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Home My WebLink About01-1006 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT.2B0601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT BUY AKOWSKI JOSEPH G 1123 COUNTRY CLUB RD CAMP HILL, PA 17011 nn____ fold ESTATE INFORMATION: SSN: 172-32-0058 FILE NUMBER: 21-2001- 1006 DECEDENT NAME: BUY AKOWSKI LAURA K DATE OF PAYMENT: 11/02/2001 POSTMARK DATE: 11/01/2001 COUNTY: CUMBERLAND DATE OF DEATH: 06/01/2001 NO. CD 000474 ACN ASSESSMENT CONTROL NUMBER AMOUNT 01148245 I $422.61 I I I I I I I I TOTAL AMOUNT PAID: $422.61 REMARKS: JOSEPH G BUY AKOWSKI CHECK# 2061 SEAL INITIALS: PB RECEIVED BY: REGISTER OF WILLS MARY C. LEWIS REGISTER OF WILLS )7-J~-7 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. Z80601 HARRISBURG, PA 171Z8-0601 '* INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DATE NO. 21 -()I" 10o~ 01148245 10-16-2001 REV-1543 EX AFP 109-001 I TYPE OF ACCOUNT EST. OF LAURA K BUYAKOWSKI 0 SAVINGS S. S. NO. 172-32-0058 0 CHECKING DATE OF DEATH 06-01-2001 0 TRUST COUNTY CUMBERLAND [X] CERTIF. REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 ~~ JOSEPH G BUYAKOWSKI 1123 COUNTRY CLUB RD CAMP HILL PA 17011 ALLFIRST FINANCIAL SERVICES 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 Fenns;ylvaniCi. QLitastions may be answiired by calling (711) 787--83Z7. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 80000002028333 Date 10-16-2000 Established x 9,391.36 100.00 9,391.36 .15 1,408.70 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 57. discount of the tax due. Any inheritance tax due will become delinquent nine (9) months after the date of death. Tax PART ill A. [] 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. [CHECK ] ONE BLOCK ONLY B. [] The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return ~ be filed by tho. d,::c6dGr.t.s representative. C. The above information is incorrect and/or debts and deductions were paid by you. You must complete PART ~ and/or PART ~ below. x If you indicate a different t~x rate~~~ase s~te your relationship to decedent: .;:. eo '^ e=' vvCO''34-1 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 TAX ON JOINT/TRUST ACCOUNTS \e> \,\,\ 00 ~~\.~ \'00 a;?o 4~"'\ .~b ~ q "b"" \" '0 b t-j.~70 4 "').:l. . G.J.- DEBTS AND DEDUCTIONS CLAIMED x PART [!J DATE PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL (Enter on Line 5 of Tax Computation) Under penalties of perjury, I declare that the facts I complete to the best of my knowledge and belief. $ have reported above are true, correct and HOME (;~) \b ~-S"\b~ WORK ('\.\.\) \6~- \'~~ TELEPHONE NUMBER \ ~\i~O\ DA . /7~/p-7 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE * BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 NOTICE OF INHERITANCE TAX APPRAISEMENT~ ALLOWANCE OR DISALLOWANCE OF DEDUCTION~, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS RecC'.-,'?,.''j Rec;i;;~';' \:1J.viC, REY-1548 EX AFP <l2-DDl ;/viJis of DA TE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 12-10-2001 BUYAKOWSKI 06-01-2001 21 01-1006 CUMBERLAND 172-32-0058 01148245 LAURA K 'OT ole -7 All :34 JOSEPH G BUYAKOWSKI 1123 COUNTRY CLUB RD C:erk- CAMP HILL PA 10Urnbe-"ri- _' . tdf1fJ Allount Rellitted '-Gurt 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=i5~8-E)f-AFP--(i2-:oo)------------------------------------------------------------------------------------ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 12-10-2001 ESTATE OF BUYAKOWSKI LAURA K DATE OF DEATH 06-01-2001 COUNTY CUMBERLAND FILE NO. 21 01-1006 TAX RETURN WAS: S.S/D.C. NO. 172-32-0058 (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION ACN 01148245 FINANCIAL INSTITUTION: ALLFIRST FINANCIAL SERVICES ACCOUNT NO. 80000002028333 TYPE OF ACCOUNT: () SAVINGS ( ) CHECKING ( ) TRUST (X> TIME CERTIFICATE DATE ESTABLISHED 10-16-2000 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due 9,391.36 1. 000 9,391.36 .00 9,391.36 .45 422.61 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 03-02-2002*. TOTAL TAX CREDIT .00 BALANCE OF TAX DUE 422.61 INTEREST AND PEN. .00 TOTAL DUE 422.61 . IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. . ( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. TF TOTAL DUE IS REFLECTED AS A "c:R~~!!:..!._!:~!.!. YC!U HAY BE DUE A REFUND. \ /6-1R-" 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-I'D7 EX AFP liZ-DOl Aecor c ReGis!>.' of DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 12-17-2001 BUYAKOWSKI 06-01-2001 21 01-1006 CUMBERLAND 01148245 LAURA K "01 Ole 27 JOSEPH G BUYAKOWSKI 1123 COUNTRY CLUB RD CAMP HILL L;C'i~.1.'~ !.'O....l1 Allnbt:, i.e' 1.\10 '0. 8 } ;,,, 'I. ~.J :~, ',~~l L Allount Rellitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLEJ 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=i6iff-Ex-AFP--Ci'2-:ooy------...--xNiiERITANc'E--TAx-STATEMENrO,:-AC-Couifi--.-..----------------- - --- ESTATE OF BUYAKOWSKI LAURA K FILE NO.21 01-1006 ACN 01148245 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 DUEJ APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 12-10-2001 P R I N C I PAL TAX DUE: ......m..m...m.........mm..........m....m..m....m......mm. 422.61 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 11-01-2001 CDOO0474 .00 422.61 TOTAL TAX CREDIT 422.61 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, un" ...V IIC nllc A RI=I=IINn. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. J , ~ I ~ \ , \ .~ I. \ \ {,\'~~ I ; f. . \U-'., ) ,. \,.,' -j, '/~',..'.. \: ".... "L :';C'/ ./ "-~. < \4~ ,0. '/ 06 \1 / f,,? ~~ ,# I J~ ': ~! ) -1" e ~ <;) /) ,l\ .> "> V ~ ~ . . ~0 o~ u..... v ~.A ,/ \. ~ a0 := ~ ~ -:;:; - -::: ~ :::::. - - -.:;. ~. == - ...., () (.) (.) ..... (':' .,..1 ''', '... r.' .,.-1