HomeMy WebLinkAbout05-23-08
--I
15056051058
REV-1500 EX (06-05)
PA Department of Revenue '*
Bureau of Individual Taxes ,
PO BOX 280601
Harrisburg, PA 17128-0601
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death
OFFICIAL USE ONLY
County Code Year
INHERITANCE TAX RETURN 00
RESIDENT DECEDENT J. ; b
File Number
O~4f
Date of Birth
02/27/2008
11/07/1919
Decedent's Last Name
Suffix
Decedent's First Name
MI
Myers
Myrtle
C
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix
Spouse's First Name
MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
. 1. Original Return
2. Supplemental Return
3. Remainder Return (date of death
prior to 12-13-82)
5. Federal Estate Tax Return Required
4a. Future Interest Compromise (date of
death after 12-12-82)
7. Decedent Maintained a Living Trust
(Attach Copy of Trust)
10. Spousal Poverty Credit (date of death C..j 11. Election to tax under Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach Sch. 0)
CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
4. Limited Estate
6. Decedent Died Testate
(Attach Copy of Will)
9. Litigation Proceeds Received
8. Total Number of Safe Deposit Boxes
Darlene Hockenberry
Firm Name (If Applicable)
(717) 240-4525
42 Clay Rd.
r-..:l
REGISTER::QF WILLS US@LY
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First line of address
ZIP Code
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::0
~~1ILED
:J:la
Second line of address
City or Post Office
State
U1
(J1
Carlisle
Pa
17015
Correspondent's e-mail address:
Under penalties of perjury. I declare that I have examined this return, including accompa ing schedules and statements, and to the best of my knowledge and belief,
it is true, correct and complete. Declaration of preparer other than the person I repre n tive is based on all information of which preparer has any knowledge.
SIGNAT"o[: 1"\[: p[:Q~nN . FILING ET N DATE
5-
1 70 l '5
DATE
ADDRESS &
4 ~ Q. 1 Cl..u\ fC
SIGNATURE OF PREPARER OTHER tHAN REPRESENTATIVE
(\-d /..5. l "
Po
I'
ADDRESS
PLEASE USE ORIGINAL FORM ONLY
Side 1
L
15056051058
15056051058
....J
~
...J
15056052059
REV-1500 EX
Decedent's Name:
Myrtle
C Myers
RECAPITULATION
1. Real estate (Schedule A). .... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 1.
2. Stocks and Bonds (Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 2.
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) . . . .. 3.
4. Mortgages & Notes Receivable (Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 4.
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) . . . . . ". .. 5.
6. Jointly Owned Property (Schedule F) c:, Separate Billing Requested. . . . . .. 6.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) Separate Billing Requested.. . . . . .. 7.
8. Total Gross Assets (total Lines 1-7). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 8.
9. Funeral Expenses & Administrative Costs (Schedule H). . . . . . . . . . . . . . . . . . . .. 9.
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) . . . . . . . . . . . . . . . . 10.
11. Total Deductions (total Lines 9 & 10). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 11.
12. Net Value of Estate (Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12.
13. Charitable and Govemmental Bequests/See 9113 Trusts for which
an election to tax has not been made (Schedule J) . . . . . . . . . . . . . . . . . . . . . . . . 13.
14. Net Value Subjectto Tax (Line 12 minus Line 13) ....................... . 14.
TAX COMPUTATION. SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2) X .0_
16. Amount of Line 14 taxable
at lineal rate X.O 45 41,665.99
17. Amount of Line 14 taxable
at sibling rate X .12
18. Amount of Line 14 taxable
at collateral rate X .15
15.
16.
17.
18.
19. TAX DUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
15056052059
Side 2
L
Decedent's Social Security Number
1,916.19
53,994.67
55,910.86
12,344.50
1,900.37
14,244.87
41,665.99
41,665.99
1,874.97
1,874.97
15056052059
--.J
REV-1500 EX Page 3
Deced~mt's Complete Address:
DECEDENT'S NAME
Myrtle C Myers
STREET ADDRESS
File Number
DECEDENT'S SOCIAL SECURITY NUMBER
204-03-0995
CITY
e A. fC.LL S L 'f..
STATE
PA
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
8. Prior Payments
C. Discount
(1)
1,874.97
93.75
Total Credits (A + 8 + C ) (2)
93.75
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Interest/Penalty ( D + E ) (3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill in oval on Page 2, Line 20 to request a refund. (4)
0.00
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5)
1,781.22
8. Enter the total of Line 5 + SA. This is the BALANCE DUE.
(SA)
(58)
1,781.22
A. Enter the interest on the tax due.
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred;.......................................................................................... 0 ~
b. retain the right to designate who shall use the property transferred or its income; ............................................ 0 ~
c. retain a reversionary interest; or.......................................................................................................................... 0 [KJ
d. receive the promise for life of either payments, benefits or care? ...................................................................... 0 ~
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? .............................................................................................................. 0 [KJ
3. Did decedent own an "in trust fo~' or payable upon death bank account or security at his or her death? .............. 0 ~
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ........................................................................................................................ 0 ~
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse
is three (3) percent [72 P.S. 99116 (a) (1.1) (i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent
[72 P.S. 99116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and
filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an
adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. 99116(a)(1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent, except as noted in
72 P.S. 99116(1.2) [72 P.S. 99116(a)(1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. 99116(a)(1.3)]. A sibling is defined, under
Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
flEV-1502 EX+ (6-98)
SCHEDULE A
REAL ESTATE
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
FILE NUMBER
All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be
exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts.
Real property which is jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
TOTAL (Also enter on line 1, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
o
'REV-1503 EX+ (6-98)
SCHEDULE B
STOCKS & BONDS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
FILE NUMBER
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
TOTAL (Also enter on line 2, Recapitulation) $ 0
(If more space is needed, insert additional sheets of the same size)
REV-1504 ~X+ (1-97)
SCHEDULE C
CLOSELY-HELD CORPORATION,
PARTNERSHIP OR
SOLE-PROPRIETORSHIP
'COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
FILE NUMBER
Schedule C-1 or C-2 (including all supporting information) must be attached for each closely-held corporation/partnership interest of the decedent, other than a
sole-proprietorship. See instructions for the supporting information to be submitted for sole-proprietorships.
ITEM NUMBER
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
TOTAL (Also enter on line 3, Recapitulation) $ 0
(if more space is needed, insert additional sheets of the same size)
REV-1507 EX+ (1-97) .
. ~.>:;'~
,- :-
. ,
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE D
MORTGAGES & NOTES
RECEIVABLE
ESTATE OF
FILE NUMBER
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
DESCRIPTION
VALUE AT DATE
OF DEATH
1.
TOTAL (Also enter on line 4, Recapitulation) $ 0
(If more space is needed, insert additional sheets of the same size)
REV.1508 EX + (1.97l, ~.
"~
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
FILE NUMBER
Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
f') T T ~An)l<"
C '" E U'-, /IJ <C Ace T ,
I q I ~. It:(
A (LI.~ )..(a'1 'to j <-l1 05"
TOTAL (Also enter on line 5, Recapitulation) $ '~I (, . I q
(If more space is needed, insert additional sheets of the same size)
REV.1509 EX. (1.97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE F
JOINTLY-OWNED PROPERTY
FILE NUMBER
If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G.
SURVIVING JOINT TENANT(S) NAME
A. C-HARLott E
J<o S 'U'L
B.
c.
JOINTLY-OWNED PROPERTY:
ADDRESS
II c.... r..LI'"
Q.A.fC.Ll, ~ l 'i..
'sT.
P^,- l,Ot'3
RELATIONSHIP TO DECEDENT
b Ill) Co H T E. f2...
LETTER DATE DESCRIPTION OF PROPERTY 'kOF DATE OF DEATH
ITEM FOR JOINT MADE Include name of financial institution and bank account number or similar identifying number. Attach DATE OF DEATH DECD'S VALUE OF
NUMBER TENANT JOINT deed for jointly-held real estate. VALUE OF ASSET INTEREST DECEDENT'S INTEREST
1. A. '/~c(''f fY1 e...1'Y1 e €.- /2- S i-ST I-' C. u.... A c.c. T
31 4~(L ?J'-I 50'0 ,-S; ~i'f.'7
#" ':l-50G to -00
J... (-t ~/2..Uoc Hc:.hJ':'€' -+- ~~ I Acr-e....
7S G. u,O. 00 56/0 31, g36. 60
1/(0 ~LM 6-r
C 1\-(2.1,...-1 ~ Lf , PA 1101 ~
'2>. A Vz.ooc,
2-000 Fo e..{) e...~ co (Z.T - Cvt,jp ~o"R.. - ~AlR. q 00. 00 450,ot.J
50%
\Il~ .3 r t-... ~ P \ '3 ?c8 R :;):\ er'l '11
^
TOTAL (Also enter on line 6, Recapitulation) $ 5"3,QQ'f i~'7
(If more space is needed, insert additional sheets of the same size)
REV-1511 l=X+ (12-99)
ESTATE OF
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A.
DESCRIPTION
1.
FUNERAL EXPENSES:
4of.=1:::mJ\-iIJ Rvn4 f=()\>Jf~ ~G""
~~
POST n.,1\)-.?r<< L SvC-.
~~ r.;u; l ~
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Social Security Number(s)/EIN Number of Personal Representative(s)
Street Address
City
State _ Zip
Year(s) Commission Paid:
2. Attorney Fees
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant C HA(2..l6'1'f5" IL ns, @ ~
Street Address I Ie.. ~ LM 51,
City C ~ R..i l S L <C
4.
5.
6.
7.
State PA Zip 1"'1.0 l~
Relationship of Claimant to Decedent
"D~U&;Hvr~
AMOUNT
'5.lt5.S-~
1~10.Do
458.57
~Sd.OCi
3 5' 00 - CO
;).:s <0 . C? CJ
q. 3Z
75. 00
~ i LJ,lls
~.~
t..) ~ +Ci-/X.
Tax Return Preparer's Fees
Probate Fees
Accountant's Fees
5vc
TOTAL (Also enter on line 9, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
I J. ~3 tp..j:SO
REV-1512 ~X+ (12-03)
'*
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
FILE NUMBER
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses.
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
fC.'<...WfCL'-JEO joe, ~L 5€cu~P'Vl
ALru:.AO~ ()ep6STT~~ I e-J
C-H E-C'l c..
~cC\
qC(O~Q(j
~
~~ n~ f'I ~
D - f'e.r; . "'..l~ /
'1, qa
3
~~
l ~.;( .<:t~
It
g~tPL~ ~
Y) ;2? _ 0 ~
TOTAL (Also enter on line 10, Recapitulation) $
(If more space IS needed, Insert additional sheets of the same size)
IQOO.31
I
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280'601
HARRISBURG. PA 17128-0601
*'
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO.21 08-0248
08119124
05-05-2008
REV-154i3 EX AFP e09-go>
TYPE OF ACCOUNT
[i] SAVINGS
o CHECKING
o TRUST
o CERTIF.
EST. OF MYRTLE MYERS
S.S. NO. 204-03-0995
DATE OF DEATH 02-27-2008
COUNTY CUMBERLAND
CHARLOTTE KOSER
116 ELM ST
CARLISLE PA 17013
REHIT PAYHENT AND FORHS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
HEHBERS 1ST FCU 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...ation 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
of Fennsylvania. Questions lIIay be dnswftrttd by ~allifl1ll {717-l 787-8327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 55096-00
Account Balance
Pe..cent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
Date 10-15-1979
Established
To insure proper credit to your account, two
(2) copies of this notice must accompany you..
payment to the Registe.. of Wills. Make check
payable to: "Registe.. of Wills, Agent".
31,429.34
X 50.000
15,714.67
X .15
2,357.20
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 5X discount of the tax due.
Any inhe..itance tax due will becoMe delinquent
nine (9) months afte.. the date of death.
PART
[!]
A. c=l 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 0" avoid inte..est, 0" you may check box "A" and ..etu..n this notice to the Registe.. of
Wills and an official assessMent will be issued by the PA Depa..tMent of Revenue.
[CHECK ]
ONE
BLOCK
ONLY
B. ~The above asset has been 0.. will be ..epo..ted and tax paid with the Pennsylvania Inhe..itance Tax ..etu..n
to be filed by the decedent's ..ep..esentative.
C. c=l The above info..mation is inco....ect andlo.. debts and deductions we..e paid by you.
You must complete PART ~ andlo.. PART ~ below.
If you indicate a diffe..ent tax ..ate. please state you..
..elationship to decedent:
PART
~
TAX
1
2
3 X
4
5
6
7 X
8
RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Date Est~b11shed
2. Account Balance
3. Pe..cent Taxable
4. Amount Subject to Tax
5. Debts and Deductions
6. Amount Taxable
7. Tax Rate
8. Tax Due
PART
[!J
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
PAYEE
DESCRIPTION
AMOUNT PAID
TOTAL (Ente.. on Line 5 of Tax Computation)
.
Unde.. penalties of pe..ju..y, I decla..e that the facts I
complete to the best of my knowledge and belief.
i!l4'~~ /2. )r/;'<f/~-,
have reported above are true, correct and
HOME (7/7) ,;?tf:q-/J~~J
WORK -'-) =" 6/ ;;;;;zh
....... .-r\.._....... "IIIUD~D . n4Ti=
Send Inquires \0:
5000 Louise Drive
PO Box 40
Mechanicsburg, PA 17055
www.members1st.org
Main Switchboard: (717) 697-1161 or (800) 283-2328
EZ Call: (717) 697-4372 or (800) 283-4372
TOO: (717) 697-5312 or (800) 283-2328 ex\. 5312
TeleBranch: (717) 795-6049 or (800) 237-7288
MEMBERS 1st
FEDERAL CREDIT UNION
6120 1 AV 0.312 6120-6120
II111111111111111111111111111111111111111111111111111111I1II11
MYRTLE MYERS
CIO CHARLOTTE KOSER
116 ELM ST
CARLISLE PA 17013-1920
-
.
.
.
I
.-
-
-
Statement of Accounts
Feb 25, 2008 thru Mar 24, 2008
Account Number:
Account Balances at a
Checking:
Savings:
Certificates:
Loans:
Money Management:
55096
Glance:
0.00
25,896.37
0.00
0.00
0.00
Page: 1 of 1
Membership has its advantages! Your FREE VIP pass for Carlisle Events
accompanies this statement.
SAVINGS ACCOUNTS
00 - REGULAR SAVINGS
Date Transaction Description
Feb 25 Balance Forward
Joint Owner: CHARLOTTE C KOSER
Feb 26 Withdrawal
Feb 29 Deposit Dividend 1.000%
Annual Percentage Yield Eamed ,. ()(){J% from 02/01/2008 through 02/29/2008
Mar 03 Deposit ACH SOC SEC
ID: 3031036030 CO: SOC SEC
Mar 19 Withdrawal by Check
Mar 24 Ending Balance
YTD SUMMARIES
Additions Subtractions Balance
36,403.55
5.000.00- 31,403.55
28.38 31,431.93
990.00 32,421.93
6,525.56- 25.896.37
25.896.37
.~
TOTAL DIVIDENDS PAID "
00 REGULAR SAVINGS 58.~;, ~
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The more products you 'have wi11' us, the mort benefits you'll receive.
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..
IF TAXES ARE IN ESCROW, YOU SHOULD CONFIRM RECEIPT
OF TAX BILL WITH YOUR REPRESENTATIVE.
PAYABLE
TO:
CARLISLE BOROUGH TAX ACCOUNT
PO BOX 100; 53 WEST SOUTH STREET
CARLISLE, PA 17013
OESC: ASSESS.NO -02000251
MAP NO: 02-20-1800-236
116 ELM STREET
ACRES .050 DEED 00227/00694
LAND LESS THAN 1 ACRE
Residential Building .--.-
RESIDENTIAL
MYERS, MYRTLE ;
116 ELM STREET !
CARLISLE PA 1701~
f
1
OFFICE MONDAY - FRIDAY 8:00AM - 4:00PM
HOURS: CLOSED HOLIDAYS ..
CASH ONLY AFTER 12/15/07
PHONE (717)249-4422
TAX
PAYER
TAXPAYER COPY Bill No: 3928
Control No: 002 - 000251 2007 Slatement of Reel Esbde Tues Bill Date: 3/01/2007
Assessed Land Improvement Mineral Total
Values 15 000 60 660 0 75 660
COUNTY OF CUMBERLAND DI-' ....
Rates .00228500 .00228500 2 , 10 ,
COUNTY R E 34.28 138.61 169.43 172.89 190.18
Rates .00018000 .00018000 2 , 10 ,
COUNTY LIB 2.70 10.92 13.35 13.62 14.98
BOROU OF
Rates .00281000 .00281000 10 ,
MUNIC. R E 42.15 170.45 212.60 233.86
TAX AMOUNT DUE->
REVERSE SIDE OF BILL FOR A BREAKDOWN OF YOUR COUNTY TAX DOLLARS"
- ~_':Uo.... -=.nm ,..i'h p~!'T1ent. Fora P.ecei:,t ,J;~JoE,E' ~f..Md~e.9. ~t3IT)P~ Envelope.
~
~
I1M&rBank
....-..."...--."......-."'.....-.
.'. ......",........ ...........,...
>:~A~P~:r@.......
.-,.'. --.. - . ...
. ".ACCO~~P.: ......
2674014705
CLASSIC CHECKING
FEB.22-MAR.21,2008
1 OF 1
00 0 04344M NM 017
64761
MYRTLE C MYERS
116 ELM ST
CARLISLE PA 17013-1920
SPRING GARDEN
B~INliJnI~..
"BJ\LANCE>'
ACCOUNT SUMMARY
1,916.19
NO.
o
AMOUNT
0.00
...~...
.. ,....-.
. ....l:kEttEST~O ..
.l';NIlI;NG.:". .
.SAtANCE":.. .
0.00
1,916.19
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0 2 - 22 - 08 BEGINNING BALANCE $1 , 916 1 9
ENDING BALANCE $ 1 , 916 1 9
ACCOUNT ACTIVITY
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AND COUNT TO THREE. YOU'RE IN THE COMFORT ZONE. LET I S TALK ABOUT YOUR
CHALLENGES AND GOALS TODAY. CONTACT AN M&T BRANCH REPRESENTATIVE SO WE CAN
BEGIN THE CONVERSATION OR TO LEARN MORE VISIT WWW.MTB.COM/COMFORTZONE.
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