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HomeMy WebLinkAbout01-1005 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 TOLBERT JUNE E 323 DWELLING CT SHIPPENSBURG, PA 17257 -------- fold ESTATE INFORMATION: SSN: 204-01-9926 FILE NUMBER: 21-2001- 1005 DECEDENT NAME: MOONEY MILDRED E DATE OF PAYMENT: 11/02/2001 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 06/20/2001 NO. CD 000475 ACN ASSESSMENT CONTROL NUMBER AMOUNT 01144256 I $22.87 01144254 I $72.06 01144257 I $22.76 01144258 I $22.56 01144255 I $22.74 01144260 I $22.91 01144261 I $22.91 01144259 I $23.00 I TOTAL AMOUNT PAID: $231.81 REMARKS: JUNE E TOLBERT CHECK#1633 SEAL INITIALS: SK RECEIVED BY: REGISTER OF WILLS MARY C. LEWIS REGISTER OF WILLS lNWEALTH OF PENNSYLVANIA ~TMENT OF REVENUE ..iAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 / ? ~ / t/. tv INFORMATION NOTICE AND TAXPAYER RESPONSE FILE NO. 21'-01-/005 ACN 01144254 DATE 09-27-2001 REV-1543 EX AFP (09-00) EST. OF MILDRED E MOONEY S.S. NO. 204-01-9926 DATE OF DEATH 06-20-2001 COUNTY CUMBERLAND TYPE OF ACCOUNT o SAVINGS [Xl CHECKING o TRUST o CERTIF. JUNE E TOLBERTDA\AbHT6/Z 323 DWEllING CT SHIPPENSBURG PA 17257 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 ALL FIRST 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 th~ ahove address. This account is ta~able i~ aecordanee with the Inheritance Tax La~s of the CONNonwealth of PennsYlvania. Questions may be answered by calling (717) 787-8327. COMPLETE PART 1 BELOW · · . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 0097408158 Date 01-28-1980 Established Account Balance Percent Taxable AMount Subject to Tax Rate Potential Tax Due x 3,202.74 50.000 1,601.37 .,J1/!J ~ 0 if S- ?'t]' fl 72-..06 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". Tax 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. PART ill A. [ CHECK ] ONE BLOCK B. ONLY c. , c=J 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. If YOU indicate a different tax rate, please state your relationship to decedent: J)A-\l.6l4--r-I""-R. 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 information is incorrect and/or debts and deductions were paid by You. You must complete 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 8. Tax Due OF TAX ON JOINT '"TRUST 1-2[1- ~o 3"20;;'.7Y ..so_ ;"(,,0/,37 ACCOUNTS 1 2 3 4 5 6 7 8 x x i6o/.J7 ,OltS 72.ob DEBTS AND DEDUCTIONS CLAIMED PART [!] DATE PAID PAYEE DESCRIPTION AMOUNT PAID perjury, I declare that the facts .y knOWledge and belief. I have reported above are true, HOME c7/?) '632..- weRle ( ) Trl~DunUr- TZZqd /17- 3/-0 I COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 I?-/f-fc INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DATE NO. 21-~/- i 005 01144257 09-27-2001 REY-1543 EX AFP '09-00) EST. OF MILDRED E MOONEY S.S. NO. 204-01-9926 DATE OF DEATH 06-20-2001 COUNTY CUMBERLAND TYPE OF ACCOUNT D SAVINGS D CHECKING D TRUST lXJ CERTIF. JUNE E TOLBERT DAuGH-Tcf{ 323 DWELLING CT SHIPPENSBURG PA 17257 REHIT PAYHENT AND FORHS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 ALLFIRST 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 Lews of the Commonwealth of Pennsylvania. Questions may be answered by calling (717) 787-8327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 87008000427273 Date 04-01-1983 Established x 1,011.43 50.000 505.72 .)11$ ~O'ls- ~6 ';;;'~.7b 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". Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x NOTE: If tax payments are made within three (3) months of the decedent's date of death, you may deduct a 57. 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. ~ 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 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 8. Tax Due OF TAX 1 2 3 4 5 6 7 8 ON JOINT/TRUST 1/-1-83 le/f.v3 ACCOUNTS If you indicate a different tax ratel; J?lease state your relationship to decedent: DAU \6ff"t6l<- x 5""0 s-oS I 7 2.. x SO S. 7? ,oyS- .7;;".7b DEBTS AND DEDUCTIONS CLAIMED PART @] DATE PAID PAYEE DESCRIPTION AMOUNT PAID I TOTAL (Enter on Line 5 of Tax Computation) I $ Under penalties of perjury, I declare that the facts I plete to the best of my knowledge and belief. r.AA.~ t. have reported above are trje, HOME (~) (71) weRK ( J) TFLEPHONE NUMBER correct and .. ~ nz... -2u, ( J ()- "3/-0 ) DATE I COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 *' /7--/ff. G INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DATE NO. 21-.-oi -10(,\ 5 01144258 09-27-2001 REV-154S EX AFP 1O'-DDl EST. OF MILDRED E MOONEY S.S. NO. 204-01-9926 DATE OF DEATH 06-20-2001 COUNTY CUMBERLAND TYPE OF ACCOUNT D SAVINGS D CHECKING D TRUST 00 CERTIF . DAtt6HlEft PA 17257 JUNE E TOLBERT 323 DWELLING CT SHIPPENSBURG REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 ALLFIRST 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 may be answered by calling (717) 787-8327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 87008000435160 Date 12-01-1984 Established Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due 1,002.56 50.000 501.28 .~ .('JvS- J..i!!dIl} .;:Q , ~ TAXPAYER RESPONSE x Tax x PART IT] A. [ CHECK ] ONE BLOCK B. ONLY c. 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". NOTE: If tax payments are made within three (3) months of the decedent's date of death, you may deduct a 57. discount of the tax due. Any inheritance tax due will become delinquent nine (9) months after the date of death. [] 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. ~ The above information is incorrect and/or debts and deductions were paid by you. You must complete PART ~ and/or PART ~ below. If you indicate a different tax r~~~p1ease state your relationship to decedent: b~\c (.l 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 8. Tax Due TAX ON JOINT/TRUST /2--e, -f'( I GO 7.., 5-(, !::,o, S-OI,28 ACCOUNTS OF 1 2 3 4 5 6 7 8 x x So I. 2-.8- ,0 'i.s )-;2. , S(, DEBTS AND DEDUCTIONS PART ~ DATE PAID CLAIMED PAYEE DESCRIPTION I TOTAL (Enter on Line 5 of Tax Computation) declare that the facts I belief. AMOUNT PAID I $ co are true, correct and 53 2- - 1;1.f;~ ~ o ....~J-o J DA E ' have reported above HOME ('/ I? WaRK ~ ~ TFIEPHDNE NUMBER / /~/~) --0 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 *' INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DATE NO. 21 -01 - i DOS 01144255 09-27-2001 REV-154S EX AFP (09-00) EST. OF MILDRED E MOONEY S.S. NO. 204-01-9926 DATE OF DEATH 06-20-2001 COUNTY CUMBERLAND TYPE OF ACCOUNT D SAVINGS D CHECKING D TRUST [X] CERTIF. JUNE E TOLBERT Pit V (;tfT61Z- 323 DWEL LI NG CT SHIPPENSBURG PA 17257 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 ALLFIRST 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 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 I~heritance Tax Laws of the Co.monwealth 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. 87008000426706 Date 10-04-1982 Established x 1,010.60 50.000 505.30 .~ .otis ~ ':<:<,7'1 TAXPAYER RESPONSE To insure proper credit to your account, two (2) 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 made within three (3) .onths 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) .onths after the date of death. Tax PART m 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. ~ The above infor.ation is incorrect and/or debts and deductions were paid by you. You .ust complete PART ~ and/or PART ~ below. TAX ON JOINT/TRUST 10 - If-y- L. j 0/0. ~ 0 so' ';0..5,., SO ACCOUNTS If yo~ ind~cate a different tax[f~~~lg(.te state your relat10nsh1P to decedent: ' 'IE.- 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 8. Tax Due OF 1 2 3 4 5 6 7 8 x x SbS-,'30 ,OyS .2:2..7<{ DEBTS AND DEDUCTIONS CLAIMED PART ~ DATE PAID PAYEE DESCRIPTION AMOUNT PAID I TOTAL (Enter on Line 5 of Tax Computation) I $ perjury, I declare that the facts my knowledge and belief. I have reported above are true, correct and~ HOME (/17) ~7~- ~ " WORK (1- lO__3. '-tJJ7 TI=II=PI.InNI= NIIMRI=R DATF COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. Z80601 HARRISBURG, PA 171Z8-0601 I '7--1 t- 0 INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DATE NO. 21--o/~~005 01144260 09-27-2001 REY-154S EX AFP <09-00) EST. OF MILDRED E MOONEY S.S. NO. 204-01-9926 DATE OF DEATH 06-20-2001 COUNTY CUMBERLAND TYPE OF ACCOUNT o SAVINGS o CHECKING o TRUST [X] CERTIF. JUNE E TOLBERT [)AlJbHTE.~ 323 DWEL LI NG CT SHIPPENSBURG PA 17257 REHIT PAYHENT AND FORHS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 ALLFIRST 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 Commonwoalth of Pennsylvania. Questions may be answered by calling (717) 787-83Z7. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 87008000435365 Date 02-01-1985 Established x 1,018.26 50.000 509.13 .~ ..O'lS :'(... ~7 21.,91 TAXPAYER RESPONSE To insure proper credit to your account, two (Z) copies of this notice must accompany 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) months of the decedent.s date of death, you may deduct a 5Z discount of the tax due. Any inheritance tax due will become delinquent nine (9) months after the date of death. Tax PART IT] 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. ~ 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 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 8. Tax Due TAX ON JOINT/TRUST 2--I-g~ /0/5.2b .so "::'<-"'/,/3 ACCOUNTS If you indicate a different tax r.at~, pl~ase state your relationship to decedent: '~(;f+ fEtL OF 1 2 3 4 5 6 7 8 x x seer, (3 ,-DYS- ';:)-".:2.-,q I DEBTS AND DEDUCTIONS CLAIMED PART ~ DATE PAID PAYEE DESCRIPTION AMOUNT PAID I $ I TOTAL (Enter on Line 5 of Tax Computation) perjury, I declare that the facts I nowledge and belief. have reported above are true, correct and HOME C7/7) 5'3'2 -7Jk" IWPIf ( ~) lO -~I-01 TFIFPwnNF NUMBER DATE C~MONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 *' / ?-/(f-~' INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DATE NO. 21-0/ -/()()f) 01144261 09-27-2001 REV-154J EX AFP <09-00) EST. OF MILDRED E MOONEY S.S. NO. 204-01-9926 DATE OF DEATH 06-20-2001 COUNTY CUMBERLAND TYPE OF ACCOUNT o SAVINGS o CHECKING o TRUST [X] CERTIF. JUNE E TOLBERT 323 DWELLING CT SHIPPENSBURG VA u Gtt T6f2- REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 PA 17257 ALLFIRST 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 LaMS o~ the Commonwealth of Pennsylvania. Questions may be answered by calling (717) 787-8327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 87008000435373 Date 02-01-1985 Established Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x 1,018.26 50.000 509.13 .1'5 ..OlfS- .4:l 1ItF: :l~ f '11 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. ~ The above information is incorrect and/or debts and deductions were paid by you. You must complete PART ~ and/or PART ~ below. TAX ON JOINT/TRUST '- - , - ~:!:.- /()1!.1~ .)0 So 9, /3 ACCOUNTS If you indicate a different tax ra~6~li~J~ s}ate your relationship to decedent: D b{ r 'f~ 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 8. Tax Due GF 1 2 3 4 5 6 7 8 x x S-6l'/, /3 ,oy s- ~:>-. '1 ( DEBTS AND DEDUCTIONS CLAIMED PART @] DATE PAID PAYEE DESCRIPTION AMOUNT PAID I TOTAL CEnter on Line 5 of Tax Computation) I $ perjury, I declare that the facts I knowledge and belief. HOME ( WeRI( { TJ:"I J:"puntJJ:" tJIIMDJ:"P COHKl'HWEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 11-/g~0 INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DATE NO. 21~OI-ID() 5 01144259 09-27-2001 REV-1543 EX AFP (09-00> EST. OF MILDRED E MOONEY S.S. NO. 204-01-9926 DATE OF DEATH 06-20-2001 COUNTY CUMBERLAND TYPE OF ACCOUNT o SAVINGS o CHECKING o TRUST [X] CERTIF. JUNE E TOLBERT DAv-bH-it~ 323 DWELLING CT SHIPPENSBURG PA 17257 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 ALLFIRST 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) 787-8327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 87008000435268 Date 01-01-1985 Established Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x 1,022.30 50.000 511 .15 ." ..OYs ~ .;t3. Q::) TAXPAYER RESPONSE To insure proper credit to your account, two (2) copies of this notice ..ust acco..pany your pay..ent to the Register of Wills. Hake check payable to: "Register of Wills, Agent". x NOTE: If tax pay..ents are ..ade within three (3) ..onths 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) ..onths after the date of death. Tax PART IT] 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 information 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 Dai~nle~~ state your relationship to decedent: It -If:: ... TAX ON JOINT/TRUST {- J-S'-.$ /02-2, JC So SII. J.J Sf{. (S' I l') Y:J- ;L3,oo DEBTS AND ACCOUNTS PART [3] 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 8. Tax Due OF 1 2 3 4 5 6 7 8 x x PART [!J DATE PAID DEDUCTIONS CLAIMED PAYEE DESCRIPTION AMOUNT PAID I TOTAL (Enter on Line 5 of Tax Computation) I $ TI:I I:pl-lnt.u: t.II1MDE:D n.3j-tJ! perjury, I declare that the facts I my knowledge and belief. have reported above HOME (//7) WOltK ( ) r,ONWEALTH OF PENNSYLVANIA l ..!. -MENT OF REVENUE JUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 1/1 . I 1.1~{ -")L' INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DATE NO. 21 - 0 ,. too 6 01144256 09-27-2001 REY-154S EX AFP C09-00l EST. OF MILDRED E MOONEY S.S. NO. 204-01-9926 DATE OF DEATH 06-20-2001 COUNTY CUMBERLAND TYPE OF ACCOUNT o SAVINGS o CHECKING o TRUST 00 CERTIF. JUNE E TOLBERT I) Au 6' t:I-(15.~ 323 DWELLING CT SHIPPENSBURG PA 17257 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 ALLFIRST 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 addr3ss. This account is taxable in accordance with the Inhqritance Tax Laws of the Com.onwealth of Pennsylvania. Questions may be answered by calling (717) 787-8327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 87008000427133 Date 02-25-1983 Established x 1,016.37 50.000 508.19 .)1.) "O~.S- ~~;.1..&'7 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". Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due 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 [TI 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. ~ 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 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 8. Tax Due TAX ON JOINT/TRUST 2--- 2- '>- 11 3> / 01 <0. 3 7 .5'"0. S-o,f. /9 ACCOUrlTS If you indicate a different tax rate6 plea~ state your relationship to decedent: 1) AU t4,~ OF 1 2 3 4 5 6 7 8 x x 5:0 f5", / ? ,~I.fS ;:C;J.. 'i 7 DEBTS AND DEDUCTIONS CLAIMED PART @] DATE PAID PAYEE DESCRIPTION AMOUNT PAID I TOTAL (Enter on Line 5 of Tax Computation) perjury, I declare that the facts I knowledge and belief. I $ HOME WORK ( TF! EPHONE ) ) NUMBER /?-/R-b COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE *' BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 NOTICE OF INHERITANCE TAX APPRAISEKENT~ ALLOWANCE OR DISALLOWANCE OF DEDUCTION~, AND ASSESSKENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REY-1548 EX AFP <12-00) Recoroed of Register 01 Wiils -01 JUNE E TOLBERT 323 DWELLING CT SHIPPENSBURG NOV 26 All:50 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 11-26-2001 MOONEY 06-20-2001 21 01-1005 CUMBERLAND 204-01-9926 01144254 Amount Remitted MILDRED OIarltcj~57 Court Cumberiand 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 ~ RE-V=is4-i-EX--AFP--fi2-: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 MOONEY MILDRED DATE OF DEATH 06-20-2001 COUNTY CUMBERLAND FILE NO. 21 01-1005 TAX RETURN WAS: S.S/D.C. NO. 204-01-9926 (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION ACN 01144254 FINANCIAL INSTITUTION: ALLFIRST BANK ACCOUNT NO. 0097408158 TYPE OF ACCOUNT: () SAVINGS ()() CHECKING ( ) TRUST ( ) TIME CERTIFICATE DATE ESTABLISHED 01-28-1980 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due x 3,202.74 0.500 1,601.37 .00 1,601.37 .45 72.06 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." x TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) PAYMENT MUST BE MADE BY 03-2l-2002~. TOTAL TAX CREDIT .00 BALANCE OF TAX DUE 72.06 INTEREST AND PEN. .00 TOTAL DUE 72.06 . 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" ( CRJ, YOU MAY BE DUE A REFUND. 0::.1'1' Ill'VI'llo::.I' o::.Tnl' nl' TIoITc:. I'nllM I'nll TNc:.TllllrTTnNc:. 1 /?-/p-~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE *' BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 NOTICE OF INHERITANCE TAX APPRAISEKENT~ ALLOHANCE OR DISALLOHANCE OF DEDUCTION~, AND ASSESSKENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REY-154B EX AFP 1l2-DDl Recoroed Office of Reaister of Wills ~, JUNE E TOLBERT 323 DWElLING CT SHIPPENSBURG .01 NOV 26 All SO DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 11-26-2001 MOONEY 06-20-2001 21 01-1005 CUMBERLAND 204-01-9926 01144255 MILDRED Allount Rellitted PA ~1C'. ..,,:. Court Ctmberland 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 ~ RE-y=is4-i-E)f-AFP--fi1f=ool------------------------------------------------------------------------------------ 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 MOONEY MILDRED DATE OF DEATH 06-20-2001 COUNTY CUMBERLAND FILE NO. 21 01-1005 TAX RETURN WAS: S.S/D.C. NO. 204-01-9926 (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION ACN 01144255 FINANCIAL INSTITUTION: ALLFIRST BANK ACCOUNT NO. 87008000426706 TYPE OF ACCOUNT: DATE ESTABLISHED ( ) SAVINGS ( ) CHECKING ( ) TRUST ()() TIME CERTIFICATE 10-04-1982 X 1,010.60 0.500 505.30 .00 505.30 .45 22.74 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." Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due X TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) PAYMENT MUST BE MADE BY 03-21-2002*. TOTAL TAX CREDIT .00 BALANCE OF TAX DUE 22.74 INTEREST AND PEN. .00 TOTAL DUE 22.74 . IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. · ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. !~_ TQ!~~_~~E _~~_ R~~L~H~D _~~~A _:~R~P.!!:..l~S~!.'!' Y~U MAY BE DUE A REFUND. /"'}- /a<- b COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 *' NOTICE OF INHERITANCE TAX APPRAISEKENTL ALLOKANCE OR DISALLOKANCE OF DEDUCTION~, AND ASSESSKENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REV-15~8 EX AFP 112-001 RecordedCjj-rrCE; of Register of wms JUNE E TOLBERT 1)1 323 DWELLING CT SHIPPENSBURG tIIV 26 All SO PSiQtlaS'llj Court ClUllberland Co., PA DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 11-26-2001 MOONEY 06-20-2001 21 01-1005 CUMBERLAND 204-01-9926 01144256 MILDRED Amount Remitted 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=is4li-EX--AFP--fi2-: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 MOONEY MILDRED COUNTY CUMBERLAND DATE OF DEATH 06-20-2001 FILE NO. 21 01-1005 TAX RETURN WAS: S.S/D.C. NO. 204-01-9926 (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: ALLFIRST BANK ACN 01144256 ACCOUNT NO. 87008000427133 TYPE OF ACCOUNT: () SAVINGS ( ) CHECKING ( ) TRUST ()() TIME CERTIFICATE DATE ESTABLISHED 02-25-1983 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due 1,016.37 0.500 508.19 .00 508.19 .45 22.87 TAX CREDITS: 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." PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) PAYMENT MUST BE MADE BY 03-21-2002*. TOTAL TAX CREDIT .00 BALANCE OF TAX DUE 22.87 INTEREST AND PEN. .00 TOTAL DUE 22.87 . IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. * ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. T~ TnT"1 DUE IS REFLECTED AS A "CREDIT" ( CR>, YOU HAY BE DUE A REFUND. ----~ --- .........."Pn......TTnldc:. , /7-/P-6 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE '* BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 NOTICE OF INHERITANCE TAX APPRAISEKENTL ALLOWANCE OR DISALLOWANCE OF DEDUCTION~, AND ASSESSKENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REV-15~8 EX AFP <12-00) Recoraed O:f:.~~ ., of Register 01 \rJlllS DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSNI'DC ACN 11-26-2001 MOONEY 06-20-2001 21 01-1005 CUMBERLAND 204-01-9926 01144257 Allount Rellitted MILDRED -01 tlJV 26 All SO JUNE E TOLBERT 323 DWELL ING" CT :\.c-." ,-: (curt SHI PPENSBUR~lerk~!AI:' 1;425-7 ~V PA CUfTluoral1u GD., 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-g-ix--AFFi-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 MOONEY MILDRED DATE OF DEATH 06-20-2001 COUNTY CUMBERLAND FILE NO. 21 01-1005 TAX RETURN WAS: S.S/D.C. NO. 204-01-9926 (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION ACN 01144257 FINANCIAL INSTITUTION: ALLFIRST BANK ACCOUNT NO. 87008000427273 TYPE OF ACCOUNT: DATE ESTABLISHED ( ) SAVINGS ( ) CHECKING ( ) TRUST (xJ TIME CERTIFICATE 04-01-1983 X 1,011.43 0.500 505.72 .00 505.72 .45 22.76 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." Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due X TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) PAYMENT MUST BE MADE BY 03-21-2002*. TOTAL TAX CREDIT .00 BALANCE OF TAX DUE 22.76 INTEREST AND PEN. .00 TOTAL DUE 22.76 . 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 TNo::.TDllrTTn...", l /?_ /P-GJb COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 *' NOTICE OF INHERITANCE TAX APPRAISEKENT~ ALLOKANCE OR DISALLOKANCE OF DEDUCTION~, AND ASSESSKENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REY-1548 EX iFP IlZ-DDl Recorded,Office of DATE Register of Wills ~:~:T~F O~EATH FILE NUMBER COUNTY 1)1 NOV 26 All :5i;N/DC ACN 11-26-2001 MOONEY 06-20-2001 21 01-1005 CUMBERLAND 204-01-9926 01144258 MILDRED PA 1725Qerk-C: ", . Court Qunberland Co., PA MAKE CHECK PAYABLE AND REMIT PAYMENT REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 JUNE E TOLBERT 323 DWELLING CT SHIPPENSBURG Amount Remitted TO: CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ Rifv=i5~8-Ex--AFP--(i2-:oo1------------------------------------------------------------------------------------ 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 MOONEY MILDRED COUNTY CUMBERLAND DATE OF DEATH 06-20-2001 ACN 01144258 FILE NO. 21 01-1005 TAX RETURN WAS: S.S/D.C. NO. 204-01-9926 (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: ALLFIRST BANK ACCOUNT NO. 87008000435160 TYPE OF ACCOUNT: () SAVINGS ( ) CHECKING ( ) TRUST ()() TIME CERTIFICATE DATE ESTABLISHED 12-01-1984 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due 1,002.56 0.500 501.28 .00 501.28 .45 22.56 X X TAX CREDITS: 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." PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) PAYMENT MUST BE MADE BY 03-21-2002*. TOTAL TAX CREDIT .00 BALANCE OF TAX DUE 22.56 INTEREST AND PEN. .00 TOTAL DUE 22.56 . 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" ( CR), YOU HAY BE DUE A REFUND. ___ __.._...__ _........ __ ........_ ..An... r'ftl"lll "I""Ir-TD.I""T"I"nlJl~ 11 /?-/P-b COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE '* BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 NOTICE OF INHERITANCE TAX APPRAISEKENT~ ALLOWANCE OR DISALLOWANCE OF DEDUCTION~, AND ASSESSKENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REY-1548 EX AFP <12-00) JUNE E TOLBERT 1)1 323 DWELLING CT SHIPPENSBURG NlV 26 An:51 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSNI'DC ACN 11-26-2001 MOONEY 06-20-2001 21 01-1005 CUMBERLAND 204-01-9926 01144259 MILDRED Aecoraed- (;:fice of Register of wms Amount Remitted pACJ8fi5([, -3 Court Cumberfand 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 ~ Rifv=is4-s-Ex--AFFi-[i1f=ool------------------------------------------------------------------------------------ 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 MOONEY MILDRED DATE OF DEATH 06-20-2001 COUNTY CUMBERLAND FILE NO. 21 01-1005 TAX RETURN WAS: S.S/D.C. NO. 204-01-9926 (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION ACN 01144259 FINANCIAL INSTITUTION: ALLFIRST BANK ACCOUNT NO. 87008000435268 TYPE OF ACCOUNT: () SAVINGS ( ) CHECKING ( ) TRUST (X> TIME CERTIFICATE DATE ESTABLISHED 01-01-1985 x 1,022.30 0.500 511.15 .00 511.15 .45 23.00 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." Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due X TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) PAYMENT MUST BE MADE BY 03-21-2002*. TOTAL TAX CREDIT .00 BALANCE OF TAX DUE 23.00 INTEREST AND PEN. .00 TOTAL DUE 23.00 . IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. · ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAI._DlJE_~;LR!;EL~~!!;D_~~_.A_~~R~~!!~...!}:~)..! Y~U MAY BE DUE A REFUND. /7-/S/- ~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE '* BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 NOTICE OF INHERITANCE TAX APPRAISEKENTL ALLOWANCE OR DISALLOWANCE OF DEDUCTION~, AND ASSESSKENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REY-1548 EX AFP <12-00' Recorded.OfHca of Register of Wills -01 NOV 26 An:51 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSNI'DC ACN 11-26-2001 MOONEY 06-20-2001 21 01-1005 CUMBERLAND 204-01-9926 01144261 MILDRED JUNE E TOLBERT 323 DWELLING CT SHIPPENSBURG PA ~(} S l,.ourt Qlnberland Co., PA Allount Rellitted 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 ~ R-Ev=i5ir8-Ex--AFP--(i~:ool------------------------------------------------------------------------------------ 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 MOONEY MILDRED DATE OF DEATH 06-20-2001 COUNTY CUMBERLAND FILE NO. 21 01-1005 TAX RETURN WAS: S.S/D.C. NO. 204-01-9926 (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION ACN 01144261 FINANCIAL INSTITUTION: ALLFIRST BANK ACCOUNT NO. 87008000435373 TYPE OF ACCOUNT: () SAVINGS ( ) CHECKING ( ) TRUST ()() TIME CERTIFICATE DATE ESTABLISHED 02-01-1985 X 1,018.26 0.500 509.13 .00 509.13 .45 22.91 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." Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due X TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) PAYMENT MUST BE MADE BY 03-21-2002*. TOTAL TAX CREDIT .00 BALANCE OF TAX DUE 22.91 INTEREST AND PEN. .00 TOTAL DUE 22.91 . IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. · ( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. ~LTQ!~!:_I?~E_~~_R~EL~~!~D_~~..A_:~R~~!!:...L!::~!.!. Y~U HAY BE DUE A REFUND. /?-/P-b COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE '* BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 NOTICE OF INHERITANCE TAX APPRAISEKENT~ ALLOWANCE OR DISALLOWANCE OF DEDUCTION~, AND ASSESSKENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REY-154B EX AFP liZ-DOl Recoroed. Office of Register of VVills DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 11-26-2oo1 MOONEY 06-20-2001 21 01-1005 CUMBERLAND 204-01-9926 01l4426o MILDRED JUNE E TOLB~fR NOV 26 All 51 323 DWELLING CT SHIPPENSBURG CIM<-I}'2:57Ln':; COUI1 Cumbenand Co., PA Allount Rellitted 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=lsirs-Ex--AFP--fi1f=ool------------------------------------------------------------------------------------ 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 MOONEY MILDRED DATE OF DEATH 06-20-2001 COUNTY CUMBERLAND FILE NO. 21 01-1005 TAX RETURN WAS: S.S/D.C. NO. 204-01-9926 (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION ACN 01l4426o FINANCIAL INSTITUTION: ALLFIRST BANK ACCOUNT NO. 87008000435365 TYPE OF ACCOUNT: DATE ESTABLISHED ( ) SAVINGS ( ) CHECKING ( ) TRUST ()() TIME CERTIFICATE 02-01-1985 X 1,018.26 0.500 509.13 .00 509.13 .45 22.91 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." Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due X TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) PAYMENT MUST BE MADE BY 03-21-2002*. TOTAL TAX CREDIT .00 BALANCE OF TAX DUE 22.91 INTEREST AND PEN. .00 TOTAL DUE 22.91 . IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. · ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IL T()!~'=_I?~E _~~_ R~~L~~!~D _~~..A _:!:R~~!!:...L~~!.! Yl!U MAY BE DUE A REFUND. /~-I%-~ \, BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT *' REY-I607 EX AFP liZ-DOl Reccrcs..' Rec;!ue DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 12-17-2001 MOONEY 06-20-2001 21 01-1005 CUMBERLAND 01144260 MILDRED E "01 01 C 27 AlO :08 JUNE E TOLBERT 323 DWELLINq.,C.L S HIP PEN S B U RSC~~~b~~dl !j2~! .... 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=i6ifj-Ex-AFP--(I~f:ooT------...--iNi"-ERiYANcE--iAX-STAyEHE-N'i-oF'-AC-coUifi--.-..------------------ --- ESTATE OF MOONEY MILDRED E FILE NO.21 01-1005 ACN 01144260 DATE 12-17-2001 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: 11-26-2001 P R I NCI PAL TAX DUE: ....................._................................................................................................................................................................................................... 22.91 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 11-02-2001 CDOO0475 .00 22.91 TOTAL TAX CREDIT 22.91 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 1lI IF PAID AFTER THIS DATE, SEE REVERSE 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 \, /'?-/t?- h BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT '* REV-1U7 EX AFP 112-00l ReccH LL, of RepL':}L: DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 12-17-2001 MOONEY 06-20-2001 21 01-1005 CUMBERLAND 01144254 MILDRED E '01 ole 27 mo :08 JUNE E TOLBERT 323 DWELLING CT Cler!"; SHIPPENSBURG ~~n~~ 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 =i6ifj-E3f-AFP--fi2":ooY------...--iNifERIYANc'E-TA3f-sT'A-fEMENT-ifF'-Ac-coUi.ff--...------------------ --- ESTATE OF MOONEY MILDRED E FILE NO.21 01-1005 ACN 01144254 DATE 12-17-2001 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 : ........................................................................................................................................................................................................................... 72.06 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 11-02-2001 CDOO0475 .00 72.06 TOTAL TAX CREDIT 72.06 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 IE IF PAID AFTER THIS DATE, SEE REVERSE 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" (CRl, YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. l //- /Y- b BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT * REV-li07 EX AFP llZ-DDl Recon':kDf Rer-F-;t: DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 12-17-2001 MOONEY 06-20-2001 21 01-1005 CUMBERLAND 01144258 MILDRED E '01 ole 27 AlO :08 JUNE E TOLBERT 323 DWELLING CT SHIPPENSBURG ~~1J~gi~a 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 =i6oj-E3CAFP--(i-;f=ofjr------...-iNHERIT-ANCE--TAX-STATEME-NT-OF'-AC-COLiiiT--.-i.--------------- - -- - -- ESTATE OF MOONEY MILDRED E FILE NO.21 01-1005 ACN 01144258 DATE 12-17-2001 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: 11-26-2001 P R I NCI PAL TAX DUE: ........................................................................................................... 22.56 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 11-02-2001 CDOO0475 .00 22.56 TOTAL TAX CREDIT 22.56 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 . IF PAID AFTER THIS DATE, SEE REVERSE 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 DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT '* \, REY-16D7 EX AFP <l2-DDl Re(>j'u'::,~ DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 12-17-2001 MOONEY 06-20-2001 21 01-1005 CUMBERLAND 01144255 MILDRED E '01 OIC 27 A10 :08 JUNE E TOLBERT 323 DWELLI~lsr1_ .' SH I PPENSBU~lllnbe!:h:~ 7 'lR.7, 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 =i60i-EX-AFP-fi'2=ooY------..ii-iNifERITANc'E--TAX-STATEMENT-'(fF'-Accou'NT--iii.------------------ --- ESTATE OF MOONEY MILDRED E FILE NO.21 01-1005 ACN 01144255 DATE 12-17-2001 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: 11-26-2001 P R I NC I PAL TAX DU E : ........................................................................................................................................................................................................................... 22.74 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 11-02-2001 CDOO0475 .00 22.74 TOTAL TAX CREDIT 22.74 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00 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" (CRJ, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. J BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT '* \, REY-1U7 EX AFP 112-DDl Racc: ( Roc;;; .\c-<,~.,. ; Of DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 12-17-2001 MOONEY 06-20-2001 21 01-1005 CUMBERLAND 01144257 MILDRED E .01 ole 27 AlO :08 JUNE E TOLBERT 323 DWELLlN<Cl~fk_" ... ;1 SHIPPENSBUR<<tlllTlb&~u+72~t. Pi". 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-EY-AFP-n'2=o(ir------...--iNHERiYANcE-fAx--srXfEMENf-oF-Ac-col'.it.rf--.-i.---------------- -- --- ESTATE OF MOONEY MILDRED E FILE NO.21 01-1005 ACN 01144257 DATE 12-17-2001 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: 11-26-2001 PR I NC I PAL TAX DUE: ........................................................................................................................................................................................................................... 22.76 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 11-02-2001 CDOO0475 .00 22.76 TOTAL TAX CREDIT 22.76 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00 It 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 ~ 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-1607 EX AFP <12-00) RecOie'.... ReL'i~,1 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 12-17-2001 MOONEY 06-20-2001 21 01-1005 CUMBERLAND 01144256 MILDRED E '01 01 C 27 A10 :08 JUNE E TOLBERT 323 DWELLING C~ . ' SHIPPENSBURG ~~~~BetI2,~l>c 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-E'5f-AFP--fi'2=ooY------...--iNHERiYANC'E-fA'5f-STAfEHE-N'f-OF-AC-Couiff--.-i.------------------ --- ESTATE OF MOONEY MILDRED E FILE NO.21 01-1005 ACN 01144256 DATE 12-17-2001 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: ...................................................................................................................-...................................................................................................... 22.87 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 11-02-2001 CDOO0475 .00 22.87 TOTAL TAX CREDIT 22.87 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 IF PAID AFTER THIS DATE. SEE REVERSE TOTAL DUE .00 lIE 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" (CRJ. YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. J BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 171Z8-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT '* 'v REV-1607 EX AFP llZ-OOI Recore Re~; DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 12-17-2001 MOONEY 06-20-2001 21 01-1005 CUMBERLAND 01144259 MILDRED E JUNE E TOLBERT .01 323 DWELLING CT SHIPPENSBURG 01 C 27 AlO :08 Amount Remitted PA 0lN'R7 Cumben,_" f"J/::\ 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 =i6'ifj-Ex-AFP--fI2'=ooY------...--iNHERii'-ANcE-fAx--sTAfEME-N'f-oF'-Ac-couiff--.-i.---------------- ----- ESTATE OF MOONEY MILDRED E FILE NO.21 01-1005 ACN 01144259 DATE 12-17-2001 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: 11-26-2001 P R I N C I PAL TAX DUE: m__mn_n_m__m__mmmn_____nnn"_m____mmmmmnn_____nmmmm_m_____mnmmnm____m_mmnmnn________m_mmnmn______n 23.00 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 11-02-2001 CDOO0475 .00 23.00 TOTAL TAX CREDIT 23.00 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" (CRJ, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. J ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT REV-1607 EX AFP <12-00) ReCO(D~' Re~r~k ~ T "-" \.....h DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 12-17-2001 MOONEY 06-20-2001 21 01-1005 CUMBERLAND 01144261 MILDRED E JUNE E TOLBERT01 323 DWELLING CT SHIPPENSBURG Ole 27 AiO :08 ~etK2~7 Cumbena[! Anount Remitted F)A 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 paynent. CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV =i6cfj-Ex--AFP--n."2-=ooY------...-iNifERITANCE-TAX--STAfEME-NT-OF"-AC-coUiff--...--------------- --- --- ESTATE OF MOONEY MILDRED E FILE NO.21 01-1005 ACN 01144261 DATE 12-17-2001 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: 11-26-2001 P R I NC I PAL TAX DUE: ........................................................................................................................................................................................................................... 22.91 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 11-02-2001 CDOO0475 .00 22.91 TOTAL TAX CREDIT 22.91 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 !Ii IF PAID AFTER THIS DATE, SEE REVERSE 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