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Home My WebLink About06-12-08COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE ,. ,.INFORMATI O N N O T I C E BUREAU OF INDIVIDUAL TAXES ry' AND FILE N0. 21° 1~- U(~3(0 DEPT. 288601 ~ TAXPAYER RESPONSE ACN 08121650 HARRISBURG, PA nlza-0601 - DATE 05-13-2008 REV-1543 E%`AFV C09-00) ~~~~ ~~~~ ~ Z p~ 12; ~' TYPE OF ACCOUNT EST. OF JOHN R SWINGLE ^ SAVINGS ~~E~+~Q" $.$. N0. 233-05-0427 ^ CHECKING ORP~'a P~''7 ~'(~URT DATE OF DEATH 03-22-2008 ^ TRUST ~ ~~,IF'. ~ : ,, ,~-. ,_.~ ~~ COUNTY CUMBERLAND X^ CERTIF. REMIT PAYMENT AND FORMS T0: ELIZABETH V SWINGLE REGISTER OF WILLS APT 3106 CUMBERLAND CO COURT HOUSE 5225 WILSON LN CARLISLE, PA 17013 MECHANICSBURG PA 17055 PNC 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 point 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 Fennsylvania. Questions may be arswere.; by calling (7i7) 787-83x7. COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 31400316143 Date 07-18-2007 To insure proper credit to your account, two Established C2) copies of this notice must accomvarrv your Account Balance 3, 609.54 payment to the Register of Wills. Make check payable to: "Register of Wills, Agent". Percent Taxable X 50.000 NOTE: If tax payments are made within three Amount Subject to Tax 1 , 804.77 (3) months of the decedent's date of death, Tax Rate X , QO you may deduct a 5Y. discount of the tax due. Any inheritance tax due will become delinquent Potential Tax Due .00 nine (9) months after the date of death. PART TAXPAYER RESPONSE ~iE~~ R=~'~D'=~~ : 1?!#1. ;~€~~~~~i~E~Ei'ik€~~€~AN~~€~~~~~tIL€~~€fiAX€~A~~NE~Ifi~::A#~E~::::~~li'F~II"~s!~~fiI~::E:~:: ............................:...........:..................~......~1#............................................................_................................................................................................................................................................................................................................................................. 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 C H E C K a discount or avoid interest, or you may check box "A" and return this notice to the Register of C 0 N E ~ Wills and an official assessment will be issued by the PA Department of Revenue. B L 0 C K B. ^ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return 0 N L Y to be filed by the decedent's representative. C. ^ The above information is incorrect and/or debts and deductions were paid by you. You must complete PART 2^ and/or PART 3^ below. PART If you indicate a different tax rate, please state your ••• ~~:~. :~:•:~::~•~:_:~:::__::: iii i€~ €iii€iiiiiiiiiiiiiiiiiiiiii€i€~~ i~i~'s '~~~€iiii'::€:€~:;:€:€€~:::€::::::: "" ~' relationship to decedent: :.:.:::.:.:.:::.:.:.:.:.:.:.::::.:.:.:.:.:::.::~:::~::;:::;:~:::::::::::::~::::::::::::::::::,:::::::::::::::::::::~::::~:~::::::~::::~:: :::n::::::::::~ ::::::~ ::::s:su::uw:awa.e.:s.as:~::aasu:~:::::aaxe:::::arau.L.ac.~:.: :::::::::::::::::::: TAX RETURN - COMPUTATION LINE 1. Late Es~ablishsd 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 OF TAX ON JOINT/TRUST ACCOUNTS 1 2 3 X 4 5 - 6 7 X 8 DEBTS AND DEDUCTIONS CLAIMED TOTAL (Enter on Line 5 of Tax Computation) S Under penalties of perjury, I declare that the facts I have repor~t/ed above are true, correct and `complete to the/ best of my knowledge and belief. NOME C ( ) ~~ " ~~ ~-~ G~-:3is.L~-+~f~ ~.ta~ WORK ( ) TAXP YER SIGNATURE TELEPHONE NUMBER DA DATE PAID PAYEE DESCRIPTION AMOUNT PAID COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 ~..~ .~_~ REY-1543-. ~~~FP(0~-~0'. INFORMATION NOTICE -^~~,,TA~CPAYERNRESPONSE FILE N0. 21 -(~-~~p ACN 08121673 DATE 05-13-2008 TYPE OF ACCOUNT ?U~U ~~~~ ~ Z P~ 42' EST. OF JOHN R SWINGLE ^ SAVINGS S.S. N0. 233-05-0427 ^ CHECKING L~c~ir~ (fir DATE OF DEATH 03-22-2008 ^ TRUST COUNTY OR~y~ ~r!~~ ~'(lIJPT CUMBERLAND ~ CERTIF. q `t _`^~ . ~'~ Cl REMIT PAYMENT AND FORMS T0: ELIZABETH V SWINGLE .~,_ REGISTER OF WILLS APT 3106 CUMBERLAND CO COURT HOUSE 5225 WILSON LN CARLISLE, PA 17013 MECHANICSBURG PA 17055 PNC 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, vau were a ioint 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. Guastions may be answered by calling C717) 787-8327. COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 31400300730 Date 08-17-2006 To insure proper credit to your account, two Established C2) copies of this notice must accompany your Account Balance 5, 911.07 payment to the Register of Wills. Nake check payable to: "Register of Wills, Aaent". Percent Taxable X 16.667 9 8 5.2 0 NOTE: If tax payments are ^ade within three Amount Subject to Tax C3) months of the decedent's date of death, Tax Rate X , 00 you may deduct a 5Y. discount of the tax due. Potential Tax Due 00 Any inheritance tax due will become delinquent nine C9) months after the date of death. PART TAXPAYER RESPONSE 1 :.....................:.:...:.:.:.:...................:.:.:.:.:.:.....:...:.:.......:...:.....:.:.:.:.:.:.:.:.:.:.:.........:.....:...:.:.:.:.:.:...:.......................................................................................................................................... . :'::_~":~.'~~:,~/~mr,.,,,arm...:mrmrims~ifYi~'li....~iii!F.~..3 ...v.~E:1~~IRFI.[..aF..:.~ :~i~::::::ial'r: ~:e!'iY+ieR w•iFiaFs ?i:~~:..#":.iiiii~ .::...................:............................................... ................... A. 1 R 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 CHECK a discount or avoid interest, or you may check box "A" and return this notice to the Register of C 0 N E ~ Wills and an official assessment will be issued by the PA Department of Revenue. B L 0 C K B. ^ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return 0 N L Y to be filed by the decedent's representative. C. ^ The above information is incorrect and/or debts and deductions were paid by you. You must complete PART 2^ and/or PART ^ below. If PART ou indicate a dif ::::::~::~:::.::-::: Y ferent tax rate, please state your ;;;;;s;::;; :::::::-::~::~~:~ ::::::::::::::::::::::::::~~:::::::~~:~::::::::::::::~:::::::~::~:::::::::-::.. <: ;;;;;;;~~;s;~•, r e l a t i o ns h i P t o decedent : ...................... ..:..........,:::,:,:,:.:,:.:,:.::::;:;:;:;:;:;:;:;:;:;:;, :::;:;:;:;:;:;:;:::::;:;:;:;:::;:;::::: ;,-:~:~:~:': 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 ACCOUNTS 1 2 3 X 4 5 6 7 X 8 PART DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION AMOUNT PAID Under penalties of perjury, I declare that the facts I have reported abovel_a/r~e true, correct and complete to the best of my knowledge and belief. HOME C ) ((/-i'~'3~~ WORK C ) 8' TAXPAY SIGNATURE TELEPHONE NUMBER D T IUTAL ctnter on Line 5 of Tax Computation) $ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 INFORMATION NOTICE FILE N0. 21 -(~-O(0,3(p i.:_ I` - ~ ' 'TAXPAYERNRESPONSE ACN 08121675 DATE 05-13-2008 miV 1343 `EX XFb'COb'-E0) -.-.... ~`0~~ J~~ 12 P~112~ 3 ORP~-~.: .~GJ ~~.~ - - • ELIZABETH V SWINGLE APT 3106 5225 WILSON LN MECHANICSBURG PA 17055 TYPE OF ACCOUNT EST. OF JOHN R SWINGLE ^ SAVINGS S.S. N0. 233-05-0427 ^ CHECKING DATE OF DEATH 03-22-2008 ^ TRUST COUNTY CUMBERLAND ~ CERTIF. REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 PNC 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 point 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 f717) 787-8327. COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 31200301629 Date 09-0 6-2006 To insure proper credit to your account, two Established (2) copies of this notice oust accompany your Account Balance 2 898 07 payment to the Register of Wills. Make check , . payable to: "Register of Wills, Agent". Percent Taxable X 16 .667 Amount Subject to Tax 4 8 3 0 2 NOTE: If tax payments are Wade within three . C3) months of the decedent's date of death, Tax Rate X , 00 you nay deduct a 5Y. discount of the tax due. Potential Tax Due . 0 0 Any inheritance tax due will become delinquent nine C9) months after the date of death. PART 1 TAXPAYER RESPONSE :::::: ~<:::: ~ :::::::::::::::::::::::::::::::::: ~::,::::::::::::::::::::::::::::::::::~:,::::::::::::::::::::::::::: :~:::::::~:~:~::~:~::-:-::-:-........................................... ........................................................ .................................. A. The above information and tax due is correct. 1. You may choose to resit vaynent to the Register of Wills with two copies of this notice to obtain CHECK a discount or avoid interest, or you nay check box "A" and return this notice to the Register of 0 N E Wills and an official assessment will be issued by the PA Department of Revenue. B L 0 C K ~ B. ^ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return 0 N L Y to be filed by the decedent's representative. C. ^ The above information is incorrect and/or debts and deductions were paid by you. You must complete PART 2^ and/or PART 3^ below. If ou indicate a diff :::;:;:;;;:°:~iiiit€ ='_;:~ ::::::::::.:::_.~:::::::;::::_::::::;::;::::::;:::::::::s::::::::::::;'~~~:::::~..:...,. PART Y event tax rate, please state your `•• .... .. iiiiiii~ i€~ €~si€i€i€iii€ii;~i;i`i:i~.l''"i~i~€€€€, ~ ~ :€€ ;:;:.:€€€s€~€~ i~€€~~' relationshi to a •-~`•~•'•~~1`~'~''~' :, :.3 p d cedent: :::::: 2 i~ iii ~i€€€~ €~€€~ <€€ ~'i€sis€s~ iii i€'s~ ~?€~ ~ ~ iii i€~i's~ €_::~ :~ iiiaii;;~ tip:€~€ii~ t€t :................. TAX RETUR - :::~....,...,_ :..:::::::::::::::::::::::::::::::::::::::-:::-:~::::::::::::::::::::~::::::::::::::::-::::~~~::::::::::::::::::~:~:~::::::: N COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS ~iNE - 1 Dat- Establ' ,.s ed h 1 2 . Account B a :::::::.:::::::•::.,:,.,.,:,:..;.. ; :.:.:.::::.:::::=:=r:=rr. ~ :.:::,:;:;:,:,:,:,:; ,,::•.:,:.:,:,:::.:.:,:.:::.:;:,:,:,:,:.:.:.:,:: 2 ..................................................:.:.:.:. lance 3. Percent .................................:...........................:::~::::::::::::::::::.:.,::::::::::::::::::::::::.:.::::::::::::::::::::::.:::.:::::::: T a x a b l ..................................................................................................................................................... e X 4. Amou nt Sub'e ct to Tax ~7~"kit~ [~ ;€;i;:;'s 81:`:'::[.;;1;1:1;1;1;1;1;€; ':_':°::'s~ a~ [~;ii;i;;;'s':;~;~~ ~':€;€t;€ ~ ~ `i;~;;~ €';;€;: 7 4 5 . Debts 'ii1~ ~ i€ii~ 1:113'"'; s~ €€€~ ~ €€:811: i1i1s1i1i`:i1 i~ ii i€s+ii 1181:1€`8':i1'sli8ii~ iiiiiEil ~=€1€€~ ii€8i€ii 1181€ii~ ilii's11ii~ i8i and Deductions 5 - ......:...:....... ........... ............. ............ ;s::s[<::~::~::::;:::[:s~ ~:;:[:~ ::~ ::;:i i€si~ 1+1.1 i€~ €€11181181€ _;~;~ i1sti~ i1€t1i=;€i1ii'~iiiiiiltiiiii= ~'=€s~ 18111 Taxable 6 ::~ ::::::::::::::::.-:...:-:::::~:~:::::::,=::,:,.,.,.,...:~:::-::::.::~::~::~:-::~::.,...,.,:.:::~::-::-:-::::::::~:~:~:~ 6. Amount 7 . Tax R :~:::iiii€si`i€€;:;ii~ i€~ ii iiiiilsi~ 8i~ €~ iii i€€€€€€__' €€'=_'8€8iilii~ iii 118111€€ ~ ~€€€~ ~€~€8i ~iiiiiili ~ _€;8~ 1€~~ €€ii€€~ iii1i1i1i ate 7 X €:~ :::::::::::::::.. ~~::~::~::~::::ss::::::~::~::~:::::c:::~~::~::s~::~::::ss:s::::r:::~:<~;:=;:s::':::::::~:~:::: 8. Tax Due .................................................................................................................................................. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 ..................................................................................................................................................... PART DEBTS AND DEDUCTIONS CLAIMED 3^ DATE PAID PAYEE DESCRIPTION AMOUNT PAID 1u1gL cEnter on Line 5 of Tax Computation) 8 Under penalties of perjury, I declare that the facts I have reported above are true, correct and complete to the best of my knowledge and belief. HOME C ~ ) ~ " ,3 ~_ ~_,G,s~.~~ ~ ~~u Oe ~ WORK C ) ~ OS~ TA~IYER SIGNATURE ~ TELEPHONE NUMBER D TE COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE I N F O R M AT I O N N O T I C E BUREAU OF INDIVIDUAL TAXES FILE N0. 21 'Op-(a(p~ DEPT. 280601 ~ AND ACN 0$121677 HARRISBURG, PA I7IZa-o6ol TARP AY E R R E S P O N S E --,' DATE 05-13-2008 ~'-~fEV-rsts' bc~1Gb tos° o`B~'' ' lQQB JUl~ I Z Pfd I2~ 3 f CLERK of o~Pr~r~~5 ~~c~uRa CuP~r`~`~ ~~_ ~~ ~~'. ~~ ELIZABETH V SWINGLE APT 3106 5225 WILSON LN MECHANICSBURG PA 17055 TYPE OF ACCOUNT EST. OF JOHN R SWINGLE ~ SAVINGS S.S. N0. 233-05-0427 ~ CHECKING DATE OF DEATH 03-22-2008 ~ TRUST COUNTY CUMBERLAND ~ CERTIF. REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 PNC 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 point owner/beneficiaryr 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. Vuestions may be answered by selling C717) 787.8327. COMPLETE PART 1 BELOW ~ ~ ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Under penalties of perjury, I declare that the facts I have reports bove reQ't/rue,°~co rect and ~~cormplete to the~b~es't of my knowledge and belief. HOME C7~~) ~ I/~r ~`~~3 sRO ~' • ~.,~~~ WORK C ) ~ ~i a~ T AYER SIGNATURE ~ TELEPHONE NUMBER DATE TOTAL CEnter on Line 5 of Tax Computation) S COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES FILE N0. 21 (~-~ DEPT. 280601 ,°,' ~ ,~' - AND ACN 08121679 HARRISBURG, PA nlze-gaol _. ~ TAXP AY E R R E S P O N S E ';~~ilsa~~Gpcecps-out, DATE 05-13-2008 ZU~B Jl!M { 2 Pik i2~ 32 OR~~I~"~'~ G~IJRT ELIZABETH V SWINGLE APT 3106 5225 WILSON LN MECHANICSBURG PA 17055 TYPE OF ACCOUNT EST. OF JOHN R SWINGLE ^ SAVINGS S.S. N0. 233-05-0427 ^ CHECKING DATE OF DEATH 03-22-2008 ^ TRUST COUNTY CUMBERLAND ~ CERTIF. REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 PNC BANK has provided the Departwent 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 ioint owner/beneficiary of this account. If you feel this information is incorrect, please obtain written correction frow the financial institution, attach a copy to this farm and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth of Pennsylvania. puestions nay be answered by ::allfng (717) 787-8327. COMPLETE PART 1 BELOW * * ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Under penalties of perjury, I declare that the facts I have repor-/te/d above/ apre/tr/uey, correct and com_pl'e~t~e fto~t~he b~jes~t of my knowledge and belief. HOME C ! r 7 ) (D ! !'!-3~~ ~~~`.~ -' ~ ~.. ~ WORK C ) ~ oZ O ~i~F'AYER SIGNATURE TELEPHONE NUMBER DAT IUrAL (Enter on Line 5 of Tax Computation) $ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE ..~;'-INFORMATION NOTICE ~,~3~ BUREAU OF INDIVIDUAL TAXES ~.`.'~, ~~'' AND FILE N0. 21' DEPT. 280601 HARRISBURG, PA nlzs-ocol ,i _ , ~ - _~_.: TAXPAYER RESPONSE ACN 08121681 rsEV-isasanFr<as-oar DATE 05-13-2008 z0~8 ~~,~ I Z ~~ ~ TYPE OF ACCOUNT //~~{- EST. OF JOHN R SWINGLE ~ SAVINGS ~~ Cilt\ t,lt_ $.$. N0. 233-05-0427 ~ CHECKING ~~~%;=if=~,~`~j (~:l~~T DATE OF DEATH 03-22-2008 ~ TRUST ~_..~... " ~~ ~ PA COUNTY CUMBERLAND ~ CERTIF. REMIT PAYMENT AND FORMS T0: ELIZABETH V SWINGLE REGISTER OF WILLS APT 3106 CUMBERLAND CO COURT HOUSE 5225 WILSON LN CARLISLE, PA 17013 MECHANICSBURG PA 17055 PNC 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 ioint 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 C717) 787-8327. COMPLETE PART 1 BELOW * ~ * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Under penalties of perjury, I declare that the facts I complete to the best of my knowledge and belief. ~ ~ .~ SI have reported above ~a]re true, correct and HOME C 'T C7 ) 4~--~s'S'3 WORK C ) ~, ~ ~ / TELEPHONE NUMBER DATXV iu~w~ center on Llne 5 of Tax Computation) $ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17126-0601 v-t5'~ ~t~d r'cn~looa INFORMATION NOTICE ~-t~-XPAYERNRESPONSE FILE N0. 21~(~-Gl(p3(p ACN 08121654 DATE 05-13-2008 TYPE OF ACCOUNT ~QQ$ ,~~~ ~ 2 P~ ~~~ 3~ST. OF JOHN R SWINGLE ~ SAVINGS S.S. NO. 233-05-0427 ~ CHECKING C! ~{~}~, Q~ DATE OF DEATH 03-22-2008 ~ TRUST O~Y~ ~r~`',~i+~ rJV~T COUNTY CUMBERLAND ~ CERTIF. C~ ,• - - REMIT PAYMENT AND FORMS T0: ELIZABETH V SWINGLE REGISTER OF WILLS APT 3106 CUMBERLAND CO COURT HOUSE 5225 WILSON LN CARLISLE, PA 17013 MECHANICSBURG PA 17055 PNC 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 faint 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. 31800287247 Date 03-2 3-2006 To insure prover credit to your account, two Established C2) copies of this notice must accompany your Account Balance 2, 751 .39 payment to the Register of Wills. Make check payable to: "Resister of Wills, Agent". Percent Taxable X 16 .667 Amount Subject to Tax 4 5 8 .5 7 NOTE: If tax payments are made within three C3) months of the decedent's date of death, TaX Rate X , 00 you may deduct a 5Y. discount of the tax due. Potential Tax Due . 0 0 Any inheritance tax due will become delinquent nine (9) months after the date of death. PART TAXPAYER RESPONSE 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 CHECK a discount or avoid interest, or you may check box "A" and return this notice to the Register of C 0 N E ~ Wills and an official assessment will be issued by the PA Department of Revenue. B L 0 C K B. ~ The above asset has been or wlll be reported and tax paid with the Pennsylvania Inheritance Tax return 0 N L Y to be filed by the decedent's representative. C. ~ The above information is incorrect and/or debts and deductions were paid by you. You must complete PART 2^ and/or PART 3^ below. I f You indicate a different tax r ~ ~::::::;:::;:~ ::.:::::::::: ::::::::::::::::~ ~ ::;:::::;:::;:~ ~ :•:: ~::;:::;:::: ~::::•::;:;:;:::_ : ~ ~:::::::::;:;:;:;~ ..:....::: ;....... PART ate, please state your ~ ••• . , ....._.... _: ' .(i9i€i~ < ii'€ is relationship to decedent: :: s~:::~ ::~ :: 2 TAX - ::~ :...:.:.:.:::.:fii€iiiii€;_;€~ €~ ~ €iss°€€:i€iiiiii;;s:=;:~ ~ €, €::; :€::::~ ::~ : _ap:€'s::~::~ ~ s:s::::€:::::~::~::~:; RETURN COMPUTATION O F TAX O N JOINT/TRUST ACCOUNTS ~ ~!4D~ ° ° ° °:~:::~::~:~:~::::~::~:~:~:- ::::::.:.:::.:::.:::::::::::::::::::::::::~ ;:;:;:;:;:;:;:;:_:;:;:;:;:;:;:;:;: LINE 1. D ate Es tabs s i;€;i;i`sii i hed [:~jtgi~~t;:;;iE~ ~s~;'-" 1 €~~ ~~ EE3Ei's ;:;; ~ €:~ €[;:t:;as::~ ::its ::;y::;:::s:~ ;:;:~ <:;:~ i:;a;;[vg:;:t[~ €:;:;:;: g:;: ~ ~ €:::;::::~ ;:;::;:;:~ :.;:~ ~ ::::~ ;:~ ;:;:;: 2. Account Balance 2 .. . ...: ........ ..,.,. :;,:;:::~ :::::::::::::~ i~ iii ~ iizsisi=;i€ €~~ i~€=':€S' €~ iii i€i ~€ _€€i~:t;atit tt;:~ ~::~ ::~:ts::s':::::::::::: __;:;:::: 3. Percent Taxable 3 X i:;i~:<:i:i: •• ........... 4 . Amo < ~ _~:~ ~::~ _,; ~?;zs~:tit;€=€s ~ ~:ii:i:~ i:;:~;: ~sit:t::t;t;: ~si:i:~ €:~ €:;t_;:ttiti:it;t ~ ~ ~ !t:t?::::: unt Subject to Tax 4 '" 5. Deb :::::::::::::::~::~:::::::::::::::::~:-::::::::::::::::::::::::::::::::::::~~:::::::::::::::::::~:::::::::::::::::::::,:::::::::::::::::::-:::::: is a d it:~~ ::::::::::::::::.:::::::::::::€::~:::~:~::: ~:~:;:::::::;::::::::::;:;:;:;:;:::;:;:;::::::~:~:::_._ ;:;:::;:t:;::,i:=.: n Deductions 5 - ::.:::::.:.:::::. ::.::isis~;:;:~;:~;:~i:~:~;:;:~;:::::;::;:;:::~::~:~i:;::i::;::;t[:::~::::_::~::::::::a:s::::~:: 6 . ............................................................:................ .......................................................................... m o u n T a x a b l e 6 ::.:. :::::::::::: ::.....................:..............:........................:..............:........................::...................:.... .... 7 . Tax Ra ~~~~ €ii€~ €€ ~'s~ i€~~€€~€€i€ii€€i ~~ iii iizii€i€ ~~~'sii€~ €~i~i€ if sip i€€i i€ s''s€?iiiiii~ ?€€~€i€€ii€€ to 7 X :.:.:.:...:.:.:.::':~Fs:~,:;:;:,:;:;:;:;:;:;:;:~~:~::::;:;:,:,:~:;:;:~,:_:;:;:;:;:;:;:~;:::;:;:;:,:~;:;:;:,:::;:;:;:;:;:~~:~;:,:;:::;:;: g . ''``:€;~iiii~ii~i'•.iis~ ~ ~ €~~ €'•.~ €€_€€~=€iiiiiii~ iiis~ ii€€ €€€~€~€':iisiiii~~ iE~ is=i'ii€€i€€~ i~ ~` sii Tax Due 8 :::~ ~ : ;:::::::::~s ~'°'°'°'°'°'° ° ° ° , , , , , ; , , ,,,,,;,;,;,;,;;;;;,;,;;;;;;;;;;;~ ;:;:;:;:;:;:;:;:;:;:; :,:;:;:;:;:;:;:;:; :_ :_:; .:.:.:.::::::::::::::::::: ~:~ ::::::::::::::::::: ~:::::::::::::::::~ ::::::::::::::~ ::::~ ::::::::::::~ ::s:t tttttttas:t:tt::t:~ ;:;:::::;::::: PART DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION AMOUNT PAin Under penalties of perjury, I declare that the facts I have reporte d above are true, correct and complete to the b es t of my knowledge and belief. y- -, HOME C 1 1 ) j~~ ~ n ~ .. ~ " ' , ~. U . WORK C ) :1~'AYtK b16NAlURE (/ TELEPHONE NUMBER DAT IUTAL Fencer on a ne s of Tax Computation) S COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES ~ INFORMATION NOTICE '' '~~' -. FILE N0. 21-(~~Q~Q~ DEPT. 280601 , ' ~ . .. AN D ±~ HARRISBURG, PA nlze-0601 `'' `':~' a'AXPAYER RESPONSE ACN 08121671 ~~ ~ DATE 05-13-2008 aEV ~scslii~~t'o4-dCi . Z~08 ~U~i I Z P~4 IZ~ 3Z TYPE OF ACCOUNT EST. OF JOHN R SWINGLE ^ SAVINGS $.$. N0. 233-05-0427 ^ CHECKING C~CF~tK Q~ DATE OF DEATH 03-22-2008 ^ TRUST Q~i~~~UCR~I~ ~OURT COUNTY CUMBERLAND ~ CERTIF. D CI ~~ {n^ y '~`' f1 ~~ + "~ `"` ' REMIT PAYMENT AND FORMS T0: ELIZABETH V SWINGLE REGISTER OF WILLS APT 3106 CUMBERLAND CO COURT HOUSE 5225 WILSON LN CARLISLE, PA 17013 MECHANICSBURG PA 17055 PNC 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 point 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 fors and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth of Pam~svlrsais. Cuestions may be answored by calling (717) 787-8327. COMPLETE PART 1 BELOW * * ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 31400296119 Date 07-06-2006 To insure proper credit to your account, two Established C2) copies of this notice must accompany your Under penalties of perjury, I declare that the facts I have reported^~abov//e~~arfe true, correct and complete to the b~e~s-t-of/my klnowledge and belief. HOME C ~ I + ) t~ 1'' ~ - 1~:. .%~6~cr~a.~~ WORK C ) ~ y PAYER SIGNATURE ~ TELEPHONE NUMBER DAT TOTAL (Enter On Line 5 Of TeX Computation) $ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES .,. DEPT. 280601 ~ }~j~~~~ AND HARRISBURG, PA laze-o6g1 ' ",7,~'~P~1YER RESPONSE 4 _.--_.~ ~,, , i REV-1543 IX AFP'SL~-TIDJ ~ V ~~ ~ ~!~ ~'- ` FILE N0. 21-Q~-~?j(p ACN 08121656 DATE 05-13-2008 Z~~~ .~U~+~ ( Z ~~ 12: ~~ TYPE OF ACCOUNT E OF JOHN R SWINGLE ^ SAVINGS $.$. N0. 233-05-0427 ® CHECKING Cr ~~~ ~~ DATE OF DEATH 03-22-2008 ^ rRUSr ORP~-IA~`' ~ r%'-~t~~T~ouNTY CUMBERLAND ^ CERTIF. CF.~~4~' r r~n, :~ REMIT PAYMENT AND FORMS T0: ELIZABETH V SWINGLE REGISTER OF WILLS APT 3106 CUMBERLAND CO COURT HOUSE 5225 WILSON LN CARLISLE, PA 17013 MECHANICSBURG PA 17055 PNC 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 answer~~d by calling :717) 737-83'.7. COMPLETE PART 1 BELOW * ~ * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 5004893574 Date 09-13-2005 To insure proper credit to your account, two Established (2) copies of this notice must accompany your IUTAL ~tnter on Line 5 of Tax Computation) 6 Under penalties of perjury, I declare that the facts I have reporte)id°~aJbove are true, correct and complete to the best of my knowledge and belief. HOME C ~l J ) -~~~~-~ ~ a~s~t~ WORK C b a. D IAxyAYt:K sicNATURE ~ TELEPHONE NUMBER DAT DATE PAID PAYEE DESCRIPTION AMOUNT PAID COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INFORMATION NOTICE ~_~~~ BUREAU OF INDIVIDUAL TAXES FILE N0. 21 DEPT. zao6ol v, ') ''='r;~pj,~pAYERNRESPONSE ACN 08121648 HARRISBURG, PA 17128-0601 ;~, ` !" DATE 05-13-2008 REY 1543E7(.AFe~S49~Op) ~ TYPE OF ACCOUNT 2~~8.1U~ 12 PF4 IZ~ ~~ST. OF JOHN R SWINGLE ^ SAVINGS S.S. N0. 233-05-0427 ^ CHECKING ~;~~~~{ (j~ DATE OF DEATH 03-22-2008 ^ TRUST fdFi~~H1'S ~~URT COl1NTY CUMBERLAND ~ CERTIF. Cl E''~' , r ^'~. ~A REMIT PAYMENT AND FORMS T0: ** ELIZABFrM V SWINGLE REGISTER OF WILLS APT 3106 CUMBERLAND CO COURT HOUSE 5225 WILSON LN CARLISLE,.PA 17013 MECHANICSBURG PA 17055 ' PNC 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 point 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 oi~ Pnnnsylre~ia. questions may be answered by calling C717) 787-E327. COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 31300315067 Date 06-21-2007 To insure proper credit to your account, two Established (2) copies of this notice must accomoanv your Under penalties of perjury, I declare that the facts I complete to the best o~f,~.my kno/wl_edg_e and belief. ,XPA~fER SIGNATURE have reported above are true, correct and HOME C ~ (7 ) ~D9~ ~ 13 WORK C ) ~ ~~ TELEPHONE NUMBER DATE iui,aL lCnLer on Llne 5 Of TaX Computation) $ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE -._~,~N ~ O R MAT I O N N O T I C E BUREAU OF INDIVIDUAL TAXES ' j `~'~ "~ ~~ AND DEPT. 280601 ''~"- ~ ' HARRISBURG, PA nl3a-o6ol -,-, ;', T~1X PAYE R RE S P O N S E J , -.i 1 .. ..... ,. REY-1543 'IX I1FP (D9-00) J FILE N0. 21-~S~~~j~ ACN 08121652 DATE 05-13-2008 ~~~~ ~~ l 2 ~~ !~, v3 TYPE OF ACCOUNT EST. OF JOHN R SWINGLE ~ SAVINGS ~,, ter, ~ $.$. N0. 233-05-0427 ~ CHECKING ~,~~t-th (~J~ o~~r,.l,^1„~ ~,~}~~~T DATE OF DEATH o3-22-loos ~ TRUST ~}, ~ - r nr~ 7A COUNTY CUMBERLAND ~ CERTIF. CL~a _ ELIZABETH V SWINGLE APT 3106 5225 WILSON LN MECHANICSBURG PA 17055 REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 PNC 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 ioint 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 ofrennsyivania. puestiuns way be ansr:ersd by ea21ir.9 (717) 787-8337. COMPLETE PART 1 BELOW * * ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 31000319799 Date 12-20-2007 Established Account Balance 4,553.06 To insure proper credit to your account, two C2) copies of this notice must accompany your payment to the Register of Wills. Make check payable to: "Register of Wills, Agent". Percent Taxable X 50.000 Amount Subject to Tax 2,276.53 NOTE: If tax payments are made within three C3) months of the decedent's date of death, Tax Rate X , 00 you may deduct a 5Y. discount of the tax due. . 0 0 Any inheritance tax due will become delinquent Potential Tax Due nine (9) months after the date of death. PART TAXPAYER RESPONSE ~t ~~RT~ii~~E~~!~11~~.. ~1 ~~.......R~~~1.L°E'°.....~~1..._ ~::.:.::: ....................................................................................................................................................~°~I:t~L:;:fiAX€€<€A~S:E~S~iE~lfi.:.:~ . ~~3I::::~N:::::T#1:.:.:.: , ., ........ .......................................................................................................................................::.:..................................................................................................................................~......................... I.~.. TIDE..... 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 CHECK a discount or avoid interest, or you may check box "A" and return this notice to the Register of C 0 N E ~ Wills and an official assessment will be issued by the PA Department of Revenue. B L 0 C K B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return 0 N L Y to be filed by the decedent'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. I f o u i n c :...................................... ................:_.,.,.,.,.,.,..., ,.,...,.,...,.,.,.,.,.,...,.,.,.,...,.,.,.,...,.,.,.,., ,.,.,.........,.,...,...,...;.;.; PART Y di ate a different tax rate, please state your 0~.~~i~~ Q~~~ ~~ relationship to decedent: ......... ........ ......... .....,... :-.,. .... ,_ ..,..... 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 ACCOUNTS 2 3 X 4 5 - 6 7 X 8 PART DEBTS AND DEDUCTIONS CLAIMED 3^ DATE PAID PAYEE DESCRIPTION AMOUNT PAID Under penalties of perjury, I declare that the facts I have reported above mare true, bcorrect and complete to the best of my knowledge and belief . HOME C ) ~_{ (~ ~. ~ ~S ~ ' TAX YER SIGNATURE TELEPHONE NUMBER DATE TOTAL CEnter on Line 5 of Tax Computation) S