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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. Z80601
HARRISBURG~ PA 171Z8-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
*
REV-1U7 EX AFP UZ-DD)
Ftecoroad.OfflcJlef
Register of Vi/iUs
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
11-19-2001
CARPENTER
06-03-2001
21 01-0897
CUMBERLAND
01142726
JOYCE
A
E GAB~qtL NOV 26 All:49
2725 S ROSEGARDEN BLVD
MECHANICSBURG OeM(.lVJOSSl::3 Court
ClI'nberland Co., PA
SUSAN
Allount Rellitted
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, subllit the upper portion of this for.. with your tax paYllent.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REY=i6ifj-ix-AFir-fi'2-:oo1-------..ii-iNif€RITANcE-Tix-STATEME-tiT-ifF'-iccOUNT--...---------------------
ESTATE OF CARPENTER JOYCE A FILE NO.21 01-0897 ACN 01142726 DATE 11-19-2001
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: 11-12-2001
P R I NC I PAL TAX DUE: .............................................................................................................................................................................................-..........................
48.39
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
09-28-2001 CDOO0330 .00 48.39
TOTAL TAX CREDIT 48.39
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 PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A ..CREDITIW (CRl,
YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
/7,../C}-//
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
'*
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG. PA 17128-0601
NOTICE OF INHERITANCE TAX
APPRAISEKENT~ ALLONANCE OR DISALLOWANCE
OF DEDUCTION~, AND ASSESSKENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-1548 EX AFP (12-00)
JOYCE A GABRIEL
2725 S ROSEGARDEN BLVD
MECHANICSBURG PA 17~~5
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
11-12-2001
CARPENTER
06-03-2001
21 01-0897
CUMBERLAND
242-32-0694
01142726
Allount Rellitted
JOYCE
A
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:i541i-E)f-AFP--ri2~OO)------------------------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 11-12-2001
ESTATE OF CARPENTER
JOYCE
A DATE OF DEATH 06-03-2001
COUNTY
CUMBERLAND
FILE NO. 21 01-0897
TAX RETURN WAS:
S.S/D.C. NO. 242-32-0694
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
01142726
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.
187139-11
TYPE OF ACCOUNT: () SAVINGS ()() CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 09-15-1999
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
2,150.67
0.500
1,075.34
.00
1,075.34
.45
48.39
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 (-)
PAYMENT MUST BE MADE BY 03-04-2002~. TOTAL TAX CREDIT .00
BALANCE OF TAX DUE 48.39
INTEREST AND PEN. .00
TOTAL DUE 48.39
· 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 MAYBE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
) 7 --}eY -)1
COMMONWEALTH OF PENNSYLVANIA
DEPARTMEHT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 171l8-0601
-
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE NO. 21 - ~I - 8'i7
ACN 01142726
DATE 09-24-2001
REV-1543 EX AFP (09-00)
EST. OF JOYCE A CARPENTER
S.S. NO. 242-32-0694
DATE OF DEATH 06-03-2001
~OUNTY CUMBERLAND
TYPE OF ACCOUNT
D SAVINGS
lXJ CHECKING
D TRUST
o CERTIF.
S Lt.SI\ tU E
~ .It;' GABRIEL
2725 S ROSEGARDEN BLVD
MECHANICSBURG PA 1705~
REHIT PAYHENT AND FORHS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE1 PA 17013
HEHBERS 1ST Feu has provided the DepartMent 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 for. and return it to the above address. This eccount is taxable in accordance with the Inheritance Tax Laws of the Co..onwealth
of Pennsylvania. Questions .ay be answered by calling (717) 787-8327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 187139-11 Date 09-15-1999
Established
Account Balance
Percent Taxable
Amount Subject to
Tax Rate
Potential Tax Due
21150.67
50.000
11075.34
.045
48.39
TAXPAYER RESPONSE
x
Tax
x
PART
[!] ,.....
A.
[ CHECK ]
ONE
BLOCK B.
ONLY
c.
To insure proper credit to your account, two
(l) copies of this notice must acco.pany your
payment to the Register of Wills. Make check
payable to: "Register of Wills, Agent".
NOTE: If tax pay.ents are .ade 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.
~he above information and tax due is correct.
~l. 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 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 must co.plete PART ~ and/or PART ~ below.
If you indicate a different tax rate, please state your
relationship to decedent:
PART
@]
TAX RETURN - COMPUTATION
LINE 1. Date Established
2. Aceount Balance
3. Percent Taxable
4. Amount Subject to Tax
5. Debts and Deductions
6. A.ount Taxable
7. Tax Rate
8. Tax Due
TAX ON JOINT/TRUST ACCOUNTS
OF
1
2
3
4
5
6
7
8
x
x
PART
~
DATE PAID
DEBTS AND DEDUCTIONS
AMOUNT PAID
PAYEE
DESCRIPTION
I
TOTAL (Enter on Line 5 of Tax Computation)
I
$
Under penalties of perjury 1 I declare that the faets I
co~lete to the best of my knowledge and belief.
Li~ E. ~
TAXPAYER SIGNATURE
':;~Er~~ -;ov~~r~?~rrect and
WORK (zi.i) fE- iiil xd4 ~8'IQI
TELEPH N NUMBER D E'
" .,0. 'W ' , 'J ,., :.".",
COMMONWEALTH OF PENNSYLVANIA REV-1 162 EX(1 1-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
GABRIEL SUSAN E
2725 S. ROSEGARDEN BLVD.
MECHANICSBURG, PA 17055
__u____ fold
ESTATE INFORMATION: SSN: 242-32-0694
FILE NUMBER: 21-2001- 0897
DECEDENT NAME: CARPENTER JOYCE A
DA TE OF PAYMENT: 10/01/2001
POSTMARK DATE: 09/28/2001
COUNTY: CUMBERLAND
DATE OF DEATH: 06/03/2001
NO. CD 000330
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
01142726 I $48.39
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS: SUSAN E GABRIEL
CHECK# 4318
SEAL
INITIALS: PB
RECEIVED BY:
REGISTER OF WILLS
$48.39
MARY C. LEWIS
REGISTER OF WILLS