HomeMy WebLinkAbout01-1057
CO~MONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
B~REAU OF INDIVIDUAL TAXES
. DEPT. 280601
HARRISBURG. PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
SCHMIEDEL BARRY L
PO BOX 35
BOILING SPRINGS, PA 17007-003
__u____ fold
ESTATE INFORMATION: SSN: 195-07-4666
FILE NUMBER: 21 - 2001 - 1 057
DECEDENT NAME: SCHMIEDEL PAUL W
DA TE OF PAYMENT: 11/19/2001
POSTMARK DATE: 00/00/0000
COUNTY: CUMBERLAND
DATE OF DEATH: OS/23/2001
NO. CD 000541
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
I $2,035.37
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS: BARRY L SCHMIEDEL
JOINT ACCS.FARMERS & MERCHANTS
CHECK# 283
SEAL
INITIALS: AC
RECEIVED BY:
REGISTER OF WILLS
$2,035.37
MARY C. LEWIS
REGISTER OF WILLS
* THIS RECEIPT REPLACES RECEIP'I'S CD 538 CD 539 CD 540
CO~MONWEAlTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HA~RISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 000539
SCHMIEDEL BARRY L
PO BOX 35
BOILING SPRINGS, PA 17007-003
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
-------- fold
101
$2,035.37
ESTATE INFORMATION: SSN: 195-07-4666
FILE NUMBER: 21 - 2001 - 1 057
DECEDENT NAME: SCHMIEDEL BARRY L
DA TE OF PAYMENT: 11/19/2001
POSTMARK DATE: 00/00/0000
COUNTY: CUMBERLAND
DATE OF DEATH: OS/23/2001
$2,035.37
REMARKS: BARRY L SCHMIED
CHECK# 283
SEAL
INITIALS: AC
RECEIVED BY:
MARY C. LEWIS
REGISTER OF WILLS
REGISTER OF WILLS
*TI.US RECEIPT IS REPLACED WITH CD 541
COMMONWEALTH OF PENNSYLVANIA
DE'PARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
.. DEPT. 280601
HA~RISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 000538
SCHMIEDEL BARRY L
PO BOX 35
BOILING SPRINGS, PA 17007-003
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
-------- fold
101
$2,035.37
ESTATE INFORMATION:
SSN:
195-07-4666
FILE NUMBER:
21 - 2001 - 1 057
SCHMIEDEL BARRY L
11/19/2001
00/00/0000
CUMBERLAND
DECEDENT NAME:
DATE OF PAYMENT:
POSTMARK DATE:
COUNTY:
DATE OF DEATH:
$2,035.37
REMARKS:
CHECK# 283
SEAL
INITIALS: AC
RECEIVED BY:
MARY C. LEWIS
REGISTER OF WILLS
REGISTER OF WILLS
*THIS RECEIPT IS BEING REPLACED WITH CD 541
C0tv1lv10NWEAl TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BURE.,A,U OF INDIVIDUAL TAXES
DEPT. 280601
HA~RISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
SCHMIEDEL BARRY L
PO BOX 35
BOILING SPRINGS, PA 17007-003
-------- fold
ESTATE INFORMATION: SSN: 195-07-4666
FILE NUMBER: 21 - 2001 - 1 057
DECEDENT NAME: SCHMIEDEL PAUL W
DA TE OF PAYMENT: 11/20/2001
POSTMARK DATE: 00/00/0000
COUNTY: CUMBERLAND
DATE OF DEATH: OS/23/2001
NO. CD 000540
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
I $2,035.37
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS: BARRY L SCHMIEDEL
FARMERS & MECHANTS BK JOINT
CHECK# 283
SEAL
INITIALS: AC
RECEIVED BY:
REGISTER OF WILLS
$2,035.37
MARY C. LEWIS
REGISTER OF WILLS
*TI-IIS RECEIPT REPLGCES RECEIPTS CD 538 & CD 539
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:INHERITANCE TAX JOINT BANK ACCOUNT
"ADVANCE PAYMENT WORKSHEET
DECEDENT
INFORMATION
"-
FINANCIAL
INSTITUTION
INFORMATION
ACCOUNT
INFORMATION
COUNTY FILE NUMBER
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INHERITANCE TAX RECEJPT NUMBER
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DECEDENTS SOCIAL SECURITY NUMBER
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ADDRESS OF DECEDENT Pc> a ox.. -3.5
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NAME OF FINANCIAL INSTITUTION
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(MIDDLE INITIAL)
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ADDRESS
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TELEPHONE NUMBER
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SIAE~T
( 7) OJ- 1-
TYPE OF ACCOUNT
~ SAVINGS ~ CHECKING 0 TRUST 0 CERTIFICATE OF DEPOSIT
ACCOUNT BALANCE (INCLUDE INTEREST TO DATE OF DEATH)
c;5 ,qro~ . J2
ACCOUNT nTlE AS APPEARS ON SIGNATURE CARD OR CO
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o OTHER
NAME (Last)
l- S 0HHiEd6 L 11 L.
SURVIVING ADDRESS PERCENT TAXABLE
PC) BoX 35 ~ PE7JdlrnE~ J-A.)J~
JOINT OWNER S()O
CITY STATE ZIP CODE
INFORMATION .-Ed j L, 'I.) 6- S Pt<.;/iJ6S {?fi, / 1M 1 ~ 0036--"
RELATIONSHIP TO DECEDENT TELEPHONE NUMBER TAX RATE . ,.,/
SoN 17 ) dl!J-g-1o I g g "j
SURVIVING
JOINT OWNER
INFORMATION
SURVWING
JOINT OWNER
INFORMATION
NAME (Last) (First) (Middle Initial)
ADDRESS PERCENT TAXABLE
CITY STATE ZIP CODE
AELAl'IONSHIP TO DECEDENT TELEPHONE ~ TAX-~Al'E
NAME (Last) (First) (Middle Initial)
ADDRESS PERCENT TAXABLE
CITY STATE lIP CODE
RELATIONSHIP TO DECEDENT TELEPHONE NUMBER TAX RAlE
( .
Date Paid
UST DEBTS & DEDUCTIONS BELOW
Payee
Description,
Amount Paid
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
*
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. Z80601
HARRISBURG, PA 171Z8-0601
BARRY L SCHMIEDEL
POBOX 35
BOILING SPRINGS PA 1~~'tFM~f~~nU
NOTICE OF INHERITANCE TAX
APPRAISEKENT~ ALLONANCE OR DISALLONANCE
OF DEDUCTION~, AND ASSESSKENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
RecorcH-}:. C8 of DA TE
Re(jfS!(J' ESTATE OF
DATE OF DEATH
FILE NUMBER
.02 JAN 11 P 3 :21 COUNTY
SSN/DC
ACN
REY-1SU EX AFP (12-00>
01-07-2002
SCHMIEDEL
05-23-2001
21 01-1057
CUMBERLAND
195-07-4666
02001523
PAUL W
Allount Rellitted
PA
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-y=is41i-ix--AFP--fi2-:ooi------------------------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 01-07-2002
ESTATE OF SCHMIEDEL
PAUL
W DATE OF DEATH 05-23-2001
COUNTY
CUMBERLAND
FILE NO. 21 01-1057
TAX RETURN WAS:
S.S/D.C. NO. 195-07-4666
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
02001523
FINANCIAL INSTITUTION: FARMERS & MERCHANTS TRUST
ACCOUNT NO.
33-16424
TYPE OF ACCOUNT: () SAVINGS ()() CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 08-09-1999
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
4,495.51
0.500
2,247.76
.00
2,247.76
.45
101.15
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 (-)
11-19-2001 CDOO0541 .00 101.15
TOTAL TAX CREDIT 101.15
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
· IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRl, YOU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. l
'\.. / /-02 / - /'Y
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
*
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. Z80601
HARRISBURG I PA 171Z8-0601
BARRY L SCHMIEDEL
POBOX 35
BOILING SPRINGS PA 1700g'~~na:<i
NOTICE OF INHERITANCE TAX
APPRAISEKENT~ ALLOKANCE OR DISALLOKANCE
OF DEDUCTION~, AND ASSESSKENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
Recoroeu ...
CC o.,ATE
Re9fstc; \''/iils ESTATE OF
DATE OF DEATH
FILE NUMBER
-02 JAN 11 P 3 :i:~~~~
ACN
REV-1S48 EX AFP U2-01>>
01-07-2002
SCHMIEDEL
05-23-2001
21 01-1057
CUMBERLAND
195-07-4666
02001522
PAUL
W
Allount Rellitted
PA
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=is4-i-Ex--AFP--fi2-:oo1------------------------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 01-07-2002
ESTATE OF SCHMIEDEL
PAUL
W DATE OF DEATH 05-23-2001
COUNTY
CUMBERLAND
FILE NO. 21 01-1057
TAX RETURN WAS:
S.S/D.C. NO. 195-07-4666
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
02001522
FINANCIAL INSTITUTION: FARMERS & MERCHANTS TRUST
ACCOUNT NO.
70-32811
TYPE OF ACCOUNT: (~SAVINGS ( ) CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 11-23-1999
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
85,966.22
0.500
42,983.11
.00
42,983.11
.45
1,934.24
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 (-)
11-19-2001 CDOO0541 .00 1,934.22
TOTAL TAX CREDIT 1,934.22
BALANCE OF TAX DUE .02
INTEREST AND PEN. .00
TOTAL DUE .02
· IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A ..CREDI~. ( CRl, YOU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. l