HomeMy WebLinkAbout05-19-08
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
SPECK PAUL E
824 HERMAN DRIVE
MECHANICSBURG, PA 17055
_______w fold
ESTATE INFORMATION: SSN: 162-32-4434
FILE NUMBER: 2108-0548
DECEDENT NAME: SPECK CELIA
DATE OF PAYMENT: 05/19/2008
POSTMARK DATE: 05/16/2008
COUNTY: CUMBERLAND
DATE OF DEATH: 11/30/2007
NO. CD 009749
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
08122140 I $9.96
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$9.96
REMARKS:
CHECK#1803
SEAL
INITIALS: AJW
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRIS8URG, PA 17128-0601
'*
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO. 21 6~ cb~Y>
08122140
05-19-2008
REV-1543 EX AFP C09-00>
EST. OF CEL IA SPECK 0 SAVINGS
S.S. NO. 162-32-4434 [i] CHECKING
DATE OF DEATH 11-30-t907 g 0 TRUST
COUNTY CUMBERLAN~~ ~ !c~=L{:~RTIF.
REMIT PAY~~ND ~MS t~;
REGISTER OF~li+p _ :~-;
CUMBERLAND1:Q-~RT\liOUS~. :
CARLI SL E, I7k '~~~)?N113
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Q '"T1 ::::x
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PNC BANK NA has p..ovided the Depa..tment with the info..mation listed below which has been used in
calculating the potential tax due. Thei.. ..eco..ds indicate that at the death of the above decedent, you we..e a joint owne../beneficia..y of
this account. If you feel this info..mation is inco....ect, please obtain w..itten co....ection f..om the financial institution, attach a copy
to this fo... and ..etu..n it to the above add..ess. This account is taxable in acco..dance with the Inhe..itance Tax Laws of the Commonwealth
uf Penn~ylvania. Questions may be answe..ed by calling (717) 787-M327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
PAUL E SPECK
824 HERMAN DR
MECHANICSBURG
TYPE OF ACCOUNT
PA 17055
Account No. 000005140261504 Date
Established
Account Balance
Pe..cent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
PART
[!]
04-28-1983
To insu..e p..ope.. c..edit to You.. account, two
(2) copies of this notice mu~t accompany you..
payment to the Registe.. of Wills. Make check
payable to: "Registe.. of Wills, Agent".
x
3,861.79
50.000
1,930.90
.045
86.89
TAXPAYER RESPONSE
NOTE: If tax payments a..e made within th..ee
(3) months of the decedent's date of death,
you may deduct a 5% discount of the tax due.
Any inhe..itance tax due will become delinquent
nine (9) months afte.. the date of death.
x
[CHECK ]
ONE
BLOCK
ONLY
A. [] The above info..mation and tax due is co....ect.
1. You may choose to ..emit payment to the Registe.. 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 Depa..tment of Revenue.
B. [] 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 ..ep..esentative.
C. ~ The above info..mation is inco....ect and/o.. debts and deductions we..e paid by you.
You must complete PART ~ and/o.. PART ~ below.
2
3 X
4
5
6
7 X
8
PART
[!J
TAX
If you indicate a different tax rate, please state your
relationship to decedent:
RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. uate EstaDlishea
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
[!]
DATE
/ 'l. :J q, Cj <:>
)'7t?C?,v9'
:l~/. Y' /
,. () y.:;,-
9-. 9 Ca
DEBTS AND DEDUCTIONS CLAIMED
Under penalties of
complete to the best of
?~
C'_~
-rAvn."r-n r"T,........Tllnr-
DESCR I PTI ON
$
perjury, I declare that the facts I have reported above are true, correct and
my knowledge and belief.
HOME
WORK
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( )
71.:.' -(j ten
freetilecking Account Statement
1':'\ C Itlll k
PNCBANK
For th9 p9riod 11110/2007 to 12/11/2007
Primary account number: 51-4026-1504
Page 1 of 2
Number of enclosures: 0
CELIA SPECK
PAUL E SPECK
824 HERMAN DR
MECHANICSBURG PA 17055-5734
IQl For 24.1101lr banking, and transaction or
.b'::!. interest rate information, sign on to
11' PNC Ehlllk Online Banking at pnc.colll.
For customer selvice call1-88S-PNC-BANK
between the hours of 6 AM and Midnight ET.
Para servicio en esparlol, 1-866-HOlA-PNC
Moving? Pleas"! cont<lct liS at 1-888-PNC-BANK
o Write to: Customer Service
PO Box 609
Pittsbllroh PA 15230-9738
ItJJ Visit us at pne.com
L.:::::.
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-
TDO tennin<ll: 1-800-531-1648
For ht,;" jtl~ iml':lif cd rlil..-nt<\ olll~-
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Give the gill ofPNC Bank "isa:~) Gill Cards this holid:lv season. Perfed It)\" cwryone and avail:lhle in \"hole dolbr lIInOllnts lip to 5500. Slop
by a rarti'~ipa{jng PNC Bank hrandl/i.}l' more dclails. .
!'(,.l~!('!!.f/It.: .1:m,'~I_jh' N~)n:1l1!)~r f7,.UIl' eurchasc Ice ,~'ill h:..::<;~~)~ Jrre~'iouslt ~J.95l:
free CItQck.i..U Account S..nunary
Account number: 51-4026-1504
. _..r
.
. - ~ .,,~~ ...". +,...-
.~~ ~ ~
Celia Speck
Paul E SpeGk
Beginning
balance
~~,~() L 79
Deposits and
olher additions
970.70
Checks and other
deductions
1,7lto.00
Ending
batance
<',072.49
,......,
Q . Q
Please see th~i~Y Det~ectionjfot ::
additional infOl~~i~. ~' ,
-;~~>0J l.,
..J.-j 1..0
?<:
Balance S..mmary
.00
-' C) "-',
~.J '::11'~1
'-..-
-:-.0
-u--I
J>
-0
:J:
\.
Average monthly
balallce
~,8:~:..1 :~
Charges
and fees
N
C.J1
..
Transaction SI.nlmary
CheCK" paidl
withdrawals
Check Card POS
signed transactions
Check Card/Bankcard
POS PIN transactions
o
o
Total ATM
transactiolls
PNC Bank
ATM transactions
other BanI<
ATM transactions
o
{)
o
Acthfity Petail
D~I.""9itB and Other Additions
Date
1 "2/0:\
Amount Description
970.70 Dhed Dcposit - SOl' See
US Trcasmy :303 XXxxX75:tm
Tlv'lr''l was 1 Deposit Of Olltel Addition
totalin{/ $970.70.
Checks and Substitute Checks
O~ D~
=--
~.
78!).:}0
12/011
Reference
number
O~,\(J~187 l!l
There is 1 check list~ totaling $789.30.
FOBivi953H.l00G
Free Checking Account Statement
PNC l3ank
PNCBANK
For the period 12/12/2007 to 01111/2008
Primary account number: 51-4026-1504
Page 1 of 1
Number of enclosures: 0
CELIA SPECK
PAUL E SPECK
824 HERMAN DR
MECHANICSBURG PA 11055-5734
C For 24-hour banking, and transaction or
L.Z!, interest rate informatiolll, sign on to
1J' PNC Bank Online Bankil1g at pnc.com.
For customer service cclIl1-888-PNC-BANK
between the hours 016AM and Midnight ET.
Para servicio en espariql, 1-866-HOlA-PNC
Moving? Please contact Us at 1-888-PNC-BANK
l2!SI Write to: Customer Service
PO Box 609
Pittsburgh PA 15230-9738
tJ Visit us at pnc.com
L::3
I~l
~
TOO tenninal: 1-800-531-1648
FOJ h(':il il\~ inlpaj[C'f_1 rli,,-'nb 01,1)"
Free Checking Account SU"III.ary
Account number: 51-4026-1504
Celia Speck
Palll E Speck
Balance 5..mmary
Beginning
balance
3,072.-19
Deposits and
other add/lions
137.89
Checks and other
deductions
789.30
Ending
balance
2(121.08
Please see the Activity Detail section for
additional information.
Average monlhly
balance
2,115.'10
Charges
and fees
.00
Transaction SlImmary
Checks paid!
withdrawals
Check Card POS
signed transactions
Cheek Card/Bankcar.j
POS PIN transactions
()
o
Total ATM
transactions
PNC Bank
ArM transactions
Other Bank
ATM transactions
()
()
()
Activity Detail
Deposits and Otlter Additions
Dale Amount Description
12/19 l:l7.S9 lkposil Rdncnce No 02.1;>:l3.ISG
There was 1 Deposit or Other Addition
totaling $137.89.
Cheeks and SlIltstitllte Checks
Check ~
E: ~ ;;;~ 12;';; _ )
"-------_.-..~~_.~------------
Heferonce
number
Uill13:ll;li92
Daily Balance Detail
Dale Balance
12/'12 :l,072.W
There is 1 check list~d totaling $789.30.
Dale
12/13
Balance
2.2:nl9
Dale
12/19
Balance
2.121.03
FOilM953R.IO05
Free Checking Account Statement
PNC Bank
For the period 01/12/2008 to 02/11/2008
CELIA SPECK
PAUL E SPECK
824 HERMAN DR
MECHANICSBURS PA 17055-5734
- -
Free Checking Account Sumn.ary
Account number: 51-4026-1504
-
PNCBANl<
Primary account number: 51-4026-1504
Page 1 of 1
Number of enclosures; 0
Ei! For 24-hollr banking, and trllnsaction or
-. interest rate infortllation, sign on to
11' PNC Bank Online Banking at pnc.com.
For customer selvir-a call1-868.PNC-BANK
between the hours of 6 AM and Midnight ET.
Para servicio en espal'lol, 1-866-HOLA-PNC
Moving? Please contact us at 1-688-PNC-BANK
12!$1 Write to; Customer Service
PO Box 609
Pittsburgh PA 15230-9738
g Visit us at pne.com
~
I
TDO terminal: 1-800-531-1648
"-"R h("'aring illll':1irt'tt dj(.,.t~ only
Celia Slleck
Paul E Speck
Balance Summary
Ple<lse see the Ac:tivity Detail section for
additional information.
Beginning
balance
2,421.08
Checks and other
deductions
1 :lo.89
Deposits and
olher additions
.00
Average monthly
balance
2,37:'.78
Ending
balance
2,290.19
Charg"s
and fees
.00
Transactio.. Summary
Checks paldl
withdrawals
Check Card POS
signed transactions
Check CardlBankcard
POO PIN transactions
2
()
Total ATM
transactions
PNC Bank
ATM transactions
Other Bank
ATM transactions
o
o
Activity Detail
Checks and Substitute Checks
Check natA Reference
number ._-.-.....---------.-----Amount paid number---
~-- 21.00 01/_1~__ 0'..!679H23
.. Gap in check sequence
o
o
Ch..ck
___________ -- mfliiTlei- .-
( 127'1
Amount
109.89
Date
paid
02/04
There were 2 checks listed totaling
$130.89.
Daily Balance Detail
Date Balance
Ol/12 2,121.08
Date
01/18
Balance
2,'100.08
Date
02/0/1
Balance
2,290. 19
FORM953R.1005
Free Checking Account Statement
PNC Bank
PNC-BANK
For tbe period 0411212... to 08/1212008
Primary account number: 51-4026-1504
Page 1 of 1
Number of enclosures: 0
G
H
PAUL E SPECK
824 HERMAN DR
MECHANICSBURG PA 17055-5734
Q For 24-hour banking, and transaction or
Interest rate information. sign on to
11' PNC Bank Online Banking at pne.com.
For customer service call 1-888-PNC-BANK
between the hours of 6 AM and Midnight ET.
Para servlcio en espanol, 1-866-HOlA-PNC
Moving? Please contact us at 1-888-PNC-BANK
ti!Sl Write to: Customer Service
PO Box 609
Pittsburgh PA 15230-9738
~ Visit us at pnc.com
Ii] TOO terminal: 1-800-531- 1648
~'or b.."riug impaired r1ienl~ only
Sometimes bigger dreams require larger loans. With highly competitive rates and low down payments, we can otTcr more mortgage options
and better financing solutions. Whether you're shopping for a new prul1al)' residence, a second home, or considering a refinance, we can tailor
a jtUl1bo mortgage that fIts your big plans perfectly. .
For More Infonl1otion:
> Visit your local PNC Bank branch
> Visit pncmortgage.com
> Call 1-800-778-6618
Fr.. Checking AccOIHIt SuIIImary
Account number: 51-4026-1504
Paul E Speck
Please see the Activity Oetail section for
additional infonnation.
Balance Summary
Beginning
balance
2,290.19
Deposits and
other additions
.00
Checks and other
deductions
2,290.19
Ending
balance
.00
Average monthly
balance
960.40
Charges
and fees
.00
Activity Detail
Onli..e and Electronic Banking Deduction.
Date __~ - Amount .=D8~("rip';9ft.
OV25 2,290.19 Transfer To Account
There was 1 Online or Electronic Banking
Deduction totaling $2.280.'19.
-
-------
0000005140060~~
Date
04125
Amount Descripllon
.00 Outstanding Item Close
There was 1 Other Deduction totaling
$.00.
Other Deductions
Daily Balance Detail
Date Balance
()1/12 2,290.19
Date
04/25
Balance
.00
Paying for college?
PNC Dank can provide solutions to all your education fmancing needs. Call now to review your optKms with an experienced loan counselor.
~~an PNC Bank: 1-800~762-100I
If you prefer to apply online, visit us at pnconcamptls.com.
FORM953R.lO05
F #233580737---10/1/2007 Blue And White - 10/31/2007 - 1 pg
TYPE Of
BlLL
IlUARl\JITOR
_E
AND
ADPRP;SS
CELIA E SPECK
824 HERMAN DR
MECHANICSBURG PA 17055
400
361
ALBERT J
RY OF CHARGES
NF-INT 31DAYS@ 202.50
LABORATORY 89
OCCUP THERAPY 60
SPECIAL CARE UNIT
6277.50
311.00
183.00
191.57
6277.50
311. 00
183.00
191. 57
SUB- OTAL OF CHARGES
6963.07
6963.07
THIS ILL MARKS THE DELETION OF ALL DET
DATED P lOR TO 1 /31/07
GUA RELATIONSHIP:
ACC DATE:
S
UAR
2335
TYPE: B
CE:
(")
Co
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Q~T;
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99077533D
WM80033218
001610686
REL:
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'SLIA E-Enc #233580-IPT-SSN-10/22/2004 Blue And White - 11/12/2007 - 1 pg
ClUAIlAIlTOR
IIA1lE
AIID
ADDRESS
CELIA E SPECK
824 HERMAN DR
MECHANICSBURG PA 17055
361
400
99077 533D
WM80033218
001610686
ALBERT J
202.50
1417.50 1417.50
B
SEX: F
TI E:
NO:
PL CE:
1417.50 1417.50
RELATIONSHIP:
DATE:
/FINAL DIAGNOSIS:
DIAGNOSIS:
S
TYPE:
V66.5
285.9
r' j. f') ., "
V . ~/Jt~ 2. "F'
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e.,t<-
}
,/
Cocklin Funeral Home, Inc.
30 N. Chestnut Street
DilIsburg, P A 17019
(717)432-5312
January 14, 2008
Paul E. Speck
824 Herman Dr.
Mechanicsburg, PA 17055
The Funeral Service for Mrs. Celia E. Speck
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.
Our Service
Total Service Charge. . . . . . . . . . .
FUNERAL HOME SERVICE CHARGES
SELECTED MERCHANDISE:
Blue Mist . . .
Monticel1o . . . . . . . .
Wearing Apparel. . . . . .
THE COST OF OUR SERVICES, EQUIPMENT, AND MERCHANDISE
THAT YOU HAVE SELECTED . , , , . . . . . . . . .
Cash Advances
Flowers. . . .
Certified D.C.. .
Clergy Honorarium
Cemetery Opening
Death Notices" .
Cutting Date . .
Cemetery Equip. .
TOTAL CASH ADVANCES AND SPECIAL CHARGES .
Total
Total Cost "
SUB-TOTAL
INITIAL PAYMENT I DISCOUNT I CREDITS
TOTAL AMOUNT DUE
Mrs. Celia E. Speck
Page 1
$2980.00
$2980.00
$3650.00
$1200.00
$200.00
$8030.00
$136.68
$18.00
$75.00
$750.00
$109.89
$150.00
$140.00
$1379.57
$9409.57
$9409.57
9299.68
$109.89
'-
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)$
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.9i~~~~jah
Form PB-Q1
100 MOUNT ALLEN DRIVE, MECHANICSBURG, PA 17055
PAUL SPECK
824 HERMAN DRIVE
MECHANICSBURG, PA 17055
QUESTIONS? CALL: (717 ) 697-4666
RESIDENT # I UNIT STMT. DATE
110708 I 015D 12/31/2007
RESIDENTlS)
Mrs. CELIA E. SPECK
TOTAL AMOUNT DUE $21.00
DATE DUE 01/31/2008
$
DATE DESCRIPTION RATE Daysl CHARGES CREDITS BALANCE
Units I
Balance Forward 675.88
*** Nursing Care ***
12/31/07 PATIENT LIABILITY 8.00 654.88 21.00
,p J
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RESIDENT #
11 0708
CURRENT
0.00
OVER 30
21.00
OVER 60
0.00
OVER 90
0.00
OVER 120
0.00
TOTAL AMOUNT DUE
$21.00
RESIDENT NAME Mrs. CELIA E. SPECK
A 1% finance charge may be assessed on accounts for which payment has not been received by the due date. Thank you!
Form PB-01
MA
If you have any questions or concerns about your bill, please address them directly to Fiscal Services at 790-8220. Thank YOU!
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