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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 ~ C D 5 1/0 if tll 0 . _ . ~ I/JE~u 5L/ / CO~ ~ /~/!? { J -d :/ )f 1/ t1 ( I:) Received ot13-AR.a:ll\ L Sc.hml~c:k.1 , Addre~o~", ~.s: 1::3...1.", ~';5 -t? /7007 Page N~ .::fl Estate No. j-' -i'! 1- /06~7 Estate of _,L lJ Sr hml cd I Social Security No. J 95'- 0(- 1.../ t, b b Died \..!:>- c:l..3 - CJ I Paid 11- /Cf - ~c? I Postmark Date ,4o,u- /0 / L-----~--- q- i'~ rt '+- N 0 ~ ...- . , :;.} ~ ........ a: ; .~. ". 0\ r- ' J ::(} ;- ...~ ::> ,:) .,,'-'~:: CJ ....-- P ::z :1) I ,5 O} "j: .0 t) Q) - .... E 0) CC P ,j) ::; cc. 5 a ~7 Tax rJ0-!3S: #~g /tL- REV-548 EX (8-97, . :INHERITANCE TAX JOINT BANK ACCOUNT "ADVANCE PAYMENT WORKSHEET DECEDENT INFORMATION "- FINANCIAL INSTITUTION INFORMATION ACCOUNT INFORMATION COUNTY FILE NUMBER c:2/-0/-/~C7 INHERITANCE TAX RECEJPT NUMBER ~Q O~/5~O )( DECEDENTS NAME (LAST) Scf/H,'&dEL DECEDENTS SOCIAL SECURITY NUMBER .6--07- ~bb ADDRESS OF DECEDENT Pc> a ox.. -3.5 P&,,/?t:../I71(G ).)~ NAME OF FINANCIAL INSTITUTION w (MIDDLE INITIAL) -oi3-~CXJI CITY STATE &iL.iAlG S 7-o<J3.j- ;:;A/t HE 1...5 ADDRESS , of 111ER.c.)lIIAJlS STATE lI<iJ.5/ Co, CITY liP 3 GAs/ F/t,s/ TELEPHONE NUMBER ~oiLl~ 5PRlIJ65 PA. J'70(}7 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 (). L 'V. ~C 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 I . .,. ! I i I I 0- . .~:JiIoIfI:. ~Pl '... .~ l'MUchto~ \ ." \ / 'i.~ll , ''-y /:J~02/-~Y 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