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HomeMy WebLinkAbout06-16-08COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE Z~ORMATION NOTICE FILE N0. 21 'Q~~ d(pajly BUREAU OF INDIVIDUAL TAXES , DEPT. 280601 AND ACN 08121657 HARRISBURG, PA nlzB-osol TAXp AY E R R E S P O N S E -;y,_-~ ", _ , - - DATE 05-13-2008 REV-3543 EX AFP (99-99) TYPE OF ACCOUNT ZQ~~ ~~~ , ~ ~~ ~' E T. OF JOHN R SWINGLE ^ SAVINGS ~ ~-,~ $,$, N0. 233-05-0427 ®CHECKING C~-~~~" "~ DATE OF DEATH 03-22-2008 ^ TRUST ORPrI~N ~ ~'~~~~~~~OUNTY CUMBERLAND ^ CERTIF. CU~'l REMIT PAYMENT AND FORMS T0: CAROL A SELCHER REGISTER OF WILLS 720 SPRNG GARDEN DR CUMBERLAND CO COURT HOUSE MIDDLETOWN PA 17057 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 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 eav be answered by calling (717) 787-8327. 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 payment to the Register of Wills. Make check Account Balance 4, 222 • 27 payable to: "Register of Wills, Agent". Percent Taxable X 16.667 NOTE: If tax payments are made within three Amount Subject t0 Tax 703 • 73 (3) months of the decedent's date of death, X 045 you may deduct a 5Y. discount of the tax due. Tax Rate . Any inheritance tax due will become delinquent Potential Tax Due 31 • 67 nine C9) months after the date of death. PART TAXPAYER RESPONSE ::::..: ::::: :. .....;~kt D~~.:~:.fi0:::::~~~P:...~ ........................ :.: €~ ~ €:~ ~ . _T#~E~i~~E~~~~~'1":~S,A~~31 ~ fiH t S I~~E;°: .......................................................................................::::.:.::::.:...............................................................................................................................................::::::::::::::: A. The above in formation 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 discou nt or avoid interest, or you may check box "A" and return this notice to the Register of CHECK Wills an d an official assessment will be issued by the PA Department of Revenue. C ONE B L 0 C K B. ^ The above as set 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 ^ust complete PART 2^ and/or PART 3^ below. If you indicate a different tax rate, please state your PART :;:~i:;:~i:~i:~€:;:~::€€~€:;::;:;~i~:~~.t<t'„~"`,::~:~~i:'~'s` i~'~i'•.ii'•.tl~~i[:: - o decedent: 2 re l a t i o ns h 1 P t €:?:?~;?::~?:?:i~i€i:€:€~:i~:€t:~:;s:=_:;::s:vt:t~:;:,:;~::e:~::::~~~~::€~:-s~:::;~:;:;:~ ::.....:..........:.:.:.:.:::.::.-.:. .................... '~'~~ ~~~ ~~'•:~€ii€€~~ E~ iii€~ €iii~ iiii~ is - TAX RETURN COMPUTATION UST ACCOUNTS JOINT/TR X ON ''i LINE 1. Date Established `~`~`'~~~' . 2. Account Balance ,..... ~~~ ~~~ 3. Percent Taxable X :::~:::. ~~~~~~ Tax 4 4. Amount Subject to `:s~i`:~.?~li~~;`~~€~i€~~;''~~€~~isii[i~j~+i~€~~~"':'€'=t=~~~':i~i~i~~i:;iii€~`s"'s''~':i ~'"~~~~ ' ons 5 5. Debts and Deducti ~~~~~r~~~~~f€~~_?~"'~'•.~{~~~~~~€y~p~~~~sls~is~[ ~~isi~'s~`~~'~~€~~~~~~ ~ ~~~~ ' 6 6. Amount Taxable :.:::::: •.i ~ ~i°~k'.i~;i~ {~~~ ~~ €~ f _€~ii€~~ ?i ~ ~'':~':~':':iiiiii~ Eii~i~ ~ s ~`: ~': ~' :~ `' `'`'`'` 7 ax Rate 7 T X 8 8. Tax Due ~8si€€~€~'•.~€~I~€~~~'~i~~ ~~~'•.':€~~~~i~~~~i~€~~isis~~€~':i~ii~~~i~si~~€E TOTAL CEnter on Line 5 of Tax Computation) S Under penalties of perjury, I declare that the facts I have repor~tle/d above are true, correct and co/mp~le~te~to tdhe b/e~st of my kdn~owledge and belief. HOME C /[ ) ~~~ WORK C ) Q~ L~ Ci~(i~- lam[ ~~J~~_~ ` TAXPAYER SIGNATUR~i~ TELEPHONE NUMBER DATE PART DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION AMOUNT PAID COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE ~ `.. INFORMATION NOTICE FILE N0. 21-(~~-O(p~ BUREAU OF INDIVIDUAL TAXES -~"^~~ AN D DEPT. zao6al TAXPAYER RESPONSE ACN 08121657 HARRISBURG, PA 17128-0601 - _ : ~-~ DATE 05-13-2008 REV-1543 EX 11FP (09-00) i~~B JUG 16 Pit I ~ 12 C~L.~~iI\ Of 4RP ~N'~ ~;t~;JRT r ~- 1' ~l ~' PA Cl1P't'!C' . CAROL A SELCHER 720 SPRNG GARDEN DR MIDDLETOWN PA 17057 TYPE OF ACCOUNT EST. OF JOHN R SWINGLE ^ sAVINGs $.$. 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. Ruestiens may be answered by calling 0717) 787-8327. 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 paynent to the Register of Wills. Make check Account Balance 4 , 222 • 27 payable ta: "Register of Wills, Agent". Percent Taxable X 16.667 NOTE: If tax payments are made within three Amount Subject to Tax 703.73 (3) months of the decedent's date of death, Tax Rate X .045 You may deduct a 5Y. discount of the tax due. Any inheritance tax due will become delinquent Potential Tax Due 31.67 nine (9) months after the date of death. PART TAXPAYER RESPONSE ^ ......a.w.r~.~~~~...~r~:::::~~~ts~~~v~~r~:;~:::::::~~~~1~..'t~.....ill.....AEI:::I1i~.E.t~.~i~....T~.,.A~~E~~~IE~Ifii~A~~EII#I~l'f~l~S :.1`I---- The above information and tax due is correct. A. ~ 1. You nay choose to remit paynent to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, or you nay check box "A" and return this notice to the Register of C H E C K Wills and an official assessment will be issued by the PA Department of Revenue. ONE C 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 ~= ~• :::~ ::: ~:~ ::~ :€i ::::ss:r~ s::~ :';~;;~:.~..~..(~~~:.~ ::~.',h:1..~.:::~N'~`~r~~ ~S~i :€ 2 r e l a t i o n s h i p t o d e c e ~~ iii€~ € ~i~i~i ~~ ''s~i~i~i~i~~~'~"~i~iD ~N?',. AX ETURN ACCOUNTS TRUST JOINT/ TAX ON COMPUTATION OF P`~~<`€~~~~~~~~~~~€~~~€€~ ~=~~~~~~~~~~~€~~€€~ ~~~~~i~~~~. LINE 1 1. Date Established ~~~€~~ ~ €_~ ~ ~ ~ ~ €~ €€€f€~ € F ii€? i€~ ~ ~ ~~a~~ [~~ ~ €~ ~ s nisi ~'•~~`"" 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due 2 3 X 4 5 6 7 X 8 TOTAL CEnter on Line 5 of Tax Computation) s Under penalties of perjury, I declare that the facts I have reported above are true, correct and complete to the/best of my knowledge an)d belief. HOME C 7~7 ) ~ ~'~~~~/ ! _ ~~~ (.~l ,.c~L~.~J WORK ( ) O~~ TAXPAYER SIGNATURE TELEPHONE NUMBER DATE PART DEBTS AND DEDUCTIONS CLAIMED 3^ DATE PAID PAYEE DESCRIPTION AMOUNT PAID COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 INFORMATION NOTICE - - - '- i ' - AND TAXPAYER RESPONSE ~, is _'~iter-isah'~i`ncv cos-ooo FILE ND. 21 -'~b ~~~D ~' ACN 08121682 DATE 05-13-2008 ORF`-' ~,, ~~tJR ~,~ ~ S,r pp Cl1P,'~^ CAROL A SELCHER 720 SPRING GARDEN DR MIDDLETOWN PA 17057 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 TD: 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 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 answered by calling 0717) ?87-8327. COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 31200307423 Date 11-28-2006 To insure proper credit to vour account, two Established (2) copies of this notice must accomparn vour payment to the Register of Wills. Make check Account Balance 6, 037 • 08 payable to: "Register of Wills, Agent". Percent Taxable X 16.667 NOTE: If tax payments are made within three Amount Subject to Tax 1,006.20 (3) months of the decedent's date of death, Tax Rate X .045 you may deduct a 5Y. discount of the tax due. Any inheritance tax due will become delinquent Potential Tax DUe 45.28 nine (9) months after the date of death. PART TAXPAYER RESPONSE ° fi~E .._€~a;~~~~~~:~:~~:~~~~~~~~;~~~'~€I~~~i['t'=~1€€€i:~f:FF:~~:tit:I::;'~'1~~i~~iE~~*~~€E~1~~A~ED:~~~~~fiN -__..._... A. The above information and tax due is correct. 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 CHECK Wills and an official assessment will be issued by the PA Department of Revenue. C ONE 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 PART ou indicate a different tax rate, please state your y °~°~°~°~°~°~=°~°~'°°°°°°°°°°°°°°°°'°'°°°°~ °:;;~:;;: iii ii iii iii ~ iii;si€~ `:€€i~ iiii~ii~€€~'~1«.:~1~€i~~i'•~' ?€ ~ E ::: : :: : : :: ,:::::::::::_:::::::::::::-::-:~-:::::::::::::::::::::::::::: :: relationship 2 decedent: to . . . . . . . :::::::::::::::::::::::::::~::::~: ~::::; :~:::::~ :::::::::::::::::::::::::::::~:;::::~:~s::::::::::::::::::::::~~:::::::;:::;::::_:_i~~=::~:,:::::~::......;...,.......: - ...s:::::~:m::::::~eKa:m:a!raas*~~x!::n:mr.:.:.:rx~:u~!~~,~€~, 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 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 reported above are true, corre t and complete to~o th/e~best of my knowledge and belief. HOME C ~~ ) ~~~ ~~L~iJLO'L GG . ~-~.t~~ D/f~ WORK C ) ~j~ TAXPAYER SIGNATURE TELEPHONE NUMBER DAT DATE PAID PAYEE DESCRIPTION AMOUNT PAID COMMONWEALTH OF PENNSYLYANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 ~ ~ REV-1543 E%fAF7 (II~9-00)- INFORMATION NOTICE r T'A'XPAYER RESPONSE ~. ~ ~ _ FILE ACN DATE N0. 2I"~"O~y3~ os121682 05-13-2008 TYPE OF ACCOUNT Z~QJ .J°"(~~ ~ ~ ~~~ I' ~g~, OF JOHN R SWINGLE ^ SAVINGS $,$, N0. 233-05-0427 ^ CHECKING ^' ~~ ~r3t u~ DATE OF DEATH 03-22-2008 ~.~i TRUST . ORP; ~'~`~~~ ~'~l~~T COUNTY CUMBERLAND Q CERTIF. J14 ~ ._' '~,~\ REMIT PAYMENT AND FORMS T0: CAROL A SELCHER REGISTER OF WI LLS 720 SPRING GARDEN DR CUMBERLAND CO COURT HOUSE MIDDLETOWN PA 17057 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 Soint owner/beneficiary of this account. If you feel this information is incorrect, please obtain written correction from the financial institution, attach a cove 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 TOTAL CEnter on Line 5 of Tax Computation) 8 Under penalties of perjury, I declare that the facts I have reported above are true, corre/ct and complete, to,~the best of my knowledge and belief. HOME C / ) '~~~~/ L~/~B'C. ~ Z,(jV WORK C ) ~ D TAXPAYER SIGNATURE TELEPHONE NUMBER ATE DATE PAID PAYEE DESCRIPTION AMOUNT PAID COMMONWEALTH OF PENNSYLVANIA DEPARTMENT DF REVENUE INFORMATION NOTICE FILE No. 21 '~-O(0~(~j BUREAU OF INDIVIDUAL TAXES AN D DEPT. zsa6ol ~ •~- 'TAXPAYER RESPONSE ACN 08121651 HARRISBURG, PA 17128-0601 1 _ ~ DATE 05-13-2008 REV-1:x43 b(,A~R .(O6-iD'~ ~ ~ '~ -- TYPE OF ACCOUNT 2G~E1 ~~~ L ~ ~~~ ~' ~ 2 EST. OF JOHN R SWINGLE ^ savlNGs $.$. N0. 233-05-0427 ^ CHECKING U~ GLt~?~t DATE OF DEATH 03-22-2008 ^ TRUST . Q~~}-;;'~j+j ; La1~~T COUNTY CUMBERLAND ~ CERTIF. nn ~ F Y~ '.. !~' `J ~~I,„~,''! ~ REMIT PAYMENT AND FORMS T0: CAROL A SELCHER REGISTER OF WILLS 720 SPRNG GARDEN DR CUMBERLAND CO COURT H OUSE MIDDLETOWN PA 17057 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 1717) 787-8327. 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 accompany your payment to the Register of Wills. Make check Account Balance 3, 609.54 payable to: "Register of Wills, Agent". Percent Taxable X 50.000 NOTE: If tax payments are node within three Amount Subject to Tax 1,804.77 (3) months of the decedent's date of death, Tax Rate X .045 you may deduct a 5Y. discount of the tax due. Any inheritance tax due will become delinquent Potential Tax Due 81 .21 nine (9) months after the date of death. PART TAXPAYER RESPONSE ...F~1t~.1~E.....'CO.....RE~#?! . ~....~ll~:. .:...............................................................................N............................... .... .... ....R:E~~ifi.....I ...... ;::~:E:E:I:~ . ~L::::;fi;:;A~~~~,•~,~~1~~I......:...~ .................................................................~:..........~................. ...................................................................................~.......................................: , :...................................... :................................. A. The above information and tax due is correct. 1. You may choose to resit payment to the Register of Wills with two copies of this notice to obtain a discou nt or avoid interest, or you may check box "A" and return this notice to the Resister of CHECK Wills and an official assessment will be issued by the PA Department of Revenue. C ONE 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. If you indicate a different tax rate, please state your PART -'~°'~°~•°•°•° •~'•° °° :::::~:::::::::~ ::~ s::::~:: €`:`€':'€iDi~iDi~~~€iiDii€iDN€Iili €~€€ii.' ' ii :::~ :::::::::::::::::::::::::: ~E~~ relationshi to decedent: p ... .~sa:~::v: _:::~ :::: ;:;:~;:~i<~;v;<€<~;:~ is~;:;<::~;<;:~i`::~::~;;~_i~~°€is~_~??si€'~_?;i€?€€i?'s~€i€siie.....~ ...........:::::::::::~::::::: 2 _ :~ t:::a:: t: iii~i~~ i ~~~iiii~i~i~.4'•:~s~iDitii~D€~i~ii~ iii iii t - TUR COMPUTATION OF TAX RE N JO T/TRUST ACCOUNTS TAX ON IN ~€ LINE 1. Date Established 1 sib 2. Account Balance 2 3. a cen Ta b e 3 P r t xa 1 X €€ 4. Amount Sub ect to Tax 4 _ _ 5. Debts and Deductions 5 - Ei`tii'i ~`ii 6. Amount Taxable 6 i~~€[€ a e 7 Tax R t 7 X €€ 8. Tax Due 8 s ?;;; TOTAL (Enter on line 5 of Tax Computation) S Under penalties of perjury, I declare that the facts I have reported abov~ejare true, coerrect and co//m~~plete to the best of my knowledge and belief. HOME C ~,~) /~ ~~©~+ / LGQ%l~~ ~- WORK ( ) O TAXPAYER SIGNATU E TELEPHONE NUMBER DATE PART DEBTS AND DEDUCTIONS CLAIMED 3^ DATE PAID PAYEE DESCRIPTION AMOUNT PAID COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES -- DEPT. 280601 -, HARRISBURG, PA 17128-0601 ~- '- ~~ !pE~'I1543 ~f AFP~C 09-00) INFORMA AND NOTICE FILE N0. 21-~Fjv~~0.7(O TAXPAYER RESPONSE ACN 08121651 DATE 05-13-2008 2~~Q J~l~ I ~ ~~ I ~ ! 2 CLti~~~ iJF ~; a~ r -,,r~ ~j~ CU,, : CAROL A SELCHER 720 SPRNG GARDEN DR MIDDLETOWN PA 17057 TYPE OF ACCOUNT EST. OF JOHN R SWINGLE ^ SAVINGS S.S. N0. 233-05-0427 ^ CHECKING DATE OF DEATH 03-22-2008 ^ TRUSr 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 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 Account No. 31400316143 Date 07-18-2007 To insure proper credit to your account, two Established (2) copies of this notice must accompany 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 .045 you may deduct a 5Y. discount of the tax due. Any inheritance tax due will become delinquent Potential TeX Due 81 • 21 nine (9) months after the date of death. PART TAXPAYER RESPONSE ;::, ~ m: ra:€m~~~ ;:: ~r.~:::n~~a~~~:~€:i~7`~ ~ :a~~el)€::M~::::Ti1:;:::•ikafl:::::~:C~:T~ ~` ~~ ;€ '!'°Ik'~_:€~i4TR~~~L~i1:8'~l:'•E`°::;~1fi~~~ ~Il 'C~I:~~ ~ i•'i"~~" E; ?:! A. }~ The above information and tax due is correct. /yt-.~ I. You ^ay 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 Wills and an official assesseent will be issued by the PA Department of Revenue. ONE 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 3^ below. PART If you indicate a different tax rate, please state your ~~'~,~'~~~~~ ~~~'~ ^' relationship to decedent: FA DEFA~,#,NEHT DF ~YHUE E T U R N COMPUTATION O F A ...P€i€~~€:~ :~ €:~ €:;<~;:~;:;:~ €:~ ~:;:;::~ :;:;:;,; ~ ~;:;,:~ €:~ :~ €:~ <;;;;;;:~;:; ~:;:;:;:;:;;~ ;:~ ;; ;:; - TRUST ACCOUNTS €s T X ON JOINT/ TAX R :::::::::::::::: :::::::::::::::: E i . Date c s t a b 1 i s h e d 1 s~ ~~i`:~ °'a'~ ~ ''' '' '•.~i'•.i~~~ ~€€€ ~~~~~~' ~_';~ '~ `? ~~'€'•.~ i~€~€`:~ i~i~€i~i ~"i i L I N :::::::::::::::: 2. Account Balance i'i~i~~i9°~~~~~`s`=~€i~~'ins`r~lp~~'~~~~="isi~`s~~_?€~s~s'•.~s 2 {~i~ iii €j ~ ~ ~ ~ ~ ~~ '`' ~ ~=~sy~ ~€~ ~€'~ ~~ i~€~~'ar X 3. Percent Taxable 3 4. Amount Sub ect to Tax 4 ~``i~'~s~~~~~~'~~~~st~?~~~~~~~~~~':.~~rs~~[~~~~~'€ j 5. Debts and Deductions 5 - i~i~`°`°~~f~s~i~s _~;€i€~ €€~€.'•'€~~~~€€€~€~~€~~€i~€~ ~'~€~~€ 6. Amount Taxable 6 ~~i~~~~~~€'~~~~~s~~~~~~_€€~'•.~s'~'~~P~i~j 7. Tax Rate 7 ~f`:'~'~€€~€'•.~~~y€[si~~~~r~~~r~`~~~':':_':€?~~€=~!; X 8. Tax Du ;:~~~~i'~~~~~€~~~'~~~~!~~~~€sf~Ep~a~~~~'~€~'•.~~_ 8 e PART DEBTS AND DEDUCTIONS CLAIMED TOTAL (Enter on Line 5 of Tax Computation) 6 Under penalties of perjury, I declare that the facts I have repo rte}d above are true, ~cSOrrect and complete to the best of my knowledge and belief. HOME C / ) '~~ v ~~ ~' p~ WORK C ) ~p ~ TAXPAYER SIGNAT RE TELEPHONE NUMBER DATE DATE PAID PAYEE DESCRIPTION AMOUNT PAID COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE . ,. ,.. ,-„ INFORMATION NOTICE FILE N0. 21~ ~~`~(03(p BUREAU OF INDIVIDUAL TAXES ~ '~? 1 AN D DEPT. 280601 ACN 08121653 HARRISBURG, PA n12a-B6o1 TARP AY E R R E S P O N S E ,~_' , -.; ~~ + L- DATE 05-13-2008 REV-1543~EX AFV C09-00) 208 JAN 16 P~1 ! ~ 12 ~RPHA"1~S ~~~,~~~ CAROL A SELCHER 720 SPRNG GARDEN DR MIDDLETOWN PA 17057 TYPE OF ACCOUNT EST. OF JOHN R SWINGLE ^ SAVINGS $.$. 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 C717) 787-8327. COMPLETE PART I BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS TOTAL (Enter on Line 5 of Tax Computation) S Under penalties of periury, I declare that the facts I have reported above are true,~~corCCre//ct and complete to the best of my knowledge and belief. HOME C ~~~) ~ CLJ/ WORK C ) O D TAX AYER SIGNATURE TELEPHONE NUMEER DA E DATE PAID PAYEE DESCRIPTION AMOUNT PAID COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 , HARRISBURG, PA 17128-0601 __ _ X6Y,-~6~.F..sx ~: ces,ea INFORMATION NOTICE AND ~;;(;7AXPAYER RESPONSE ~ I, 2Q~~ .lU~ 16 P~! i ~ ! 2 GLERK (~ ORANA~~'U JOUST fir..:-~„ . ~-, ~-,~, Ply CAROL A SELCHER 720 SPRNG GARDEN DR MIDDLETOWN PA 17057 FILE N0. 21r~~'ao3(p ACN 08121653 DATE 05-13-2008 TYPE OF ACCOUNT EST. OF JOHN R SWINGLE ^ SAVINGS $•$. N0. 233-05-0427 ^ CHECKING DATE OF DEATH 03-22-2008 ^ rRUST 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 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 eav be answered by calling (717) 787-8327. COMPLETE PART 1 BELOW * * ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 31000319799 Date 12-20-2007 To insure proper credit to your account, two Established (2) copies of this notice oust accompany your payment to the Register of Wills. Make check Account Balance 4,553.06 payable to: "Register of Wills, Agent". Percent Taxable X 50.000 NOTE: If tax payments are made within three Amount Subject to Tax 2, 276.53 (3) months of the decedent's date of death, Tax Rate X .045 you may deduct a 5Y. discount of the tax due. Any inheritance tax due will become delinquent Potential TaX DUe 102 • 44 nine C9) months after the date of death. PART TAXPAYER RESPONSE :~.~,'Fi::i~II~t~ 9i'T~Iiiiii~~~B~I~iY#Ii::: ::1~1€:rf:;8::t:a:l0i~'.~:€[I€[i€:':t`:::':E~~:€:~6~i.....~II~:C~:'F~~T:B:#:~:~::':t•:~7F~ ::i*t'NCO'~~Ci4Ii~~B1't"~y~'1~*C;~':.~~1;'1:•":.11;T~;k'E"fi~?'€F~;~ t 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 CHECK Wills and an official assessment will be issued by the PA Department of Revenue. ONE 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. If PART you indicate a different tax rate, please state your :~~ ~ss:~ ::::::::::::::::::::s:s~~ .. .. """"""'° °~°°° '~ °°° ~~ i~ €€i ~ iiiis€i€€€€~ €?si'sssilsip;~i~i€~i~i!€€€€~€i~~iii~€si i~ ~~ ii€; relationshi to decedent: ::::::::::::::::::::::::::::::::::::::::::::::~:::::;~:::;:;:::::::~~;~:-:-::-:::::_:::-;::::::::::~::::::::::::::: ::~::s ....... :: ^!k_i_ .1:C#RfY i ^!C?~!lyi~!!fit~riS~jw:ai1!i~Ll~fil~:FT:i 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 TOTAL (Enter on Line 5 of Tax Computation) S Under penalties of perjury, I declare that the facts I have reported above arJe rue, correct and comple~~te~~ to tjj~~he b/e~st of my knowledge and belief. HOME C r7 ) 7 ~~~~` L~?~lif~0'C~ /.f _ WORK ( ) ~ °Z/ ~~ TAXPAYER SIGNATURE TELEPHONE NUMBER DAT PART DEBTS AND DEDUCTIONS CLAIMED 3^ DATE PAID PAYEE DESCRIPTION AMOUNT PAID COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE _ BUREAU OF INDIVIDUAL TAXES -~ i`, DEPT. 280601 '~ HARRISBURG, PA 17128-0601 _ _ `Al PEV-1543~IX 11FP (09-007 INFORMA AND NOTICE FILE N0. 21-pY~~.3fP TAXPAYER RESPONSE ACN 08121655 DATE 05-13-2008 2t1~9 ,.~~I~~ 16 Pry 1 ~ 12 GLE{ ~i:. c~F opl~Pra~;~s ;~~~~T CU~,'r Cr• - ~~ CAROL A SELCHER 720 SPRNG GARDEN DR MIDDLETOWN PA 17057 TYPE OF ACCOUNT EST. OF JOHN R SWINGLE ^ SAVINGS 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 H OUSE 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 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 answered by calling (717) 7B7-8327. COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 31800287247 Date 03-23-2006 Ta insure proper credit to your account, two Established C2) copies of this notice must accompany your payment to the Register of Wills. Make check Account Balance 2, 751 • 39 payable to: "Register of Wills, Agent". Percent Taxable X 16.667 NOTE: If tax payments are made within three Amount Subject to Tax 458.57 C3) months of the decedent's date of death, Tax Rate X .045 You may deduct a 5Y. discount of the tax due. Any inheritance tax due will become delinquent Potential Tax Due 20 • 64 nine (9) months after the date of death. PART TAXPAYER RESPONSE .. ._:~~x:r~~:t~~€~ ~~€€3~8B~@iyiEfY~€~ ~~~:~:~::nE~~Ei~[;'1`;~T~1~>k~1€s~~f~;TAE!;"F~°R€€Jk~#C~E~I~Iii~E~l't`°~B4~:E'F#€-Dli~;'I~I~IS f1;fiII;E A.~- T e above information and tax due is correct. 1 You ^ay 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 Wills and an official assessment will be issued by the PA Department of Revenue. C ONE 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 different tax rate, please state your ••- ~- •-•••••• •••~~~• ° ~°~' ° • '~• ~°_' •°•°•°••'°°'° ~' PART Y iii iiiii~~''.'':~i~i~~it€:i~i€i€~ISI`~i'a;i i. i€~ {i € :~:: to decedent: :'€:=s~:::~:::s:~:~::~::::r:~~::~::~::e~~::~:;: s~tv[:tv=_s::e~::~~::ea:ea:~~::~~::~~::~::~s::::~~ 2 relationship ~~yy i€~ i pis: iris i~i~~ i ~ ~~~ ~~I C 0 M P U TAT I ;: ~ ~:::; ~~~ ~ i~ €€€~€€~ ~€€€~~~~~~_ ~~~ ~€€ ~€_~ ~ €s~;i - 0 JOINT/TRUST ACCOUNTS ON OF TAX N TAX RETURN P:R L I i€~ €~€~;€rti~:iEi;ii;~aEf==;~;~ ;~ _~ i~'siii~ iii~~iiai~i~ ila€i~ €~ `<t=€= €~~ i ~s NE 1. Date Established 1 2. Account Balance 2 !`;i'~~€'~~~€~~'•.~~':~~~~~i~~~€''€~"~~~~?s~~€s~'•.~€[~s~~s~€s 3. Percent Taxabl iisis~`~s~~~~''s'~~~€~€'•.€'~~~~~~jss~'s~?~~~~~~~~'E~€ X e 3 4. Amount Sub ect to Tax 4 j[~=~~~E`~~~~j~ ~~~~€~~ff~~1~f`~~~`~E~~~~ff~~f j 5. Debts and Deductions - <€~'i':i~`€i~i€~i~isi~~isiyiiisisi~~~~~{";~~i~i;€;€~€~€~€€~i~iiiiij9~;i~i':~':€ 5 6. Amount Taxable 6 7. Tax Rat ~!~~~~rr~~a~~~~~~~~~r~"€~~~~~~~{~~~~r~~r~~r~f~€~~'. X e 7 8. Tax D €=~i~~€'€€~~~~~~~~~~~€~~yE~~~_~~€~~~i~~~~~?~~~sr~f€~€~~€'' 8 ue PART DEBTS AND DEDUCTIONS CLAIMED TOTAL CEnter on Line 5 of Tax Computation) S Under penalties of perjury, I declare that the facts I have reportefd abov are true, ec~orrect and co/m~plete to th/~e. best of my knowledge and belief. HOME C • ! ) ''~QJ ~ , ~ (,!.[~/~ l.[ _ ,~(~p~~ WORK C ) TAXPAYER SIGNATURE TELEPHONE NUMBER A E DATE PAID PAYEE DESCRIPTION AMOUNT PAID COMMONWEALTH OF PENHSYLYANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 28D601 HARRISBURG, PA 17128-0601 INFORMATION NOTICE AND TAXPAYER RESPONSE u..~; . ,. J~ i.. ~r -~REV-I-J4S E7[ IIKP 1`09-00)"~ CLEF"i~ !- ORPlaP1~~'S L C~.~RT CAROL A SELCHER C~jjj r ';' "~_1„ P~. 720 SPRNG GARDEN DR MIDDLETOWN PA 17057 EST. OF JOHN R SWINGLE S.S. N0. 233-05-0427 DATE OF DEATH 03-22-2008 COUNTY CUMBERLAND TYPE OF ACCOUNT SAVINGS CHECKING TRUST 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 tha 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. Guastions may be answered by calling C717) 787-8327. COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 31800287247 Date 03-23-2006 To insure vroper 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: "Register of Wills, Agent". Percent Taxable X 16.667 NOTE: If tax payments are ^ade within three Amount Subject to Tax 458.57 (3) months of the decedent's date of death, Tax Rate X .045 you may deduct a 5% discount of the tax due. Any inheritance tax due will become delinquent Potential TaX Due 20.64 nine C9) months after the date of death. PART .........................................................TAXPAYER RESPONSE 1 :::::::::::~ ~::::::::::~::: ~:::::~:- :::::::::::::::::::::::: ~:::::::::::::::,::::.........................................................................:::::::::::::::::::::::::::::::::~:::::::::::::::::::::::::::::::::~::::::::::::::::::::::::::::::::::::::::: ~::::::,::::::::::::::::::::::::::::::::::::::::.::::::::::::::::::::::::::::::::::::::,::::::::::::::::::::::::::: ~::::::::,:::::::::::: ^ •::::~.x:~f:~~~a .;~r.~n;~:;a~axY,issues~~;,.ra g__ae~m.~~a.ars rsr_;~a~__~e,Q€e:a%:~~e<a~:::^eK~:~::::;a~~a~~el~:e~~:~:~:ei~le::~~::::,ru:r:~:::::~a:e~:e~~~; A. Inl The above information and tax due is correct. ~1. Vou nay choose to remit payment to tha 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 CHECK 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. PART If you indicate a different tax rate, please state your .... ... :: _ :° ' •':':'•': :': • •::~ •~ •: •: _•_ €ii~ iii ~ i€~ ii€~ i€iiii. isi€iiii~:~[~:~~it€iii€€€~LL~e::~lir ii ~ii:'i". r e l a t i o n s h i 2 t o d e c e d e n t: :.......:................................: .........................................:...................:.:.............:~:-,:: :~ t. 1~A DEPANTMENT ~F RE~fM TAX RETURN - COMP UTATION O F TAX O N J O I N T/TRUST ACCOUNTS ~~~€~ ~€~ °~°~~~ ~~~~~°~ ~°~ ~~~~~~~~~~~~~~~~~~~~~~~~~_~~~~~~~ ~~~~~ ~ ~~~ ~ ~ ~_~~~' ~~~~ ~~~~~ `'~"' <' ~~' ~~`__~__~~' 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 PART DEBTS AND DEDUCTIONS CLAIMED TOTAL (Enter on Line 5 of Tax Computation) S Under penalties of perjury, I declare that the facts I have reportye/d above are true, correct`and com l~et~e~to/~the~bpest of y knowledge and belief. HOME C L` ~ ~~"~~.~f / -_ ~L~;/oib"C. liG - WO R K ( ) ~O eZ TAXPAYER SIGNATURE TELEPHONE NUMBER AT 1 2 3 X 4 5 - 6 7 X 8 FILE N0. 21~~'Of03(p ACN 08121655 DATE 05-13-2008 DATE PAID PAYEE DESCRIPTION AMOUNT PAID COMMONWEALTH OF PENNSYLVANIA (f DEPARTMENT OF REVENUE INFORMATION NOTICE FILE N0. 21 Qa -fXp31~ BUREAU OF INDIYIDUAL TAXES DEPT. 280601 AN ACN 08121672 HARRISBURG, PA 1nzB-o6B1 .. ~~ TAXPAYER R E S P O N S E DATE 05-13-2008 REV}iSLE E7~ PFR' IM19-~n4~ TYPE OF ACCOUNT 2~}{J~ ~{U ~ ~ Phi ~' ~ ~ EST. OF JOHN R SWINGLE ^ SAVINGS $.$. N0. 233-05-0427 ^ CHECKING C! ~F~ii ~F DATE OF DEATH o3-22-2008 ^ TRUST O~P~~A~ ` ~,_(~~~~~ COUNTY CUMBERLAND ~ CERTIF. Ct~P r. ,, ~ ~~! ~:~ REMIT PAYMENT AND FORMS T0: CAROL A SELCHER REGISTER OF WILLS 720 SPRING GARDEN DR CUMBERLAND CO COURT HOUSE MIDDLETOWN PA 17057 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 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 nay be answered by calling C717) 787-8327. COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FI LING 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 payment to the Register of Wills. Make check Account Balance 9,820.09 payable to: "Register of Wills, Agent". Percent Taxable X 16.667 NOTE: If tax vavnents are made within three Amount Subject to Tax 1,636.71 C3) months of the decedent's date of death, Tax Rate X .045 you may deduct a 5Y. discount of the tax due. Any inheritance tax due will become delinquent Potential Tax Due 73.65 nine C9) months after the date of death. PART TAXPAYER RESPONSE ........ €€~:: ~:°: .. :; •~ ~~~ ~ ~Lfi:i~Hi€€~ . ..,..#1.F~.I.:~' .::€€..TAX...A~.~~`'E#~N ................................................................................................. .....A II.ItRE.....TD.....R~l?!. VIII:....11~I~.~.:::R:E~;{1 ..............................~4!~#.........................~:,............................................................:.:.,.::::::::::::::::::.:..._,................................................................................ 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 ^ay check b ox "A" and return this notice to the Register of CHECK Wills and an official assessment will be issued by the PA Department of Revenue. C ONE 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. to lease state our dicate a different tax ra , p Y If you in PART 'pis :::::::::::::::::::::t~;:':_;~;:;:~t:e:::::::::::: ,:::;:::::;::::::::::::t ~~ ~:~::::::::::,::;:,:;:.:::::::::;;:::::::t;s~:~:~~:.: ~~::::;:::;:::;::~: :.:.:.:.:.:.:.:.:.:.:.:.:.:.:...: ....::~~~i, "` °'• °~'~~'~~~°~`°~"°~ ~ ~~ s <~F`ililCili~l4~i:'~'~€€~I~NL::~`:~:~: ~:::~:::: is ;; , :::: ::::::::::::::::::::::::::: ' to decedent: 2 rela p . ~ ::::::.::::::::::::::::::::::::::::::::::::~::::::::~~::::::::::::::::::::::::::::::::: ~ :~ : ~ Ei€~€€~ ~ ~ ~ i~i~~ €~€~i~'s iii: i'•.~ iii ii~~ ii i€i ~:.:-:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~ ~::- ~ ~ :::::::::::::::::::::::::::::~::: RN COMPUTATI ...1~~4D€~~::~:~€:;::;:~:~:~<s=:;€:_:;::;:~:~:~:~:~€:~€:~€:~;:~';~';'_;,;,'s;'s`'``'`;;`';",,; - ACCOUNTS €~€ NT/TRUST ON JOI ON OF TAX TAX RET LINE 1. Date Establish "~^~~~~'` 2 2. Account Bal ~~~~ X 3. Percent Taxable ct to Tax 4 4. Amount Subje ::::~:~: s.~~~','€~~'~4'~€~~~!~~ei~~~E~S~~f~~=~'_~'~~s~~~fS~ss~"€E[I~~~i€=€ ~~~•~~~ 5 d u c t i o n s 5. Debts and De iii ~ ~ `~~`~ ~~ ~ ' ~~~i~ i~Pii~~ ~ ss~ ~~~ ~i _~€~ ~~ ~s~ €ii€~ ~ €i~ i~iiiii ~~ 6 T a x a b 1 e 6. Amount '°~~,.~ {~~ ':~isi~ iii ~~ ~~ ~~?:'~ ':': ~~ iii ~ r~~ ~r~ ~;ifs': ~~€~ € ~ ~ a~~ ~ ~i's~ € X 7 7. Tax Rate sifiiff':~ €ff~ ~~ €€~ €~ ':':`':f~~ i~ i~ ~~ ~ ff~ ff ~ ~':';if~ i3i ~ ~~ ff~ ~'~ ~fyi=fib if€~ ': •~~~~~ 8 8. Tax Due ..:::: .:,:,:,: ""•"` PART DEBTS AND DEDUCTIONS CLAIMED 0 TOTAL CEnter on Line 5 of Tax Computation) 6 Under penalties of perjury, I declare that the facts I have reported above are true, c/o~rr~'t/and I~ comp/le~te~to the best of m knowledge and belief. HOME C ~~~) ~ w F L.L I~LO~ ~. ~~ WORK C ) TAXPAYER SIGNATURE TELEPHONE NUMBER D TE DATE PAID PAYEE DESCRIPTION AMOUNT PAID COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INFORMATION NOTICE FILE N0. 21-~~ ~p~o BUREAU OF INDIVIDUAL TAXES AN D DEPT. 280601 ACN 0$121(72 HARRISBURG, PA nlza-anal _. ; _; _ TAX PAYE R R E S P O N S E • _ ~ ~- -' DATE 05-13-2008 REV-1545 E% AFP (09-00) L U~t7 ~~~ ~ V ~{ 1 ` ORPN~'~' ~~~~, ~~ ~URTPr~ (• . CUFF,-- , CAROL A SELCHER 720 SPRING GARDEN DR MIDDLETOWN PA 17057 TYPE OF ACCOUNT EST. OF JOHN R SWINGLE ^ savlNGs $.$. N0. 233-05-0427 ^ CHECKING DATE OF DEATH o3-22-2008 ^ 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 decadent, 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 TOTAL (Enter on Line 5 of Tax Computation) S Under penalties of perjury, I declare that the facts I have reporteed aboveAare true, correct and complete to the best of my knowledge and belief. HOME C / 7 ) ( " ~~ ~ S~~ WORK C ) Q~ ~ TA A ETA R SIGNA URE ~~~ TELEPHONE NUMBER DATE PART DEBTS AND DEDUCTIONS CLAIMED 0 DATE PAID PAYEE DESCRIPTION AMOUNT PAID COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INFORMATION NOTICE FILE N0. 21 "OQ-~p3(p BUREAU OF INDIVIDUAL TAXES ~ !. AN D DEPT. zagcol - TAXPAYER RESPONSE ACN 08121674 HARRISBURG, PA 17128-0601 ~ ; ~~~- DATE 05-13-2008 REV-1543 IX I1FP (D9-007 2QQ8 JUG 16 ~~ ~ ~ ~ 2 TYPE OF ACCOUNT EST. OF JOHN R SWINGLE ^ SAVINGS ~~ S.S. N0. 233-05-0427 ^ CHECKING ~~E` "~ ~~~ DATE OF DEATH 03-22-2008 ^ TRUST O~~wA~~;~` ~~JRf CU~ee~rr ~ ~, , .,,rj OH COUNTY CUMBERLAND ~ CERTIF. REMIT PAYMENT AND FORMS T0: CAROL A SELCHER REGISTER OF WILLS 720 SPRING GARDEN DR CUMBERLAND CO COURT HOUSE MIDDLETOWN PA 17057 CARLISLE, PA 17013 PNC BANK has provided the Department with the information listed below which has been used in calculating the votential 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 (717> 787-8327. COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS TOTAL CEnter on Line 5 of Tax Computation) 4 Under penalties of periury, I declare that the facts I have reported above are true, correct and complete to the best of my kno/wledge and belief. HOME C 7 ~ Q~` \ ~_ A ~ WORK ( ) ~ TAXPAYER SIGNATURE ~~° TELEPHONE NUMBER ATE DATE PAID PAYEE DESCRIPTION AMOUNT PAID COMMDNWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INFORMATION NOTICE FILE N0. 21~~1~'~~O~o BUREAU OF INDIVIDUAL TAxES - AN D DEPT. zaB6B1 - -` TAXPAYER RESPONSE ACN 08121674 HARRISBURG, PA 17128-0601 ~`, „ _, DATE 05-13-2008 REV-1543 E% I1FP (09-007 2~~~ ~~~ i 6 ~ 1: TYPE OF ACCOUNT EST. OF JOHN R SWINGLE ^ SAVINGS ~~ ~n~,` {~ S.S. N0. 233-05-0427 ^ CHECKING ~R~,N~f,I'~ ~O!,J`~~ DATE OF DEATH 03-22-2008 ^ TRUST Cu~\f(-~'~ `' !-' r''`'~ . P~ COUNTY CUMBERLAND ~ CERTIF. REMIT PAYMENT AND FORMS T0: CAROL A SELCHER REGISTER OF WILLS 720 SPRING GARDEN DR CUMBERLAND CO COURT HOUSE MIDDLETOWN PA 17057 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 of Pennsylvania. Questions 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 prover credit to your account, two Established (2) copies of this notice must accompany your 9 1 1 . 0 7 payment to the Register of Wills. Make check Account Balance 5, payable to: "Register of Wills, Agent". Percent Taxable X 16.667 NDTE: If tax payments are made within three Amount Subject to Tax 985.20 (3) months of the decedent's date of death, Tax Rate X .045 you may deduct a 5Y. discount of the tax due. Any inheritance tax due will become delinquent Potential Tax Due 44.33 nine (9) months after the date of death. PART TAXPAYER RESPONSE ... .....~.~ ~~.~~~::^r~.....~~~~~~~,:::~~~~.:::::~~~~1~.'~.....t~1.....A~1:~::~:~:F:~~.~A:~.~:;E'FAQ~~~~~:E~Ifi:::~A~~~....~~i....T#I~IS~fiII;~E~° A. he above information and tax due is correct. You may choose to remit payment to the Register of Wills with twa 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 Wills and an official assessment will be issued by the PA Department of Revenue. C ONE 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 oust comvlete PART ~ and/or PART 3^ below. If you indicate a different tax rate, please state your ••~ '°'°°`~ PART :.: ,.:::,,:: ~ OF`~ ~~:` ~.~L. ~ O~I~'~ relationship t o decedent : s"~ii~ ::~ :~ :,:=:=::- :~ :::::::::::::::::::::::: .:::~_:::~::::::~:~::~:~:~:~:~:~:~:~ _::• :::.:,~~::::. . OMPUTATI ...~?`°'~s~ ~!~~i~€~€~~€~~~~s~s~~i~isi:`~~i~~~~€€€€~€€€°i`€ - T/TRUST ACCOUNTS ON OF TAX ON JOIN TAX RETURN C d 1 i=i~~'~~tear_~=~`=i~`{j?~~~~~~~~~~~~~~<<i4iiiss~'€ LINE 1. Date Establishe ::~:::~: glance `issi.•~,_i'•.'`~~€~~r~~~~~~~~ ~~r~~'•.~€`:'~t ~i~ ~€€':. ~~~ 1';' 2 2. Account B ~~~~~~~~~ ~~ iiii~ :ii ercent Taxabl i~i~i''.~~i'"''`;`';`' ~~~~~~~~~~~~[~~€~~~~~'€;'€~'•.~':~€€i€`~':':~°~a 3. P ::~;:~;:;: 3 X e ~:~::~: nt Sub ect t si'sip?~~1'€'~~€~~~~~~~~!~~'€~"i~€€~E~'f~~~~'~°='€s€~5~~~€f~~~~~°i o Tax 4 4. Amou j ::.::::::::::: ::::::::::::::: ebts and D - ii~l"`'~.~~_~`"€~€~~~~~~~ss~~'!="'€~s~€~~~~~~~s~='{''~ y€i€~':.': 5 D ::::::::::::::: eductions 5 :::::~:. oust Taxabl ii~°~~.i~~~~~~~~~~~':~€~~~~!thy€~s~ii~°~'€~€~~~~~~ss e 6 6. Am ~•~~~~~~ 7 . T x • :::•:::•: a Rate €'[i~iii':;::'~~~'~_€~~€~€s~~~~~~~i'~~~°:~€~€€€€€€i€' X 7 8. Tax Du ~~~~ ~~ PART DEBTS AND DEDUCTIONS CLAIMED S^ DATE PAID PAYEE DESCRIPTION AMOUNT PAID Under penalties of perjury, I declare that the facts I d have repor+tJe above are true, correct and com lets to the best of my knowledge and belief . j HOME C / ` ) ~ ''~ ©~ ~. WORK C ) TA AVER SIGNATURE TELEPHONE NUMBER DA E TOTAL (Enter on Line 5 of Tax Computation) 8 ~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE _ BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 - .. .,t.T.~,. ~ ,-. . ~.'...'~~..RhV-154 ~IX ~FP C09100) INFORMATION NOTICE FILE N0. 21l(~$'(~1(,,~(p TAXPAYERNRESPONSE ACN 08121649 DATE 05-13-2008 Z~ll~ JUG ! 6 P ~ I ~ ! 3 ** CAROL A SELCHER 720 SPRNG GARDEN DR MIDDLETOWN PA 17057 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 decadent, 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 Account No. 31300315067 Date 06-21-2007 Ta insure proper credit to your account, two Established (2) copies of this notice must accompany your Account Balance 3, 320.27 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 1,660.14 I3) months of the decedent's date of death, Tax Rate X .045 you may deduct a 5% discount of the tax due. Any inheritance tax due will become delinquent Potential Tax Due 74.71 nine C9) months after the date of death. PART TAXPAYER RESPONSE ^ :: ...~~sr~~~s~a~~~r~~~:eea~~~~~r~~:~ ~~~~[~~:;:r~ ~;d~~t;~,~-~~;~r~t~~~; ~;~r::~~~ ;~-~~Ita~~~i;~~1€€~k~€~~#~~i'ER~€~1~1iTE A. ~he 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, ar 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. C ONE 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 ~•••••• :::~ ° :_:~:~: ~:~.' ~:°•:•€• °~°°°°?? €~ ~ DEEi~O:BAS:~;::U~',5"€€i€iAl!!I`~fF::~:€:€ ::€::; €:: relationshi to decedent: P 2 - 0 POTATION OF TAX ON JOINT/TRUST ACCOUNTS ~= TAX RETURN C M a e st blished LINE 1. D t E a s~` 2. Account Balance 2 €` 3. Percent Taxable 3 X 4. Amount Sub ect to Tax 4 j 'l~!' i~€ti 5. Debts and Deductions 5 €~ [€'`f{ 6. Amount Taxable 6 7. Tax Rate 7 X ~E~~ ~~~~i1~~ ~ ~~ ~~ ' ~'~ ~ ~€ _~ ~_ ~€ ~ ~€_€~ €i€€'•.~ ~ iii iii ~~ '~~ '~ ~~j 8. Tax Due 8 PART 0 DEBTS AND DEDUCTIONS CLAIMED TOTAL (Enter on Line 5 of Tax Computation) 6 Under penalties of perjury, I declare that the facts I have reported abovQe are/ /tru^e~, correct and com/p~lete to the `best of my knowledge and belief. HOME C7/ ) f 7"'J~~/ f,. CX - ~Q~.~_~ WORK C ) Q~ TAXPAYER SIGNATURE ~ TELEPHONE NUMBER DAT DATE PAID PAYEE DESCRIPTION AMOUNT PAID COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INFORMATION NOTICE FILE N0. 21-Dg'~lO~p BUREAU OF INDIVIDUAL TAXES AN D DEPT. 280601 ! ACN 08121649 HARRISBURG, PA nl2s-o6al ~ _ TAXPAY E R R E S P O N S E '~ ~crbe-~ca ea9-oo~~ ~ ~ ~ DATE 05-13-2008 ~~~Q .~~~~ ~ ~ ~~ GLE~~~C Cir ~~,,;', RF ,, ,~, ~; ~ c~J~?T C~ 4~~~ rr ;: .~~ ~~ ** CAROL A SELCHER 720 SPRNG GARDEN DR MIDDLETOWN PA 17057 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 decadent, 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 (7I7) 787-8327. COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS TOTAL (Enter on Line 5 of Tax Computation) 6 Under penalties of perjury, I declare that the facts I have reported^~above are true, corr/ect and complete to the/best of~~~my~,k~~nowledge and belief. HOME C ~~/ ) ~ ~S/ G[ - .C2.~iloC'~ WORK C ) ~ ~° TAXPAYER SIGNATURE TELEPHONE NUMBER DATE DATE PAID PAYEE DESCRIPTION AMOUNT PAID COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE S f O R MAT I O N N O T I C E ~ ~ FILE N0. 21-Q~'Q(p 3~p BUREAU OF INDIVIDUAL TAXE . ' AND , DEPT. 280601 - TAXPAYER RESPONSE ACN 08121676 ; ; HARRISBURG, PA mzB-a6o1 ; REV-1543 EX IIPP C09-00) DATE 05-13-2008 Z~~~ .~U~ { 6 PM ~ ; I ~ TYPE OF ACCOUNT EST. OF JOHN R SWINGLE ^ SAVINGS ~~ F'~~ (~~ $.$. N0. 233-05-0427 ^ CHECKING Q~(~; al,,t`~ ;/(~~)~j DATE OF DEATH 03-22-2008 ^ TRUST C~~`,/r' ` ",, ~h COUNTY CUMBERLAND Q CERTIF. REMIT PAYMENT AND FORMS T0: CAROL A SELCHER REGISTER OF WILLS 720 SPRING GARDEN DR CUMBERLAND CO COURT HOUSE MIDDLETOWN PA 17057 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 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 answered by calling (7173 787-8327. COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS TOTAL (Enter on Line 5 of Tax Computation) 8 Under penalties of perjury, I declare that the facts I have reported abovep~are true, correct and comp le_te two th/e~ best of~ ~my~ ~kno/wledg~e and belief. HOME C ~ 7 ) ! '~0~/ ~L~~lbt. G[! ~~'C.~I~Cl/.l'/n.~/Y W O R K C ) o~ TAXPAYER SIGNATURE TELEPHONE NUMBER DAT DATE PAID PAYEE DESCRIPTION AMOUNT PAID COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INFORMATION NOTICE FILE NO. 21 ~~~ ~YO~p BUREAU OF INDIYIDUAL TAXES DEPT. 280601 -~ ;'T/KXPAYERNRESPONSE ACN 08121676 HARRISBURG, PA 17128-0601 ' - DATE 05-13-2008 rev-isaa ~a:'u?r eproo: TYPE OF ACCOUNT 20Qg ~~,~~ (6 Pfd ~: ~ ~ST. OF JOHN R SWINGLE ^ SAVINGS $.$. N0. 233-05-0427 ^ CHECKING C~~~, r7r DATE OF DEATH 03-22-2008 ^ TRUST (~ 0{~~`'~~"f~`° ~.C~~ J~T COUNTY CUMBERLAND ~ CERTIF. 1.r~~tif~+`- .'j': ~''~ ~~ REMIT PAYMENT AND FORMS TD: CAROL A SELCHER REGISTER OF WILLS 720 SPRING GARDEN DR CUMBERLAND CO COURT HOUSE MIDDLETOWN PA 17057 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. 4uestions may be answered by calling (717) 787-B327. COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 31200301629 Date 09-06-2006 To insure prover credit to your account, two Established (2) copies of this notice must accompany your Account Balance 2,89$.07 payment to the Register of Wills. Make check payable to: "Register of Wills, Agent". Percent Taxable X 16.667 NOTE: If tax payments are made within three Amount Subject to Tax 483.02 C3) months of the decedent's date of death, Tax Rate X .045 You may deduct a 5Y. discount of the tax due. Any inheritance tax due will become delinquent Potential Tax Due 21.74 nine (9) months after the date of death. PART TAXPAYER RESPONSE . ~;:s ::~;:s, : :€~ ::::: ..::.: . ...:::::: ~ :::. ~~:E~~~l~Nfi....~A~3~....DN...fi~1 t~.. ~~fi €;::; ~ ~?!D~ID€€~€sfll~Irlr~.E~.E.fi.....~~I.....,Ali.....~E~.~~:~~k~::...:fi~E.A ..................................................................... ::::::EA;IU1~E: ~::;1'~t:::::R~ R .............................................................:.................................................................... :-::::.:::::::::::::~:~:::: ~:::::::~:::::::::::::: A. The above information and tax due is correct. 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 Wills and an official assessment will be issued by the PA Department of Revenue. C ONE 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. PART If you indicate a different tax rate, please state your ~~~~~~~ ~~'~:;~~~ ::.:...:.... .:.:: relationship to decedent: ~~ .~~~,~,~~,~, ~~.~~'. TAX RETURN ...1~D€!~~€~'::~:~:;:~:~:~;;:~:;:~€:~€:~€:~€:;~:~:::~:~~;::;~°~'~`'€;_;::'``'':''';'`''~~-°"°°~~' - ON JOINT/TRUST ACCOUNTS ON OF TAX COMPUTATI L I N E 1 . Da ....... i~i~i~~ i~= ~~~ €iiiii!€j~ ~€~ €€ ~ ~~s= st ~`~~=~~~~~ ~~ ~ `~3~~~~!~ siii~ r€~ r d 1 - te Establishe ..... .. 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due 2 3 X 4 5 6 7 X 8 TOTAL CEnter on Line 5 of Tax Computation) S Under penalties of perjury, I declare that the facts I have reported above a[r~g true, correct and complete to/the/best of my knowledge and belief. HOME C~/ ) T -~~ TAXPAYER SIGNATUR TELEPHONE NUMBER DATE PART DEBTS AND DEDUCTIONS CLAIMED 3^ DATE PAID PAYEE DESCRIPTION AMOUNT PAID COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 FIARRISBURG, PA 17128-0601 mrvn~b! sir S~v~'t04-nt INFORMA AND NOTICE '- TAXPAYER RESPONSE FILE N0. 21~0~''~lO,~j~o ACN 08121680 DATE 05-13-2008 2E~08 JUG 16 Phi ! ~ 13 rr, ~ r..~ CLcnl~ i~t" QAFH~~J'c C'~IJRT CAROL A SELCHER 720 SPRING GARDEN DR MIDDLETOWN PA 17057 TYPE OF ACCOUNT EST. OF JOHN R SWINGLE ^ SAVINGS $,$, 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 ]oint 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. Guestians nay be answered by calling (717) 787-BS27. . COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 31200306556 Date 11-06-2006 To insure proper credit to your account, two Established (2) copies of this notice must accompany your payment to the Register of Wills. Make check Account Balance 6, 974.55 payable to: ''Register of Wills, Agent". Percent Taxable X 16.667 NOTE: If tax payments are made within three Amount Subject to Tax 1, 162.45 (3) months of the decedent's date of death, Tax Rate X .045 you may deduct a 5% discount of the tax due. Any inheritance tax due will become delinquent Potential Tax Due 52 • 31 nine C9) months after the date of death. PART TAXPAYER RESPONSE <:.: °:: <:.:.:. .:... .... ::~:~ I:,fi::.::I~::::: :,.:#1:E'F:I, 14th::::~€'t'AX::~A~~E~~~l:E~1fi:.:.~~:i3:E::~~:.::;Cll.~:i~,..:::1 .......................... ::...lkl~.RE.....'E#~.....f~Sl?!~f ~I~....N:~~.~..: ,R~E~1 ............................1.:....................._.....~.................................................................:::::::::::::..:..................................................................,.............................. A. he above information and tax due is correct. You ^ay 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 CHECK Wills and an official assessment will be issued by the PA Department of Revenue. C ONE 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. lease state our cote a different tax rate, p Y If You indi PART i ~ ~ ~ ~` `:~rrr: <°~`~~ '~'~~~~~~`~~~`~~ ~~~ `~ ~-~~ :s::::::~ ::::::::::~ ~ ::~ ~ :<: ....:~iAli:<: €s=€~€~~:'~"s~"s~~:.:.:.:~~i:~::~~~.~::::::~::::~:::::. = decedent: relationship to 2 _:~:;:;:::;~: ::::s::_::::::a::~:::~:~~:_~::: ~:_ ~::~::~::~~::~:~ ::::.:::.:.::z~::~~::s~~~:~s :~:=::::;::s:;~::~:,....:: •:::::- ............................._;,.......~......:::::..:.....::::-........:..;.............:.......:.:.:.:.:.:.:.:.:.:, €~ ~~~ s~4~ €DEI~~!4`INEN'~'i~ i~fl€'1~EYE~1~ ~~~€ - ACCOUNTS 0 NT/TRUST AX ON J I TAX RETURN COMPUTATI €~€ :; ................. e d 1 LINE 1. Date Establish ili~i~~€~~iiii?~ ~ i`.`:? ~[i~ ~r€ ~~~ [~~ ii= ~i=iii€~ ~ ~~~ ~ ~ ~~ ~;~' ~r~ i„j' "'"""~'~` . . 2 2. Account Bal , ...:. ~~ X 3 e 3. Percent Taxabl ~ f~ ~€':•~ ~~ ~€~~ €`:i':`:1':~ ~ ~ ~ ~ t~ '~ _~ '•.:~ ~'•.~ ~ ~'€Ei~ i~ iii iii i'''"'`' `' 4. Amount Subject to T 5. Debts and Deducts :.::::::::: ~~~~~~ 6 6. Amount Taxable ~ '9€~_':~~ ' `~ t€~ ~ €~r~ ~? ~?iii ~ ~ ~ €~ €~ j~~~~~[ ~~~ E X 7 7. Tax Rate •sii~i~~i'i~~ ~~°s~i~isis~€`:==fs{tE~i~[iii'isiji~"~iEE~€~fii€€'`[t=~;€?i ~~~~~~~~~ 8 8. Tax Due PART DEBTS AND DEDUCTIONS CLAIMED 3^ TOTAL CEnter on Line 5 of Tax Computation) S Under penalties of perjury, I declare that the facts I have reported above are true, cor/rect and c//om~Tplete to the best of my knowledge and belief. HOME C~~ )~ ~ ~~! L_(!/C~b~ ~ . ~~ i ~ e . WORK C ) Q TAXPAYER SIGNATURE TELEPHONE NUMBER DA E DATE PAID PAYEE DESCRIPTION AMOUNT PAID COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES ~. DEPT. 280601 'i HARRISBURG, PA 17128-0601 - ` REV,~s pc~~v ~o~dD~ INFORMA AND NOTICE FILE NO. 21 -fig D(o,3(v TAXPAYER RESPONSE ACN os121680 DATE 05-13-2008 200 JU~~ 16 P~ 1 ~ 13 ORPhr" h,° i'c;~. ~flT Cl-h ~ ~. ~ ~= ,~, , PA CAROL A SELCHER 720 SPRING GARDEN DR MIDDLETOWN PA 17057 TYPE OF ACCOUNT EST. OF JOHN R SWINGLE ^ SAVINGS S.S. NO. 233-05-0427 ^ CHECKING DATE OF DEATH o3-22-2008 ^ TRUST COUNTY CUMBERLAND 0 CERTIF. REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 PNC BANK has vrovided 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 answered by calling (717) 787-8327. COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS TOTAL LEnter on Line 5 of Tax computation) a Under penalties of perjury, I declare that the facts I have reported above are/true ,//,,correct and '~ complete, t_oDthe/~best of my knowledge and belief. HOME C ! ~~~ ~ -/ V-~ Cam (~ - °~A - ~ WORK ~ Cp reYVevFa crr_NeTURF TELEPHONE NUMBER DAT DATE PAID PAYEE DESCRIPTION AMOUNT PAID COMMONWEALTH OF PENNSYLYANIA DEPARTMENT OF REVENUE INFORMATION NOTICE FILE No. 21-fib'-~(o3(p BUREAU OF INDIVIDUAL TAXES ~ AN D DEPT. zao6ol ~ TAXPAYER RESPONSE ACN 08121678 HARRISBURG, PA v12B-g6Bl ~ DATE 05-13-2008 RNI-L,Sy~f)~'QKgI (04.90) !_ . Z(!0!3 Jkl~ f 6 P~ 1= i 3 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 ~ rr pp cLCR':~\ Jr Ol"1~I"ir~',~~.~ ~~~,, ~~T cup r ~.,_ , ~,.,~ pa CAROL A SELCHER 720 SPRING GARDEN DR MIDDLETOWN PA 17057 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. Cuosticns may be ansuzred by calling (?17) ?87-8327. COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 31400303671 Date 09-21-2006 To insure vroper credit to your account, two Established C2) copies of this notice must accampamr your payment to the Resister of Wills. Make check Account Balance 3,499.98 payable to: "Register of Wills, Asent". Percent Taxable X 16.667 NOTE: If tax payments are Wade within three Amount Subject to Tax 583.34 C3) months of the decedent's date of death, Tax Rate X . 045 you may deduct a 5% discount of the tax due. Any inheritance tax due will become delinquent Potential Tax Due 26 • 25 nine (9) months after the date of death. PART TAXPAYER RESPONSE €~€~ ~~E~:~ DN€€fi:~l~~~~kfi~'E€~ i€ ^ ::~~r~~:~E~~€::~~_~~~~~~€€€WTI€~:;~~~;E~II:E:'E`~.,,~~,,,.,AEI.....~f~:I~:I:::~'T#X;:~4~~E~lfi::fl .................................... ......:., ::..:.: A. he above information and tax due is correct. 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 CHECK Wills and an official assessment will be issued by the PA Department of Revenue. ONE C 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. If PART au indicate a different tax rate, please state your Y ~~ •••••••~~~•~••••• ,•;.,:;::.;.:~ ~~~~ ~:':~: iii ~€zii~ i ~i€€~ i ~ _':€ ~€ii~ iii~:~ :~;~~iii€€•~•"•:€:`ii~i€€' iii i€€ €' p shi ation rel 2 edent: o dec t .......... ... .. iii€ss~€i~~~tJIL~'~'iii`1i17"~~~':.'!'ti~'i~i~Lk~~`lii!°l~~i .............. TAX RETURN - COMPUTATION LINE i. Date cstrulisi:ed 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 i 2 3 X 4 5 6 7 X 8 TOTAL (Enter on Line 5 of Tax Compuca a one a Under penalties of perjury, I declare that the facts I have reported above are rue, correct and c~omlple~te ~tjo the best of my knowledge and belief . HOME C ~~~ ) J~ ~ S~~ C_La~i~o-f'~ ~ a.~ WORK ( ) r/ Oa TAXPAYER SIGNATUR TELEPHONE NUMBER DATE PART DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION AMOUNT PAID COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RtV 154iE)C r~~.... ~, _.~ ~ INFORMA AND NOTICE ~.,_, _ ,.......TAXPAYER RESPONSE 09-00)" FILE N0. 21 -Q~'0(o3(p ACN 08121678 DATE 05-13-2008 ?0(~0 ,1k1~ ! 6 P~ { ~ 13 ~s !~'F~i~\ ~i QR~E-~".~ ` r~in~~~ PA. CAROL A SELCHER ~~.~f`;' ~. ~ 720 SPRING GARDEN DR MIDDLETOWN PA 17057 TYPE OF ACCOUNT EST. OF JOHN R SWINGLE ^ SAVINGS $,$, N0. 233-05-0427 ^ CHECKING DATE OF DEATH 03-22-2008 ^ TRUST COUNTY CUMBERLAND a CERTIF. REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 PNC BANK has Drovided 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 fore 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 TOTAL (Enter on Line 5 or iax compucacioni v 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 ~ ~ ~ ~ QS - ~oQ~J, ~~~ WORK C ~ l0 ~ ~ B' TAXP R SIGNATURE TELEPHONE NUMBER DATE nerF porn PAYEE DESCRIPTION AMOUNT PAID