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Home My WebLink About01-0969 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPr. :180601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT VANDYKE HELEN E 343 MCCABE DR GREENSBURG, PA 15601 -------- fold ESTATE INFORMATION: SSN: 181-14-4242 FILE NUMBER: 21-2001- 0969 DECEDENT NAME: MCCARREN EDWIN J DA TE OF PAYMENT: 10/22/2001 POSTMARK DATE: 10/10/2001 COUNTY: CUMBERLAND DATE OF DEATH: 06/08/2001 NO. CD 000422 ACN ASSESSMENT CONTROL NUMBER AMOUNT 01145228 I $603.04 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: HELEN E VANDYKE CHECK# 01 034821 SEAL INITIALS: AC RECEIVED BY: REGISTER OF WILLS $603.04 MARY C. LEWIS REGISTER OF WILLS THIS RECEIP'I' REPLACES CD 418 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES .' DEPT ."280601 HARRISBURG. PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX( 11-96) NO. CD 000418 VANDYKE HELEN E 343 MCCABE DR GREENSBURG, PA 15601 ACN ASSESSMENT CONTROL NUMBER __u____ fold ESTATE INFORMATION: SSN: FILE NUMBER: DECEDENT NAME: DATE OF PAYMENT: POSTMARK DATE: COUNTY: DATE OF DEATH: TOTAt:"AMOUNT PAID: REMARKS: HELEN E VANDYKE CHECK# 01034821 SEAL INITIALS: AC RECEIVED BY: MARY C. LEWIS REGISTER OF WILLS REGISTER OF WILLS THIS RECEIPT' IS BEING REPLACED WITH CD 422 AMOUNT $603.04 $603.04 ----------- - - ::::: - - ~~~-"" -~ '--:/~0- ~ (~- '\J J, -~-~ - - 'oi ~ U1~ ffi~~ ~ >t-0 ~ Wa- N cr.::>>~ ~ \A.OO ~ O-X ~a~ f ~~'6s~ ~o~i~ 4.~t:N_ t~ffit.i O....~U14. 4.aZ.OO: 0....- \ \ i (.) 0- N .... J2~~ ~.~~ i~~ ~i~ ~ ! ! !~~ ~ ~~ ... ~ ~ \ i ~ \ \ I ! 4 U1 - -; - - - -: : - - -: - -:: - - - - -: -: - -: -: - -; -; - - -; - , ), .,"'J ~ ~ ~ ~ 'i ~ ~ ~ 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 VANDYKE HELEN E 343 MCCABE DR GREENSBURG, PA 15601 -------- fold ESTATE INFORMATION: SSN: 181-14-4242 FILE NUMBER: 21-2001- 0969 DECEDENT NAME: MCCARREN EDWIN J DA TE OF PAYMENT: 10/22/2001 POSTMARK DATE: 10/10/2001 COUNTY: CUMBERLAND DATE OF DEATH: 06/08/2001 NO. CD 000419 ACN ASSESSMENT CONTROL NUMBER AMOUNT 01145229 I $306.08 I I I I I I I I TOTAL AMOUNT PAID: $306.08 REMARKS: HELEN E VANDYKE CHECK# 01034822 SEAL INITIALS: AC RECEIVED BY: REGISTER OF WILLS MARY C. LEWIS REGISTER OF WILLS :1fefen 'E. 'Van ~fKJ, 343 !1fftCa6e t])ri:rJe fJruns6u:rg, P5115601 " I ; LOC-):o'"' ".,...~".~.... en l "t' , .,c .;E-.:l'":" ft- , .."~..-,,. c..q" ,.~. C j;: / ....~. .... ..... -?~-,....-(-..~~....... ~. -:;;: .(;- .:$'".: .... ..~JO,,-:-.:... ..... .... .....~. ...,.- ~ .",a E-143 EX (3-99) Zip Code Attention: TIC 340 PA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG PA 17128-0601 d?t' ~/ y'.J/SL~;:' 1...111...1...11..1.11..1.11..1111111111111.11111111 DEX55 19-93) '*' COMMONWEALTH OF PENNSYLVANIA BUREAU OF INDIVIDUAL TAXES DEPARTMENT OF REVENUE Dear Register of Wills: Enclosed you will find: ~check(s) Ddocuments(s) which were received by the Department of Revenue in error. These may be processed according to normal procedures. REMINDER: The POST MARK DATE on envelope attached to any checks enclosed must appear on your Official Receipt. Thank you. Commc Departr _ _ _. _ _ _ _ _ _ _ _ _ Bureau of individual Taxes Dept. 280601 Harrisburg, PA 17128-0601 Sincerely, John Murphy, Chief Inheritance Tax Division (717) 787-6201 .fl.RST ~ MS CAROL A STAINBROOK REGISTER OF WILLS CRAWFORD CO COURTHOUSE 903 DIAMOND PARK MEADVILLE PA 16335 ;~ ~.."... "~~"''''C. . \6'3~'!S~'i.~~! '2.0 1111 lI, U.. uflw 1111 1.lm 1.1. Jlul. 1111." I If If Ib If ,I. H II I -~. - CUMBERLAND COUNTY REGISTER OF WILLS OFFICE CARLISLE, PA. 17013 / COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. ,280601 HARRISBURG, PA 17128-0601 *' XNFORMATXON NOTXCE AND TAXPAYER RESPONSE FILE ACN DATE :NO. 21-01- 9it; 01145229 09-28-2001 REV-ISO EX AFP U'-OII HELEN E VANDYKE 343 MCCABE DR GREENSBURG PA 15601 , TYPE OF ACCOUNT EST. OF EDWIN J MCCARREN D SAVINGS S.S. NO. 181-14-4242 0 CHECKING DATE OF DEATH 06-08-2001 D TRUST COUNTY CUMBERLAND [X] CERTIF. REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND Crr-COURT HOUSE CARLISLE, PA 17013 DOLLAR BANK has provided the Deparblent 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 owne~/beneficiary of this account. If you feel this info~tion is incorrect, plea58 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 C~nwealth of Pennsylvania. Questions.av be answerA~ b~ c~1~lng.(717) 7~7-8327. COMPLETE PART 1 BELOW... SEE:REVERSE'SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 516028495 " D.te" 07-13-1984 Established Account Balance Percent Taxable Amount Subjec~ to Tax Rate Potential Tax Due x 5,101.28 '50.000 2,550.64 .12 306.08 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". x 'MOTE: If taxpay.ents are a.de within three (3) aonths of the decedent"s date of death, you .ay deduct a 5% discount of the tax due. Any inheritance tax due will beco.e delinquent nine (9) aonths after the date of death. Tax PART [!] A. D The above inforaation 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 Deparblent of Revenue. ['CHECK] ONE BLOCK ONLY B. D The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return , to be filed by thedecedent"s representative. , C. D The above inforaation is incorrect and/or debts and deductions were paid by you. You .ust co~lete PART ~ and/or PART ~ below. PART [!] DATE PAID DEBTS AND DEDUCTIONS CLAIMED If yoU indicate a different tax rate, please state your relationship to decedent: PART ~ TAX RETURN -COMPUTATION,OFTAX_ON JOINT~_TRUSTACCOUNTS_ LINE 1. Date Established 1 2. Account Balance 2 3. Percent Taxable 3 X 4. Amount Subject to Tax 4 5. Debts and Deductions 5 6. Amount Taxable 6 7. Tax Rat. 7 X 8. Tax Due 8 PAYEE DESCRIPTION AMOUNT PAID I $ Under penalties c~)' .to: the bes cYl-t: L ~ /~~ TAXPAYER SIGNATURE I TOTAL (Enter on Line 5 of Tax Computation) facts I ! COMMONWEALTH OF PENNSVlVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 171Z8-060l - INFORMATION NOTICE AND TAXPAYER,RESPONSE NO. 21 .t:)/-9 , if 01145228 O~-28-2001 TYPE OF ACCOUNT EST. OF EDWIN J MCCARREN 0 SAVINGS S.S. NO. 181-14-4242 D CHECKING DATE OF DEATH 06-08-2001 D TRUST COUNTY CUMBERLAND lXJ CERTIF. RE"IT PAY"ENT AND FOR"S TO: REG I S TER~'lJF WI L L S .. . CUMBERLAND CO COURT HOUSE CARLISLE, PA 17n13 FILE ACN DATE IEY-1SU EX IFP CD'-DD) HELEN E VANDYKE 343. MCCABE DR GREENSBURG PA 15601' DOLLAR BANK has provided the Depart.ent ..ith the infor_tion listed balON ..hich has been used in calculating the potential tax due. Their records indicate that at the death of the above decedent, you ..ere a joint ON08r/beneficiary of this account. If YOU feel this info~tion is incorrect, plea.. obtain ..ritten correction fro. the financial institution, attach a copy to this fo~ and return it to the .bove .ddress. This .ccount is taxable in accordance ..ith the Inheritance Tax LaNs of the eo..on....lth of Pennsylva:'\ia. Questions..y be en_rod by calling (717) 787-83Z7.. ..." -', __ :~d' 'COMPLETE. PART 1 BELOW IE IE' IE~ SEE' REVERSEiSIDE FOR:',FILIHG 'AND PAYMENT INSTRUCTIONS Account No. 516056072 Dat. . 05-06-1985 To insure prope,. credit to your account, tNo Established (Z) copies of this notice .ust accOllPany your pay.ent to the Register of Wills. Make check payable to: WReglster of Wills, Agentw. Account aalance Percent Taxable A.ount Subject to Tax Tax Rat. Potential Tax Due x 10,050.63 50.000 5,025.32 .12 603.04 't.,' TAXPAYER RESPONSE NOTE: If tax payunts are Il8de ..Ithin thr.. (3) .onths of the decedent's date of death, you ..y deduct a 5X discount of the tax due. Any inherit.nce t.x due ..ill becoee delinquent nine (9) eonths after the'date of death. x PART [!] A. IV1 The above infor..t1on .nd tax due is correct. . ~ 1. You .ay choose to re.it payeent to the Register of Wills ..Ith tNo copies of this notice to obtain a discount or .vold Interest, or you .ay check box "A" and return this notice to the Register of Wills and en official assess.ant ..ill be' Issued by the PA Depar~t of Revenue. . .J ' .1 . [CHECK ] ONE BLOCK ONLY B. [] The above asset h.s been or ..ill be reported and tax paid ..ith the Pennsylvania Inheritance T.x return , to be filed by the decedent's, representative. .' . , c. D The above Infor..t1on is incorrect and/or debts end deductions ..ere paid by you. You .ust coeplete PART 0 and/or PART @J belo... . , PART If you indic.te a different tax rat., pl.... state your " ~ relationship to d.ced.nt: TAX RETURN - .COMPUTATION OF ,. TAXC' ON , JOINT/TRUST ACCOUNTS:. LINE 1. Date Established 1 2. Account Balance 2 3. Percent Taxabl. 3 X 4. AMount Subject to T.x 4 S. Debts and Deductions S- 6. A.ount Taxable 6 7. T.x Rat. 7 X 8. TIIX~ 8 PART [!] DATE PAID DEBTS AND DEDUCTIONS CLAIMED d " PAYEE DESCRIPTION AMOUNT PAID I .... I TOTAL (Enter on Line i of. Tax Computation) per ury, I declare that the facts I knowl~/~,"li.f. ~L :;z,') ~ t' ~-' hav. report.d abov. are true, correct HOME C7ci-0) rr: .:;{ .-,--:t9~? WORK ( . ) 07dz'lt? c-"'~ ON U R and / tf--/d -C7 J/ DATE /?-/o-=/~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT *' BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG I PA 17128-0601 REY-16D7 EX AFP U2-00) RecoraedOffic6 of Register 01 \AJiHs HELEN E VANDYKE 343 MCCABE DR GREENSBURG 1}1 tilV 30 P3 :20 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 11-26-2001 MCCARREN 06-08-2001 21 01-0969 CUMBERLAND 01145228 EDWIN J Allount Rellitted P A atft4-() . . Court C,umbedand CO,) PA 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 forll with your tax paYllent. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ RE-V :i6'ifj-i:X--AFP--(r2-:0(..r------...-iNHEii~.._ANCE-YAX-STjrfEMENY-OF-A"C-couiif--.-..--------------------- ESTATE OF MCCARREN EDWIN J FILE NO.21 01-0969 ACN 01145228 DATE 11-26-2001 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: 11-26-2001 P R I NC I PAL TAX DUE: ...nn........................n.............................................n........................................................................................................................................... 603.04 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 10-10-2001 CDOO0422 .00 603.04 TOTAL TAX CREDIT 603.04 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 $l~ NO PAYHENT 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. ) /:?- /6-= / c:L./ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 171Z8-0601 * NOTICE OF INHERITANCE TAX APPRAISEKENTL ALLONANCE OR DISALLONANCE OF DEDUCTION~I AND ASSESSKENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REY-1548 EX AFP (12-001 Aecoraed of DATE Register of \lviHs ESTATE OF DATE OF DEATH FILE NUMBER 1)1 tIJY 26 All :s~~~~~~ ACN PA 156~~,~~~rl60~op~ MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE1 PA 17013 HELEN E VANDYKE 343 MCCABE DR GREENSBURG 11-26-2001 MCCARREN 06-08-2001 21 01-0969 CUMBERLAND 181-14-4242 01145229 EDWIN J Allount Rellitted CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ RtE-y=is4-i-ix--AFP--fi1f:ooj------------------------------------------------------------------------------------ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 11-26-2001 ESTATE OF MCCARREN EDWIN COUNTY CUMBERLAND J DATE OF DEATH 06-08-2001 FILE NO. 21 01-0969 TAX RETURN WAS: S.S/D.C. NO. 181-14-4242 (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: DOLLAR BANK ACN 01145229 ACCOUNT NO. 516028495 TYPE OF ACCOUNT: () SAVINGS ( ) CHECKING ( ) TRUST (~ TIME CERTIFICATE DATE ESTABLISHED 07-13-1984 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due 51101.28 0.500 21550.64 .00 21550.64 .12 306.08 TAX CREDITS: 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." PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) PAYMENT MUST BE MADE BY 03-09-2002*. TOTAL TAX CREDIT .00 BALANCE OF TAX DUE 306.08 INTEREST AND PEN. .00 TOTAL DUE 306.08 . 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" ( CRJ1 YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) /"}-/6-: /~ 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 DISALLONANCE OF DEDUCTION~~ AND ASSESS KENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REY-1541 EX iFP 112-00> RecoroedOff~e of Register of Wilts DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 11-26-2001 MCCARREN 06-08-2001 21 01-0969 CUMBERLAND 181-14-4242 01145228 Allount Rellitted EDWIN J .01 MlV 26 All:SO HELEN E VANDYKE 343 MCCABE DR GREENSBURG ~.~'~6;pn's Court Ctiriiberiand Co.. 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 ~ iifv:i54-i-i3f-AFit-(i~:ooi------------------------------------------------------------------------------------ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 11-26-2001 ESTATE OF MCCARREN EDWIN J DATE OF DEATH 06-08-2001 COUNTY CUMBERLAND FILE NO. 21 01-0969 TAX RETURN WAS: S.S/D.C. NO. 181-14-4242 (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION ACN 01145228 FINANCIAL INSTITUTION: DOLLAR BANK ACCOUNT NO. 516056072 TYPE OF ACCOUNT: () SAVINGS ( ) CHECKING ( ) TRUST (~ TIME CERTIFICATE DATE ESTABLISHED 05-06-1985 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due 10~050.63 0.500 5~025.32 .00 5~025.32 .12 603.04 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 03-09-2002~. TOTAL TAX CREDIT .00 BALANCE OF TAX DUE 603.04 INTEREST AND PEN. .00 TOTAL DUE 603.04 . IF PAID AFTER THIS DATE~ SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. . ( IF TOTAL DUE IS LESS THAN $l~ 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. ) 11-/~ -/01 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX S~~TEM~NT OF ACCOUNT _ r\ rY;\iCe 0 fteCOf06\. ~- t \1\1\\\S Reg\ster 0 JA v * REY-lilT EX AFP HZ-DO> HELEN E VANDYKE 343 MCCABE DR GREENSBURG DATE ESTATE OF ,,\{'\\I 30 \' 3 :10 DATE OF DEATH .0' ~1 FILE NUMBER COUNTY /, CO'\Jrt ACN C\et\\.-C......._ ';:'0 Pf\ PA 156tA\\1\bena.l\d \J q 11-26-2001 MCCARREN 06-08-2001 21 01-0969 CUMBERLAND 01145229 EDWIN J 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 forll with your tax paYllent. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REv=i6"ifj-Ex-AFP-fi"z.:olir------...--iNHERITANCE--YAX-Si'"irfEME-tiY-OF"-ACCOUNf--.-..--------------------- ESTATE OF MCCARREN EDWIN J FILE NO. 21 01-0969 ACN 01145229 DATE 11-26-2001 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: 11-26-2001 P R I NC I PAL TAX DU E : ........................................................................................................................................................................................................................... 306.08 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 10-10-2001 CDOO0419 .00 306.08 TOTAL TAX CREDIT 306.08 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 "CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. )