMMARY Qty. Price Each Inscription work for: BENDER 40.00 Total 40.00 >--- .t& DO ~1V fJ.--f ~.. ~,(1I...t>1 I-- I-- Total 40.00 Lettering was done on: 9/13/2001 Please call us with any questions at (717) 944-3441 cut along dotted line .. . '. . ~ . . . '. '&lEq~,~~t .' . $:~'-~"ir~;'~'.~~j . . r.a ~.~ DO~W~~ " . ': H6u_1~3 - - . .~:'-,: ..-.j.-":.L!'1' ;2' ~", E"~~':<':. ~'.'~-~~.~:: .~. ?-. ;-.;' '"cQUN.:cYBEMIiER/'~' ':"' (7'11) 732.,.2216' '?-;~:: .:-:.....,'... ::.' . 217 S. ~ot' oilU.'t.E::'.::. 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Z8D6Dl HARRISBURG I PA 171Z8-D6Dl COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE *' NOTICE OF INHERITANCE TAX APPRAISEKENT~ ALLOHANCE OR DISALLONANCE OF DEDUCTION~I AND ASSESSKENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REY-1S48 EX AFP (01-02> .02 MAR-8 ; ,- DATE ESTATE OF DATE OF DEATH FILE NUMBER P 1 :1 ,OUNTY SSN/DC ACN 03-11-2002 BENDER 08-15-2001 21 01-1011 CUMBERLAND 197-40-5437 01149840 Allount Rellitted SYLVIA E Rec: Bc', COLIN C BENDER 217 S ENOLA DR ENOLA PA 170~;E.:rk Clunbc MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE1 PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ RE-y=is4-i-E)f-AFii-foi-:021------------------------------------------------------------------------------------ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 03-11-2002 ESTATE OF BENDER SYLVIA E DATE OF DEATH 08-15-2001 COUNTY CUMBERLAND FILE NO. 21 01-1011 TAX RETURN WAS: S.S/D.C. NO. 197-40-5437 (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION ACN 01149840 FINANCIAL INSTITUTION: PNC BANK ACCOUNT NO. 31500156197 TYPE OF ACCOUNT: () SAVINGS ( ) CHECKING ( ) TRUST (~ TIME CERTIFICATE DATE ESTABLISHED 06-02-1999 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due 21253.87 0.500 11126.94 290.00 836.94 .45 37.67 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT1 SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS1 AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 11-01-2001 CDOO0469 1.88 35.78 TOTAL TAX CREDIT 37.66 BALANCE OF TAX DUE .01 INTEREST AND PEN. .00 TOTAL DUE .01 . IF PAID AFTER THIS DATEI SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. . ( IF TOTAL DUE IS LESS THAN $11 NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A ..CREDIT" ( CRJ 1 YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. ) '\- ~ ~~ INDIVlDUA~ TAXES INHERIIANCE TAX DIVISION DEPT. 280601 HARRISBURG I PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE * NOTICE OF INHERITANCE TAX APPRAISEKENTL ALLOHANCE OR DISALLOHANCE OF DEDUCTION~I AND ASSESSKENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REY-1548 EX AFP CUl-02) COLIN C BENDER 217 S ENOLA DR ENOLA .02 11f\R -8 P 1 DATE ESTATE OF DATE OF DEATH FILE NUMBER ....,epUNTY .L$SN/DC ACN 03-11-2002 BENDER 08-15-2001 21 01-1011 CUMBERLAND 197-40-5437 01149836 Allount Rellitted SYLVIA E Recc.., Rei PA 1702~~ls.rh ClHrltj~~ MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE1 PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ Rifv:is~i-ix--AFit-(O-1-:02)------------------------------------------------------------------------------------ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 03-11-2002 ESTATE OF BENDER SYLVIA E DATE OF DEATH 08-15-2001 COUNTY CUMBERLAND FILE NO. 21 01-1011 TAX RETURN WAS: S.S/D.C. NO. 197-40-5437 ACN 01149836 () ACCEPTED AS FILED (X) CHANGED SEE ATTACHED NOTICE JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PNC BANK ACCOUNT NO. 31800155839 TYPE OF ACCOUNT: () SAVINGS ( ) CHECKING ( ) TRUST (~ TIME CERTIFICATE DATE ESTABLISHED 06-02-1999 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due 21253.87 0.500 11126.94 .00 11126.94 .45 50.80 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT1 SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS1 AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 1 11-01-2001 CDOO0468 1.88 35.78 PAYMENT MUST BE MADE BY 05-16-2002~. TOTAL TAX CREDIT 37.66 BALANCE OF TAX DUE 13.14 INTEREST AND PEN. .00 TOTAL DUE 13.14 . IF PAID AFTER THIS DATEI SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. . ( IF TOTAL DUE IS LESS THAN $11 NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRJ1 YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. J J, REV-14~8) .. ~'--'-_________~_~T""-"'~~"- -... --,"""",,!~--YV--~':"":"::7'-<- '*' INHERITANCE TAX EXPLANATION OF CHANGES COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG PA 17128-0601 DECEDENTS NAME FilE NUMBER SYLVIA E BENDER REVIEWED BY ACN 2101-1011 011498436 VERA F. COLEMAN ITEM SCHEDULE NO. EXPLANATION OF CHANGES ON JANUARY 29, 2002 YOU WERE SENT CORRESPONDANCE TO PROVIDE RECIEPTS FOR THE TOTAL AMOUNT SPENT ON CASKET SPRAY, FUNERAL, ENGRAVING ETC. NONE WAS PROVIDED SO AMOUNT OF DEDUCTIONS ALLOWABLE WAS $800. ROW Page 1 /,,/~/~-/~g BUREAU ~F INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 171Z8-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE * NOTICE OF INHERITANCE TAX APPRAISEKENTL ALLORANCE OR DISALLORANCE OF DEDUCTION~I AND ASSESSKENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REV-1S48 EX iFP (01-02) nf DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ~1AR -8 P 1 :20 SSN/DC ACN 03-11-2002 BENDER 08-15-2001 21 01-1011 CUMBERLAND 197-40-5437 01149844 Allount Rellitted SYLVIA E ReCCf(-( COLIN C BENDER 217 S ENOLA DR ENOLA .02 PA 17'~~!r CumL;c MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE1 PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iifv=is4-i-iX--AFFt-fO-l-:ozl------------------------------------------------------------------------------------ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 03-11-2002 ESTATE OF BENDER SYLVIA E DATE OF DEATH 08-15-2001 COUNTY CUMBERLAND FILE NO. 21 01-1011 TAX RETURN WAS: S.S/D.C. NO. 197-40-5437 ACN 01149844 () ACCEPTED AS FILED (X) CHANGED SEE ATTACHED NOTICE JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PNC BANK ACCOUNT NO. 31800155828 TYPE OF ACCOUNT: () SAVINGS ( ) CHECKING ( ) TRUST (~ TIME CERTIFICATE DATE ESTABLISHED 06-02-1999 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due 21253.87 0.500 11126.94 .00 11126.94 .45 50.71 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT1 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 WILLS1 AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 11-01-2001 CDOO0469 1.88 35.78 PAYMENT MUST BE MADE BY 05-16-2002~. TOTAL TAX CREDIT 37.66 BALANCE OF TAX DUE 13.05 INTEREST AND PEN. .00 TOTAL DUE 13.05 . IF PAID AFTER THIS DATEI SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. . ( IF TOTAL DUE IS LESS THAN $11 NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A ..CREDIT.. ( CR) 1 YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) ~.{'''t -;. ,--~+^ ...- , REV-1.t7Q ~(~) '* INHERITANCE TAX EXPLANA liON OF CHANGES COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG PA 17128-0601 DECEDENTS NAME SYLVIA E BENDER FilE NUMBER REVIEWED BY VERA F. COLEMAN ACN 2101-1011 01149844 ITEM SCHEDULE NO. EXPLANATION OF CHANGES ON JANUARY 29, 2002 YOU WERE SENT CORRESPONDANCE TO PROVIDE RECIEPTS FOR THE TOTAL AMOUNT SPENT ON CASKET SPRAY, FUNERAL, ENGRAVING ETC. NONE WAS PROVIDED SO AMOUNT OF DEDUCTIONS ALLOWABLE WAS $800. ROW Page 1 I'J- / y- /Jj . BUREAUt OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 171Z8-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE *' NOTICE OF INHERITANCE TAX APPRAISEKENT~ ALLOHANCE OR DISALLOHANCE OF DEDUCTION~, AND ASSESSKENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP (01-02) COLIN C BENDER 217 S ENOLA DR ENOLA .02 MAR -8 P 1 :20 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSNI'DC ACN 03-11-2002 BENDER 08-15-2001 21 01-1011 CUMBERLAND 197-40-5437 01149838 A.aunt Re..itted SYLVIA E PA U~~5 CUlnbc MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iiEli=is4-i-i)f-AFP--roi-:ozl------------------------------------------------------------------------------------ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 03-11-2002 ESTATE OF BENDER SYLVIA E DATE OF DEATH 08-15-2001 COUNTY CUMBERLAND FILE NO. 21 01-1011 TAX RETURN WAS: S.S/D.C. NO. 197-40-5437 ACN 01149838 () ACCEPTED AS FILED (X) CHANGED SEE ATTACHED NOTICE JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PNC BANK ACCOUNT NO. 31100156789 TYPE OF ACCOUNT: () SAVINGS ( ) CHECKING ( ) TRUST (~ TIME CERTIFICATE DATE ESTABLISHED 06-02-1999 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due 2,253.87 0.500 1,126.94 .00 1,126.94 .45 50.71 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 11-01-2001 CDOO0468 1.88 35.78 PAYMENT MUST BE MADE BY 05-16-2002~. TOTAL TAX CREDIT 37.66 BALANCE OF TAX DUE 13.05 INTEREST AND PEN. .00 TOTAL DUE 13.05 . IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. . ( IF TOTAL DUE IS LESS THAN $1, NO PAY"ENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT-- ( CR), YOU "A Y BE DUE A REFUND. SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS. ) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG PA 17128-0601 DECEDENrS NAME ~~ ... REV-1470 EX (6-88) '* REVIEWED BY ITEM SCHEDULE NO. INHERITANCE TAX EXPLANATION OF CHANGES FILE NUMBER SYLVIA E BENDER 2101-1011 011498438 ACN VERA F. COLEMAN EXPLANATION OF CHANGES ON JANUARY 29, 2002 YOU WERE SENT CORRESPONDANCE TO PROVIDE RECIEPTS FOR THE TOTAL AMOUNT SPENT ON CASKET SPRAY, FUNERAL, ENGRAVING ETC. NONE WAS PROVIDED SO AMOUNT OF DEDUCTIONS ALLOWABLE WAS $800. ORIGINAL Page 1 '~ //}- /Y /y BYREAU OF INDIVIDUAL TAXES ~HE~ITANtE TAX DIVISION DEPT. 280601 HARRISBURG I PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE * NOTICE OF INHERITANCE TAX APPRAISEKENTL ALLOHANCE OR DISALLOHANCE OF DEDUCTION~I AND ASSESSKENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REV-1548 EX lFP (01-02) Recc q.:; t I. ).... uf DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 03-11-2002 BENDER 08-15-2001 21 01-1011 CUMBERLAND 197-40-5437 01149839 Allount Rellitted SYLVIA E .02 MAH -8 p, :21 COLIN C BENDER 217 S ENOLA DR ENOLA PA U;1..025 CtHnb>-.' MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE1 PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ RE-v:i5~8-i)f-AFP--(O-1-=02i------------------------------------------------------------------------------------ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 03-11-2002 ESTATE OF BENDER SYLVIA E DATE OF DEATH 08-15-2001 COUNTY CUMBERLAND FILE NO. 21 01-1011 TAX RETURN WAS: S.S/D.C. NO. 197-40-5437 ACN 01149839 () ACCEPTED AS FILED (X) CHANGED SEE ATTACHED NOTICE JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PNC BANK ACCOUNT NO. 31000155037 TYPE OF ACCOUNT: () SAVINGS ( ) CHECKING ( ) TRUST (~ TIME CERTIFICATE DATE ESTABLISHED 06-02-1999 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due 21253.87 0.500 11126.94 220.00 906.94 .45 40.82 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT1 SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS1 AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 11-01-2001 CDOOO468 1.88 35.78 PAYMENT MUST BE MADE BY 05-16-2002~. TOTAL TAX CREDIT 37.66 BALANCE OF TAX DUE 3.16 INTEREST AND PEN. .00 TOTAL DUE 3.16 . IF PAID AFTER THIS DATEI SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. · ( IF TOTAL DUE IS LESS THAN $11 NO PAY"ENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A ..CREDIT.. ( CR) 1 YOU "AY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS. ) --- ----~......,.,_!.',IJ!_;v,:.r"<["-....., ,~._-.<;,~.......r1;i REV-14'nEX(6-88) ... , '* INHERITANCE TAX EXPLANATION OF CHANGES COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG PA 17128-0601 DECEDENT'S NAME FILE NUMBER SYLVIA E BENDER REVIEWED BY ACN 2101-1011 011498439 VERA F. COLEMAN ITEM SCHEDULE NO. EXPLANATION OF CHANGES ON JANUARY 29, 2002 YOU WERE SENT CORRESPONDANCE TO PROVIDE RECIEPTS FOR THE TOTAL AMOUNT SPENT ON CASKET SPRAY, FUNERAL, ENGRAVING ETC. NONE WAS PROVIDED SO AMOUNT OF DEDUCTIONS ALLOWABLE WAS $800. ROW Page 1 - - \, l'l-- / S-<. /-q 'SUMEAU.OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 171Z8-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE '* NOTICE OF INHERITANCE TAX APPRAISEKENT~ ALLOMANCE OR DISALLOMANCE OF DEDUCTION~, AND ASSESSKENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP (01-02) DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY P 1 :22sSN/DC ACN 03-11-2002 BENDER 08-15-2001 21 01-1011 CUMBERLAND 197-40-5437 01149842 Allount Rellitted SYLVIA E Rec;):">,; COLIN C BENDER 217 S ENOLA DR ENOLA .02 MAR -8 PA 170~,;-" ~..I"'r'c..-II" Cl antiC: MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ RE-V:i5~8-E)f-AFP--(O-1-:02i------------------------------------------------------------------------------------ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 03-11-2002 ESTATE OF BENDER SYLVIA E DATE OF DEATH 08-15-2001 COUNTY CUMBERLAND FILE NO. 21 01-1011 TAX RETURN WAS: S.S/D.C. NO. 197-40-5437 ACN 01149842 () ACCEPTED AS FILED (X) CHANGED SEE ATTACHED NOTICE JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PNC BANK ACCOUNT NO. 31100156787 TYPE OF ACCOUNT: () SAVINGS ( ) CHECKING ( ) TRUST (~ TIME CERTIFICATE DATE ESTABLISHED 06-02-1999 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due 2,253.87 0.500 1,126.94 .00 1,126.94 .45 50.71 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER ,INTEREST/PEN PAID (-) 11-01-2001 CDOO0469 1.88 35.78 PAYMENT MUST BE MADE BY 05-16-2002*. TOTAL TAX CREDIT 37.66 BALANCE OF TAX DUE 13.05 INTEREST AND PEN. .00 TOTAL DUE 13.05 . IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. · ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A ..CREDIT" ( CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) REV-1<470 EX (~) ~ '* INHERITANCE TAX EXPLANA liON OF CHANGES COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG PA 17128-0601 DECEDENrS NAME FILE NUMBER SYLVIA E BENDER REVIEWED BY ACN 2101-1011 01149842 VERA F. COLEMAN ITEM SCHEDULE NO. EXPLANATION OF CHANGES ON JANUARY 29, 2002 YOU WERE SENT CORRESPONDANCE TO PROVIDE RECIEPTS FOR THE TOTAL AMOUNT SPENT ON CASKET SPRAY, FUNERAL, ENGRAVING ETC. NONE WAS PROVIDED SO AMOUNT OF DEDUCTIONS ALLOWABLE WAS $800. ROW Page 1 /~- IP- /3 BUREAU OF INDIVIDUAL TAXES IN~ERITANCE TAX DIVISION D~t. 2801.1.l HARRISBURG, PA 11128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE * NOTICE OF INHERITANCE TAX APPRAISEKENT~ ALLOWANCE OR DISALLOWANCE OF DEDUCTION~J AND ASSESSKENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REY-1541 EX iFP 101-02) .02 ,VATE ,:ESTATE OF -'DA TE OF DEA TH FILE NUMBER COUNTY P 1 Sfii/DC ACN 03-11-2002 BENDER 08-15-2001 21 01-1011 CUMBERLAND 197-40-5437 01149843 Allount Rellitted SYLVIA E Recur R'c: COLIN C BENDER 217 S ENOLA DR ENOLA M/\H -8 PA 17025 C;c'n' ClllntJc; MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iE-v:i5~i-ix--AFii-(O-i:02i------------------------------------------------------------------------------------ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 03-11-2002 ESTATE OF BENDER SYLVIA E DATE OF DEATH 08-15-2001 COUNTY CUMBERLAND FILE NO. 21 01-1011 TAX RETURN WAS: S.S/D.C. NO. 197-40-5437 ACN 01149843 () ACCEPTED AS FILED (X) CHANGED SEE ATTACHED NOTICE JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PNC BANK ACCOUNT NO. 31800155829 TYPE OF ACCOUNT: () SAVINGS ( ) CHECKING ( ) TRUST (~ TIME CERTIFICATE DATE ESTABLISHED 06-02-1999 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due 2,253.87 0.500 1,126.94 .00 1,126.94 .45 50.71 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 11-01-2001 CDOO0469 1.88 35.78 PAYMENT MUST BE MADE BY 05-16-2002*. TOTAL TAX CREDIT 37.66 BALANCE OF TAX DUE 13.05 INTEREST AND PEN. .00 TOTAL DUE 13.05 . IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. . ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT-- ( CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) REV-1470 EX (~ ",'-, ~. '* INHERITANCE TAX EXPLANATION OF CHANGES COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG PA 17128-0601 DECEDENrS NAME FILE NUMBER SYLVIA E BENDER REVIEWED BY VERA F. COLEMAN ACN 2101-1011 01149843 ITEM SCHEDULE NO. EXPLANA liON OF CHANGES ON JANUARY 29, 2002 YOU WERE SENT CORRESPONDANCE TO PROVIDE RECIEPTS FOR THE TOTAL AMOUNT SPENT ON CASKET SPRAY, FUNERAL, ENGRAVING ETC. NONE WAS PROVIDED SO AMOUNT OF DEDUCTIONS ALLOWABLE WAS $800. ROW Page 1 ~J- IP-p ,\.~REAU>>OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE * NOTICE OF INHERITANCE TAX APPRAISEKENT~ ALLOMANCE OR DISALLOMANCE OF DEDUCTION~, AND ASSESSKENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REY-1548 EX AFP Ul-02) COLIN C BENDER 217 S ENOLA DR ENOLA "02 DATE ESTATE OF DATE OF DEATH FILE NUMBER P 1 ."i 0 COUNTY 1 ./. SSN/DC ACN 03-11-2002 BENDER 08-15-2001 21 01-1011 CUMBERLAND 197-40-5437 01149833 Allount Rellitted SYLVIA E MAR -8 PA 17QZ:!:n- Cwnbi_, ' MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iifi=is4-i-i)f-AFi>>-roi-:021------------------------------------------------------------------------------------ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 03-11-2002 ESTATE OF BENDER SYLVIA E DATE OF DEATH 08-15-2001 COUNTY CUMBERLAND FILE NO. 21 01-1011 TAX RETURN WAS: S.S/D.C. NO. 197-40-5437 ACN 01149833 () ACCEPTED AS FILED (X) CHANGED SEE ATTACHED NOTICE JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PNC BANK ACCOUNT NO. 5140110183 TYPE OF ACCOUNT: () SAVINGS ()() CHECKING ( ) TRUST ( ) TIME CERTIFICATE DATE ESTABLISHED 02-01-1970 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due 7,028.64 0.500 3,514.32 .00 3,514.32 .45 158.14 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 11-01-2001 CDOO0468 1.88 35.78 PAYMENT MUST BE MADE BY 05-16-2002*. TOTAL TAX CREDIT 37.66 BALANCE OF TAX DUE 120.48 INTEREST AND PEN. .00 TOTAL DUE 120.48 . IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. . ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A ..CREDIT.. ( CRl, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. l .. . REV-1470 EX (~) '* INHERITANCE TAX EXPLANATION OF CHANGES COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG PA 17128-0601 DECEDENTS NAME FILE NUMBER SYLVIA E BENDER REVIEWED BY ACN 2101-1011 011498433 VERA F. COLEMAN ITEM SCHEDULE NO. EXPLANATION OF CHANGES ON JANUARY 29, 2002 YOU WERE SENT CORRESPONDANCE TO PROVIDE RECIEPTS FOR THE TOTAL AMOUNT SPENT ON CASKET SPRAY, FUNERAL, ENGRAVING ETC. NONE WAS PROVIDED SO AMOUNT OF DEDUCTIONS ALLOWABLE WAS $800. ROW Page 1 /-?-~?-X3 BURE'~OF INDIVIDUAL TAXES \ c ~ INHEIUTlNCE TAX DIVISION V DEPT. Z8D6Dl HARRISBURG. PA 171Z8-D6Dl COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE * NOTICE OF INHERITANCE TAX APPRAISEKENT~ ALLOHANCE OR DISALLOHANCE OF DEDUCTION~I AND ASSESSKENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REV-15'l1 EX AFP lDl-02) .02 MAR-8 DATE ESTATE OF DATE OF DEATH FILE NUMBER P 1 '20 COUNTY . . SSN/DC ACN 03-11-2002 BENDER 08-15-2001 21 01-1011 CUMBERLAND 197-40-5437 01149837 Allount Rellitted SYLVIA E Recc,[. RE;.: COLIN C BENDER 217 S ENOLA DR ENOLA PA 17m;;'" Ctnnb(;l MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iifi=is4-i-ix--AFii-fo-l-:OZ1------------------------------------------------------------------------------------ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 03-11-2002 ESTATE OF BENDER SYLVIA E DATE OF DEATH 08-15-2001 COUNTY CUMBERLAND FILE NO. 21 01-1011 TAX RETURN WAS: S.S/D.C. NO. 197-40-5437 ACN 01149837 () ACCEPTED AS FILED (X) CHANGED SEE ATTACHED NOTICE JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PNC BANK ACCOUNT NO. 31500156201 TYPE OF ACCOUNT: () SAVINGS ( ) CHECKING ( ) TRUST (~ TIME CERTIFICATE DATE ESTABLISHED 06-02-1999 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due 2,253.87 0.500 1,126.94 .00 1,126.94 .45 50.71 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 11-01-2001 CDOO0468 1.88 35.78 PAYMENT MUST BE MADE BY 05-16-2002~. TOTAL TAX CREDIT 37.66 BALANCE OF TAX DUE 13.05 INTEREST AND PEN. .00 TOTAL DUE 13.05 . IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. . ( IF TOTAL DUE IS LESS THAN $1, NO PAY"ENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A ..CREDIT.. ( CRl, YOU "AY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS. l REV-~10 ex ~).. '* INHERITANCE TAX EXPLANA liON OF CHANGES COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG PA 17128-0601 DECEDENTS NAME FILE NUMBER SYLVIA E BENDER REVIEWED BY ACN 2101-1011 011498437 VERA F. COLEMAN ITEM SCHEDULE NO. EXPLANATION OF CHANGES ON JANUARY 29, 2002 YOU WERE SENT CORRESPONDANCE TO PROVIDE RECIEPTS FOR THE TOTAL AMOUNT SPENT ON CASKET SPRAY, FUNERAL, ENGRAVING ETC. NONE WAS PROVIDED SO AMOUNT OF DEDUCTIONS ALLOWABLE WAS $800. ROW Page 1 _ '?-IR- /~ ~I BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE '* NOTICE OF INHERITANCE TAX APPRAISEKENTz ALLOMANCE OR DISALLOMANCE OF DEDUCTION~, AND ASSESSKENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REY-1548 EX AFP (01-02) Q4TE ESTATE OF IJATE OF DEATH FILE NUMBER COUNTY P JJSWDC ACN 03-11-2002 BENDER 08-15-2001 21 01-1011 CUMBERLAND 197-40-5437 01149841 Allount Rellitted SYLVIA E R(}Gur, " COLIN C BENDER 217 S ENOLA DR ENOLA PA 17025 "02 MAR-8 C;f.Jr-, Gwnbc; ;;.';; MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iifv=is4-i-i)f-AFit-foi-:021------------------------------------------------------------------------------------ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 03-11-2002 ESTATE OF BENDER SYLVIA E DATE OF DEATH 08-15-2001 COUNTY CUMBERLAND FILE NO. 21 01-1011 TAX RETURN WAS: S.S/D.C. NO. 197-40-5437 (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION ACN 01149841 FINANCIAL INSTITUTION: PNC BANK ACCOUNT NO. 31000155035 TYPE OF ACCOUNT: () SAVINGS ( ) CHECKING ( ) TRUST (~ TIME CERTIFICATE DATE ESTABLISHED 06-02-1999 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due 2,253.87 0.500 1,126.94 290.00 836.94 .45 37.67 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 11-01-2001 CDOO0469 1.88 35.78 TOTAL TAX CREDIT 37.66 BALANCE OF TAX DUE .01 INTEREST AND PEN. .00 TOTAL DUE .01 . IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. . IF TOTAL DUE IS LESS THAN $1, NO PAY"ENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRl, YOU "AY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS. l 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 BENDER COLIN C 217 S ENOLA DR ENOLA, PA 17025 -------- fold ESTATE INFORMATION: SSN: 197-40-5437 FILE NUMBER: 2101-1011 DECEDENT NAME: BENDER SYLVIA E DATE OF PAYMENT: 07/31/2002 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 08/15/2001 NO. CD 001463 ACN ASSESSMENT CONTROL NUMBER AMOUNT 01149833 I $122.00 I I I I I I I I TOTAL AMOUNT PAID: $122.00 REMARKS: CHECK# 1045 SEAL INITIALS: AC RECEIVED BY: REGISTER OF WILLS MARY C. LEWIS REGISTER OF WILLS :Y', H OF PENNSYLVANIA ,NT OF REVENUE .ITANCE TAX NT OF ACCOUNT *' \ REV-1607 EX AFP UI-02) ~ ! ~ ~ ~ ~\~. J'~ .~ ~ .2 - ~ ~ ~ ~~ ~ DATE ESTATE OF DATE OF DEATH FILE NUMBER \ E, :! 7 COUNTY ACN 09-03-2002 BENDER 08-15-2001 21 01-1011 CUMBERLAND 01149833 SYLVIA E Allount Rellitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 I subllit the upper portion of this forll with your tax paYllent. CUT ALONG THIS LINE ~.. IER PORTION FOR YOUR RECORDS ...... . ----------------------------------------------- .-------------------------------------------------------------- REV-1607 EX AFP (01-02) ... INHERITANCE TAX STATEMENT OF ACCOUNT ... ESTATE OF BENDER SYLVIA E FILE NO.21 01-1011 ACN 01149833 DATE 09-03-2002 THIS STATEHENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED ESTATE. SHOWN BELOW IS A SUHHARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYHENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 03-11-2002 P R I NC I PAL TAX DU E : ........................._............................................................................................................................................................................................... 158.14 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 11-01-2001 CDOO0468 1.88 35.78 07-31-2002 CDOO1463 1.52- 122.00 TOTAL TAX CREDIT 158.14 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 . IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS. ) BUREAU OF INDIVIDUAL TAXES INHERITANCE T~,_,~J,~.s~~\ ('\[r!r:' PO BOX 28060I:~i ,i i-: 'i",; .. jj r""" HARRISBURG PA':!J.r~8:~u'fi.Dl " .: ~'-!', ~_>-J ;..~~I \ ~ -1 - - '-_.~ 2001 JUN 29 PH I: 23 CLERK OF ~~~\\~W&,7~,~ E~~ ..' PA 17025 NOTE: To insure proper credit to you CUT ALONG THIS LINE -. RET ---------------------------- REV-1607 EX AFP (03-05) *** H ESTATE OF BENDER SYLVIA THIS STATEMENT IS PROVIDED TO ADVISE OF THE IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPL A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD Al PRINCIPAL TAX DUE: PAYMENTS (TAX CREDITS): COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT *' REV-1607 EX AFP (03-05) DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 06-18-2007 BENDER 08-15-2001 21 01-1011 CUMBERLAND 01149836 SYLVIA E Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: ,S URT HOUSE 013 lrm with your tax payment. 4- *** ~36 DATE 06-18-2007 ) ESTATE. SHOWN BELOW AND, IF APPLICABLE, 50.80 PAYMENT RECEIPT DI~ ,. . ,,-to) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 11-01-2001 CDOO0468 1.88 35.78 EREST IS CHARGED THROUGH 07-03-2007 TOTAL TAX CREDIT 37.66 THE RATES APPLICABLE AS OUTLINED ON THE ERSE SIDE OF THIS FORM.* I BALANCE OF TAX DUE 13.14 INTEREST AND PEN. 3.79 * IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE 16.93 INT AT REV SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN *1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) c-v BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE ("'iFF\i"CliJ:lHERITANCE TAX ,,::.s,t'ATEHENT OF ACCOUNT .' - r,i "~'it : '.. ~....: *' REV-1607 EX AFP (03-05) 2001 JUN 29 PH ,: 23 CLERK OF ORPHAN:? Q9,~RT COL IN C BENDER CUIV~pr-':l rL ',_') OA 217 S ENOLA DR ENOLA PA 17025 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 06-18-2007 BENDER 08-15-2001 21 01-1011 CUMBERLAND 01149843 SYLVIA E Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS +- --------------------------------------------------------------------------- REV-1607 EX AFP (03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF BENDER SYLVIA E F I L E NO. 21 01 - 1011 ACN 01149843 DATE 06-18-2007 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 03-04-2002 PRINCIPAL TAX DUE: 50.71 PAYMENTS (TAX CREDITS): INT AT REV PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 11-01-2001 CDOO0469 1.88 35.78 EREST IS CHARGED THROUGH 07-03-2007 TOTAL TAX CREDIT 37.66 THE RATES APPLICABLE AS OUTLINED ON THE ERSE SIDE OF THIS FORM.* BALANCE OF TAX DUE 13.05 INTEREST AND PEN. 3.76 if IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE 16.81 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN *1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) c; BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX ;~~C()F;DtD~f~~~~ENT OF ACCOUNT *' REV-1607 EX AFP (03-05) 2001 JUN 29 PM I: 23 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 06-18-2007 BENDER 08-15-2001 21 01-1011 CUMBERLAND 01149838 SYLVIA E COLIN C BENDER 217 S ENOLA DR ENOLA CLERK OF ORPHAN'S COURT CUMFr~)1 "\\[1 CO PA. PA 17025 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ --------------------------------------------------------------------------- REV-1607 EX AFP (03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF BENDER SYLVIA E FILE NO. 21 01-1011 ACN 01149838 DATE 06-18-2007 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 03-04-2002 PRINCIPAL TAX DUE: 50.71 PAYMENTS (TAX CREDITS): INT AT REV PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 11-01-2001 CDOO0468 1.88 35.78 EREST IS CHARGED THROUGH 07-03-2007 TOTAL TAX CREDIT 37.66 THE RATES APPLICABLE AS OUTLINED ON THE ERSE SIDE OF THIS FORM.* BALANCE OF TAX DUE 13.05 INTEREST AND PEN. 3.76 It IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE 16.81 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRJ, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. J BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128- 0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX ~~JE~ENT OF ACCOUNT *' REV-1607 EX AFP (03-05) 2U01 JUN 29 PM I: 23 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 06-18-2007 BENDER 08-15-2001 21 01-1011 CUMBERLAND 01149844 SYLVIA E CLERK OF ~~~I~ ENOL~ :~NDER c&~fr1r~f?~RTpA ENOLA PA 17025 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE ..... RETAIN LOWER PORTION FOR YOUR RECORDS +- --------------------------------------------------------------------------- REV-1607 EX AFP (03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT *~~ ESTATE OF BENDER SYLVIA E F I L E NO. 21 01-1011 ACN 01149844 DATE 06-18-2007 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 03-04-2002 PRINCIPAL TAX DUE: 50.71 PAYMENTS (TAX CREDITS): INT AT REV PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 11-01-2001 CDOO0469 1.88 35.78 EREST IS CHARGED THROUGH 07-03-2007 TOTAL TAX CREDIT 37.66 THE RATES APPLICABLE AS OUTLINED ON THE ERSE SIDE OF THIS FORM.* BALANCE OF TAX DUE 13.05 INTEREST AND PEN. 3.76 IE IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE 16.81 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE C::: ;'I~\Qry: n nr:;-yt"NiftE R I TAN C E TAX 1_'.}.J ,_),_u~Sf~t~MENT OF ACCOUNT -'j.....;:~ ':t,.)! '.. '.._ ~~ REV-1607 EX AFP (03-05) COLIN C BENDER 217 S ENOLA DR ENOLA CLERK, OF ORPHAN'S COURT C1 r lr-:::-~I'n (''''I PA ........1\!, L '_. ' .' ...-'". i DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 06-18-2007 BENDER 08-15-2001 21 01-1011 CUMBERLAND 01149837 SYLVIA E 2001 JUH 29 PH I: 23 Amount Remitted PA 17025 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS +- ------------------------------------------------------------_.'._----------- REV-1607 EX AFP (03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF BENDER SYLVIA E FILE NO. 21 01-1011 ACN 01149837 DATE 06-18-2007 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 03-04-2002 PRINCIPAL TAX DUE: 50.71 PAYMENTS (TAX CREDITS): INT AT REV PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 11-01-2001 CDOO0468 1.88 35.78 EREST IS CHARGED THROUGH 07-03-2007 TOTAL TAX CREDIT 37.66 THE RATES APPLICABLE AS OUTLINED ON THE ERSE SIDE OF THIS FORM.* BALANCE OF TAX DUE 13.05 INTEREST AND PEN. 3.76 * IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE 16.81 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) Cv BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE r"r-['Ji~-,lNHERITANCE TAX \~l!-i' !'.;StATEMENT OF ACCOUNT ~:': L'n ( '* REV-1607 EX AFP (03-05) 2001 JUN 29 PM ,: 23 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 06-18-2007 BENDER 08-15-2001 21 01-1011 CUMBERLAND 01149842 SYLVIA E CLERK OF ORPH/~N'S COURT COL I N C BE~~~r):'T::1 \Ti :'YJ.. PA 217 S ENOLA DR ENOLA PA 17025 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS +- --------------------------------------------------------------------------- REV-1607 EX AFP (03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT ~~~ ESTATE OF BENDER SYLVIA E FILE NO. 21 01-1011 ACN 01149842 DATE 06 -18 -2007 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 03-04-2002 PRINCIPAL TAX DUE: 50.71 PAYMENTS (TAX CREDITS): INT AT REV PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 11-01-2001 CDOO0469 1.88 35.78 EREST IS CHARGED THROUGH 07-03-2007 TOTAL TAX CREDIT 37.66 THE RATES APPLICABLE AS OUTLINED ON THE ERSE SIDE OF THIS FORM.* BALANCE OF TAX DUE 13.05 INTEREST AND PEN. 3.76 * IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE 16.81 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE r~ OIVI,s.,~ t\F'-lr-' PO BOX 2B0(01)'-(';nD il-) \ ",'~ ..~ HARRISBURG PA' lTl'2B~'a1Dt ,- c JV'.,P'- ,\.-\.101- ( COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT *' REV-1607 EX AFP (03-05) CLERK OF ~~~t~~9~~ ER6i:')f' '. PA 17025 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 06-18-2007 BENDER 08-15-2001 21 01-1011 CUMBERLAND 01149836 SYLVIA E 2001 JUH 29 PH I: 23 Amount Remi tted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE ...... RETAIN LOWER PORTION FOR YOUR RECORDS +- --------------------------------------------------------------------------- REV-1607 EX AFP (03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT ... ESTATE OF BENDER SYLVIA E FILE NO. 21 01-1011 ACN 01149836 DATE 06-18-2007 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 03-04-2002 PRINCIPAL TAX DUE: 50.80 PAYMENTS (TAX CREDITS): INT AT REV PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 11-01-2001 CDOO0468 1.88 35.78 EREST IS CHARGED THROUGH 07-03-2007 TOTAL TAX CREDIT 37.66 THE RATES APPLICABLE AS OUTLINED ON THE ERSE SIDE OF THIS FORM.* BALANCE OF TAX DUE 13.14 I INTEREST AND PEN. 3.79 IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE 16.93 II SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN *1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) 4 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRIS8URG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE :y.::(',rf':{'I;:\'1 or. ft\\.r.'~~..:HERITANCE TAX . 1.J.!.,}' .L,..LJ (-S..~~'fEMENT OF ACCOUNT ,,-~., ~ ;.. ~-~., *' REV-1607 EX AFP (03-05) COLIN C BENDER 217 S ENOLA DR ENOLA 2001 JUN 29 PM \: 23 CLERK OF ORPHAN'S COURI CUMprr::II"\i'l CO , PA DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 06-18-2007 BENDER 08-15-2001 21 01-1011 CUMBERLAND 01149843 SYLVIA E Amount Remitted PA 17025 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE --------------------------------------------------------------------------- -+ RETAIN LOWER PORTION FOR YOUR RECORDS +- REV-1607 EX AFP (03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT ... ESTATE OF BENDER SYLVIA E FILE NO. 21 01-1011 ACN 01149843 DATE 06 -18-2007 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 03-04-2002 PRINCIPAL TAX DUE: 50.71 PAYMENTS (TAX CREDITS): INT AT REV PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 11-01-2001 CDOO0469 1.88 35.78 EREST IS CHARGED THROUGH 07-03-2007 TOTAL TAX CREDIT 37.66 THE RATES APPLICABLE AS OUTLINED ON THE ERSE SIDE OF THIS FORM.* BALANCE OF TAX DUE 13.05 INTEREST AND PEN. 3.76 * IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE 16.81 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN .1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRl, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. l c; COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE '* BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 2B0601 HARRISBURG PA 1712B-0601 INHERITANCE TAX ~~CORDED~l~~~~ENT OF ACCOUNT :( ~)C(:ic'-r~:'-k ; \L\....b.....) -.; I REV-1607 EX AFP (03-05) 2001 JUN 29 PH I: 23 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 06-18-2007 BENDER 08-15-2001 21 01-1011 CUMBERLAND 01149838 SYL VIA E COLIN C BENDER 217 S ENOLA DR ENOLA CLERK OF ORPHAN'S COURT CU~i1PF)IA 1)[1 CO PA PA 17025 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE ..... RETAIN LOWER PORTION FOR YOUR RECORDS +- --------------------------------------------------------------------------- REV-1607 EX AFP (03-05) ... INHERITANCE TAX STATEMENT OF ACCOUNT ... ESTATE OF BENDER SYL VIA E FILE NO. 21 01-1011 ACN 01149838 DATE 06-18-2007 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 03-04-2002 PRINCIPAL TAX DUE: 50.71 PAYMENTS (TAX CREDITS): INT AT REV PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 11-01-2001 CDOO0468 1.88 35.78 EREST IS CHARGED THROUGH 07-03-2007 TOTAL TAX CREDIT 37.66 THE RATES APPLICABLE AS OUTLINED ON THE ERSE SIDE OF THIS FORM.. BALANCE OF TAX DUE 13.05 INTEREST AND PEN. 3.76 IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE 16.81 II SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN *1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE ,_., INHERITANCE TAX H!::CORDED ~~l.E\MENT OF ACCOUNT *' REV-1607 EX AFP (03-05) COLI N C 217 S ENOLA ENOLA 2007 JUN 29 PM I: 23 CLERK OF BENDER O~p~~~/~ COURT CUI'"P,,,,,' n"Jr' "''-' R DR 'n",., 'l,('.'".' I..,I~' ~ DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 06-18-2007 BENDER 08-15-2001 21 01-1011 CUMBERLAND 01149844 SYLVIA E Amount Remitted PA 17025 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS +- --------------------------------------------------------------------------- REV-1607 EX AFP (03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF BENDER SYLVIA E FILE NO.21 01-1011 ACN 01149844 DATE 06-18-2007 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 03-04-2002 PRINCIPAL TAX DUE: 50.71 PAYMENTS (TAX CREDITS): INT AT REV PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 11-01-2001 CDOO0469 1.88 35.78 EREST IS CHARGED THROUGH 07-03-2007 TOTAL TAX CREDIT 37.66 THE RATES APPLICABLE AS OUTLINED ON THE ERSE SIDE OF THIS FORM.* BALANCE OF TAX DUE 13.05 INTEREST AND PEN. 3.76 " IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE 16.81 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN .1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" {CR}, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE c;~:rf)Rry:[) nl=fl~!M'ERITANCE TAX I ~~fh!~lEP,7T.~~!~MENT OF ACCOUNT *' REV-1607 EX AFP (03-05) COLIN C BENDER 217 S ENOLA DR ENOLA CLERK OF ORPHAN'S COURT CUi'\'~F[[:"J,':iD ca. PA DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 06-18-2007 BENDER 08-15-2001 21 01-1011 CUMBERLAND 01149837 SYLVIA E 2001 JUH 29 PH I: 23 Amount Remitted PA 17025 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insu~e p~ope~ c~edit to you~ account, submit the uppe~ po~tion of this fo~m with you~ tax payment. CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS ~ ------------------------------------------------------------_.'.------------ REV-1607 EX AFP (03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF BENDER SYLVIA E F I L E NO. 21 01 -1011 ACN 01149837 DATE 06 -18-2007 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 03-04-2002 PRINCIPAL TAX DUE: 50.71 PAYMENTS (TAX CREDITS): INT AT REV PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 11- 01-2001 CDOO0468 1.88 35.78 EREST IS CHARGED THROUGH 07-03-2007 TOTAL TAX CREDIT 37.66 THE RATES APPLICABLE AS OUTLINED ON THE ERSE SIDE OF THIS FORM.* BALANCE OF TAX DUE 13.05 INTEREST AND PEN. 3.76 IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE 16.81 II SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN .1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRIS8URG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE ;{:COROED OFFICi-ffTNEHMEERNITT AONFCEACTCA;U NT ::J,.: VV!~ .~-~~' *' REV-1607 EX AFP (03-05) 2007 JUN 29 PH ,: 23 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 06-18-2007 BENDER 08-15-2001 21 01-1011 CUMBERLAND 01149842 SYLVIA E COLIN C 217 S ENOLA ENOLA CLERK OF ORPHAN'S COURT BE~~RfT;1 /\\T) CO, PA DR PA 17025 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS +- --------------------------------------------------------------------------- REV-1607 EX AFP (03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT ... ESTATE OF BENDER SYLVIA E FILE NO.21 01-1011 ACN 01149842 DATE 06-18-2007 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 03-04-2002 PRINCIPAL TAX DUE: 50.71 PAYMENTS (TAX CREDITS): INT AT REV PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 11-01-2001 CDOO0469 1.88 35.78 EREST IS CHARGED THROUGH 07-03-2007 TOTAL TAX CREDIT 37.66 THE RATES APPLICABLE AS OUTLINED ON THE ERSE SIDE OF THIS FORM.* BALANCE OF TAX DUE 13.05 INTEREST AND PEN. 3.76 IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE 16.81 II SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) 4