HomeMy WebLinkAbout04-15-08 (3)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
REV-1162 EX111-96)
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
N0. CD 009562
THOMAS ANDREW L
905 GREENBRIAR DRIVE
MECHANICSBURG, PA 17050
-------- fold
ESTATE INFORMATION: ssN: 200-a4-9292
FILE NUMBER: 2108-0428
DECEDENT NAME: THOMAS GEORGE B
DATE OF PAYMENT: 04/ 1 5/2008
POSTMARK DATE: 04/14/2008
couNTY: CUMBERLAND
DATE OF DEATH: 01 / 1 8/2008
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
081 14333 ~ $104.41
TOTAL AMOUNT PAID:
REMARKS: ANDREW L THOMAS
CHECK#807
SEAL
INITIALS: WZ
RECEIVED BY:
$104.41
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES AND FILE N0. 21- C)~ - l.(~~
DEPT. 280681
HARRISBURG, PA 171z8-ocBl TAXPAYER RESPONSE ACN 08114333
DATE 04-09-2008
REV-3543 EX AFP (09-DO)
TYPE OF ACCOUNT
EST. OF GEORGE B THOMAS ® SAVINGS
S.S. N0. 200-34-9292 ~ CHECKING
DATE OF DEATH o1-18-2008 ~ TRUST
COUNTY CUMBERLAND ~ CERTIF.
REMIT PAYMENT AND FhOJRMS T0:
ANDREW L THOMAS REGISTER OF ILLS ~
905 GREENBRIAR DR CUMBERLAND OURT FUSE-- ~~
MECHANICSBURG PA 17050-1916 CARLISLE, PA- -t~17013 ~' ; ri }~`~
I~ ~ ~"-7
CI7 ,7;'j
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PSECU ~ ` ~ 33m
has provided the Department with the information listed below which gds-been used~yin 1_~
calculating the potential tax due. Their records indicate that at the death of the above decedent, you were.,-a ~a~nt owner~neficiaTy~
this account. If you feel this information is incorrect, please obtain written correction from the financial:3n3~itution,•attachCa;.~opy
to this form and return it to the above address. This account is taxable in accordance with the Inheritancs7ax Laws of Fqj Commd'nweal~h
of Penrsylvania• Cuestions may ba answered by calling C717) 787-8327. ~ -. __.
COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 0188627586 Date 04-08-1983
To insure proper credit to your account, two
Established (2) copies of this notice must accompany your
Account Balance 31 , 455.44 payment to the Register of Wills. Make check
payable to: "Register of Wills, Agent".
Percent Taxable X 50.000
Amount Subject to Tax 15, 727.72 NOTE: If tax payments are made within three
C3) months of the decedent's date of death,
Tax Rate X .045 You may deduct a 5Y. discount of the tax due.
Potential Tax Due 707.75 Any inheritance tax due will become delinquent
nine C9) months after the date of death.
PART TAXPAYER RESPONSE
1 ........................................................................................................................................
A. ^ The above information and tax due is correct.
I. You may choose to remit payment to the Register of Wills with two copies of this notice to obtain
C H E C K a discount or avoid interest, or you may check box "A" and return this notice to the Register of
0 N E Nills and an official assessment will be issued by the PA Department of Revenue.
BLOCK ~ B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax ret
0 N L Y to be filed by the decedent's representative. urn
C. The above information is incorrect and/or debts and deductions were paid by you.
You must complete PART ~ and/or PART ~ below.
PART I f y o u i n d i c a t e a d i f f e r e n t t a x rate , P l e a s e s tat a o u r :::::.... ...................................................................................:........................................... .::::
s ~ii'i€i~ ili'•._ iEs=i':i''si ~~ ~ ~€_;~`i~Ei~~~'ss i :i':i€ : : :::..:::::::::::::::::::
relationsh" ~~ ~ ~~~ ~~~~
1P to decedent: :............._.......... •.............................._......_- ~'.....~~~s~::~;::::~
TAX RETURN - COMPUTATION
LINE i. Gate 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~~~ ~
PART
0
DATE PAID PAYEE
OF TAX ON JOINT/TRUST ACCOUNTS
i '+
2 ~ . '~~ •
3 ``t~
4_ ~ . 7l 1 . ~ [i.
,
5 - \ `S
6 _ ~. ~~o~J. tl.~.
7 ~1 S
s . ~ /CY3_`~0
DEBTS AND DEDUCTIONS CLAIMED
DESCRIPTION
AMOUNT PAID
TOTAL CEnter on Line 5 of Tax Computation) $ Z Z}t
U n d e .~~
penalties of perjury, I declare that the facts I have reported above are true, correct and
et to thei:pest of my knowledge and belief. ~~~^,,,j~~ 1
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Hollinger Funeral Home & Crematory, Inc.
Eric L. Hollinger, Supervisor
January 24, 2008
Linda Thomas
8 Bourbon Red Drive
ti1echanicsburg, PA 17050
The Funeral Service for George B. Thomas:
We sincerely appreciate the confidence you have placed in us and will continue to assist you in every
way we can. Please feel free to contact us if you have any questions in regard to this statement.
THE FOLLOWING IS AN ITEMIZED STATEMENT OF THE SERVICES, FACILITIES, AUTOMOTIVE EQUIPMENT,
AND MERCHANDISE THAT YOU SELECTED WHEN MAKING THE FUNERAL ARRANGEMENTS.
Professional Service
Cremation Package F-Cremation with memorial service $3495.00
Merchandise
Rosemont Cherry Casket 935.00
Tree Urn -slate 395.00
15 Bookmarks @ $3.00 each 45.00
AT THE TIME FUNERAL ARRANGEMENTS WERE MADE, WE ADVANCED CERTAIN PAYMENTS TO OTHERS
AS AN ACCOMMODATION. THE FOLLOWING IS AN ACCOUNTING FOR THOSE CHARGES.
Cash Advances
Newspaper Notice -Sentinel ~ $185.00
Newspaper Notice -Patriot 338.00
Newspaper Notice -Oil City Derrick 105.00
Certified Copies of Death Certificate (10 @ $6) 60.00
Cumberland County Coroners Authorization 25.00
Flowers -Family Spray 132.50
Rev. Richard P. Waldron 325.00
Current Balance: b040.50
,.
it
Soi NORTH BALTIMORE A\7ENLiE a MOllNT HOLLY SPRINGS. PENNSYLZ7ANIA 17065. (717) 486-5455 m FAX (717) 486-3215
ww-~c.noiIingerfuneraIhome.com
PSEC~
ANDREW L THOMAS
GEORGE THOMAS
905 GREENBRIAR DR
MECHANICSBURG PA 17050-1916
MEMBEk NUMEER STATEMENT DATE
P0. Box 61013 (7171 234.8184 (Harrisburg;
Harrisburg, PA 17106-7013 (800) 237-7328 ;Nationwide)
website - http://www.psecu.com ~
JOINT OWNER
0188XXXXXX 01/31/08
Post Eff Description
01/01 ID O1
REGULAR SHARES Beginning Balance Amount Balance
01/04
Payment: Account Adjustment: 549.28
LOAN PROCEEDS 12000.00 12599.28
01/04 Withdrawal Transfer To Loan 51
01/05
01/31
Withdrawal via Home Banking Transfer To Share 07 59.74-
12000
00- 12489.54
489
54
Payment: Dividend 1.240% . .
Annual Percentage Yield Earned 1.250 from 01/01/08 0.93
through 01/31/08 490.47
Based on Average Daily Balance of 882
42
01/31 .
Ending Balance
____---- -__-__-_
______________________ 490.47
Post Eff _____________
Description ___________________ _________
O1/Ol ID 04
CHECKING Beginning Balance Amount Balance
01/02
Check 000795 2986.34
01/02
Check 122611 400.00- 2586.34
01/04
ELECTRONIC BILL 0005 FOR $126.08 1100.00- 1486.34
WAS SENT TO PPL
01/09 ELECTRONIC BILL 0010 FOR $91.07
WAS SENT TO COMCAST - CENTRA
01/04 Check 122804
01/06
Withdrawal at ATM #00001211/W43002 118.36- 1367.98
ATM STAR NETWORK 714 W MAIN ST 80.00- 1287.98
MECHANICSBURG PA
01/08 Withdrawal Direct Deposit COMCAST - CENTRA 91
07- 1196
91
TYPE: E-BILL C0: COMCAST - CENTRA . .
01/08 Withdrawal Direct Deposit PPL
TYPE: E-BILL C0: PPL 126.08- 1070.83
01/09 BILLPAYER CHECK 010908 FOR $246.00
WAS MAILED TO ERIE INSURANCE GROUP
01/09 .
BILLPAYER CHECK 010906 FOR $2.50
WAS MAILED TO PENN WASTE INC.
01/11 Payment: Direct Deposit PA TREASURY DEPT 1778
46 2849
29
TYPE: PAYROLL ID: 1236003133 . .
C0: PA TREASURY DEPT
01/11 Check 010906
2.50- 2846.79
PSEC~k
ANDREW L THOMAS
G HOMA
905 GREENBRIAR DR
MECHANICSBURG PA 17050-1916
MEM BL=R NUMBER STATEMENT DATE
0188XXXXXX 01/31/08
1 ~~~ „~~~
P0. Box 67013 pl7) 234-8484 (Harrisburg;
Harrisburg, PA 11106-701;3 (800) 237-7328 (Nationwide)
website - http://www.psecu.com
JOINT' OWNER
Number
000796 Amount Number Amount Number Amount Number Amount
115
16 010908*
000797
* .
246.00 012611* 725.00
127.36 012104* 381.35 122611* 1100
00
Asterisk .
next to number indicates skip in number sequence
____________________________
Post ___________________________
Eff Description _ ____
O1/O1 ID
07 MONEY MARKET Beginning Balance Amount Balance
01/05
Payment: via Home Banking Transfer From Share Ol
12000
00 19402.85
31902
85
01/31 DIVIDEND RATE CHANGED FROM 3.93$ TO 3.49$ . .
311{ssy~~.%
Payment: Dividend 3.490% d
t
01/31 Annual Percentage Yield Earned 3.950$ from 01/01/08 through O1/31/Og 9 31501.14
Ending Balance
-_--- ---
__ 31501.14
***
Post ANNUAL PERCENTAGE RATE 6.490$ *** Periodic Rate (Daily)
ff Descri 0.54083$
01/09 Principal
L ESTATE EQUITY LOAN Beginning Ba ance FIN CHG Fees Balance
01/04 New Loan ccoun s 0.00
01/04 12000.00
Payments Transfer From Share 01 0.00 12000.00
01/29 0.00
Payments via Home Banking Transfer From Share 04 59.74 12000.00
01/31 Ending Balance 375.00- 0.00 11625.00
A Payment of 234.74 is due on 03/01/08 11625.00
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