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Home My WebLink About03-02-10PENNSYLVANIA INHERITANCE T INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES ~ ~.• PO BOX 280601 ~ ) ,~ ~ AND HARRISBURG PA lnza-o6ol r,.~, ~ # ~~AYER RESPONSE REV-1543 IX AFP (08-OB) FILE N0. 21 -I(~-aOg ACN 10109127 DATE 02-17-2010 Z~I~ MAR -~ i'M i~ ~7 a~nc of a~~- ANGELO ANTONICELLI 5 EVERGREEN LANE MECHANICSBURG PA 17050 EST. OF HELEN ANTONICELLI SSN 178-22-7772 DATE OF DEATH 01-23-2010 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT ® SAVINGS CHECKING TRUST CERTIF. MEMBERS 1ST FCU provided the Department with the information below, which has been used in calculating the potential tax due. Records indicate that at the death of the above-named decedent, you were a joint owner/beneficiary of this account. If you feel the 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. Please call C717) 787-8b27 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 15332- 04 Date 10 - 09 -1973 To ensure proper credit to the account, two Established copies of this notice must accompany Account Balance $ 2, 000.42 payment to the Register of Wills. Make check Percent Taxable Payable to "Register of Wills, Agent". X 16.667 Amount Subject to Tax $ 333.41 NOTE: If tax payments are made within three Tax Rate months of the decedent's date of death, X . 0 0 deduct a 5 percent discount on the tax due. Potential Tax Due $ ~ 00 Any Inheritance Tax due will become delinquent nine months after the date of death. PART TAXPAYER RESPONSE ~ ~ ,~.,,~ A. The above information and tax due is correct. Remit payment to the Register of Wills with two copies of this notice to obtai CHECK a discount or avoid interest, or Will d check box "A" and return n this notice to the Register f C 0 N E ~ s an an official assessment will be issued by the PA o Department of Revenue. BLOCK O N L Y B. ~ The above asset has been or will ba reported and tax paid with the Pennsylv i I to be filed by the estate representative. an a nheritance Tax return C. ~ The above informs ion is incorrect and/or debts and deductions were paid. Complete PART 2~ and/or PART 3^ below. PART If indicating a different tax rate, please state relationship to decedent: TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Date Established 1 2. Account Balance 2 $ 3. Percent Taxable 3 X 4. Amount Subject to Tax 4 $ 5. Debts and Deductions 5 - 6. Amount Taxable 6 $ 7. Tax Rate ~ X 8. Tax Due g $ _. T DEBTS AND DEDUCTIONS CLAIMED 0 DATE PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL CEnter on Line 5 of Tax Computation) } Under penalties of perjury, I declare that the facts I have reported above are true, correct and complete to th~e~b~es,,t ~o~f~my knowledge and belief. /~"- ~c!/u+~ HOME C ) ~, ~ 'l `- l $-~-t TAXPA ER SIGNATURE WORK C ) ~ ~~-!O PENNSYLVANIA INHERITANCE T INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES AN D PO BOX 280601 a " ~"' i HARRISBURG PA In za-o6ol TAXPAYE R R E S P O N S E t mzv'~f3i7a~ivR fib+09/' s :. a ,mss FILE N0. 21 ..-'Q.a~~ ACN 10109123 DATE 02-17-2010 ?010 t4AR -2 r M t ~ ~7 ~~. ~i~ OF~'1~4N'S~n~ C~~~~'t]J ~., ANGELO ANTONICELLI 5 EVERGREEN LANE MECHANICSBURG PA 17050 EST. OF HELEN ANTONICELLI SSN 178-22-7772 DATE OF DEATH 01-23-2010 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT ® SAVINGS CHECKING TRUST CERTIF. MEMBERS 1ST FCU provided the Department with the information below, which has been used in calculating the votential tax due. Records indicate that at the death of the above-named d d t I ece en , f you feel the information is incorrect, please obtain written correction from the and return it to the above address This a t you were a point owner/beneficiary of this account. financial institution, attach . ccoun is taxable in accordance with the Pennsylvania. Please call (717) 787-8327 with questions. a copy to this form Inheritance Tax laws of the Commonwealth of COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 15332- 00 Date 10 - 09 -1973 Established To ensure proper credit to the account, two Account Balance copies of this notice must accompany $ 2, 150.17 payment to the Register of Wills. Make check Percent Taxable X 16.667 payable to "Register of Wills, Agent". Amount Subject t0 TaX $ 358.37 NOTE: If tax payments are made within three TBX Rate X months of the decedent's date of death, . 0 0 Potential Tax Due - deduct a 5 percent discount on the tax due. ~ 00 Any Inheritance Tax due will become delinquent PA Rr nine months after the date of death. ~ TAXPAYER RESPONSE 1 ~~~ ~~~ A..C-X The above information and tax due is correct. BSI Remit payment to the Register of Wills with two copies of this notice to obtain C CHECK a discount or avoid interest, or 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. BLOCK 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 estate representative. C. ~ The above informs ion is incorrect and/or debts and deductions were paid. Complete PART 2~ and/or PART 3~ below. PART If indicating a different tax rate, please state a 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 PART 0 DATE PAID PAYEE OF TAX ON JOINT/TRUST ACCOUNTS 1 2 $ 3 X 4 +fi 5 6 $ 7 X 8 +~` DEBTS AND DEDUCTIONS CLAIMED DESCRIPTION AMOUNT PAID TOTAL CEnter on Line 5 of Tax Computation) ; 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 ) (o y' '~ .. 1 st-ft5 ~~~ WORK C ) TA PAY SIGNATURE 3 -~-f(7 PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES PD Box zao6ol ,.AND HARRISBURG PA 17128-0601 ~j~~ ~~~ R R E S P O N S E REV-1543 IX AFP (OB OB)'.'~ ~} t v.~ i ~,J3 +i ~~i. ~-i! FILE N0. 21 ~~~'aU$ ACN 10109119 DATE 02-17-2010 ~~U T'iAp _~ r ~ i ~ u ii~~ ~~ TYPE OF ACCOUNT T. OF HELEN ANTONICELLI ~ SAVINGS (i~ ~ d $SN DATE 178-22-7772 ~ CHECKING . ~ ~ 'y' ~~ ~ ~"IA~I C ~ OF COUNT DEATH 01- 23 - 2010 ~ TRUST Y. ~ t ~~~c~t~v AA ` EMIT PAYM ~~~LJ ~ CUMBERLAND ENT ~ CERTIF. .i ~J ANGELO ANTONICELLI AND FORMS T0: 5 EVERGREEN LANE MECHANICSBURG PA 17050 REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 MEMBERS 1ST FCU provided the Department with the information below, which has been used in calculating the potential tax due. Records indicate that at the death of the above-named decedent , If you feel the infonation is incorrect, please obtain written correction from the and return it to the above address. This account is taxable in accord you were a point owner/beneficiary of this account. financial institution, attach a copy to this form ance with the Pennsylvania. Please call .(717) 787-8327 with questions. Inheritance Tax laws of the Commonwealth of COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 19792-11 Date 12-31-1979 Established To ensure proper credit to the account, two Account Balance $ 632.29 copies of this notice must accompany payment to the Register of Wills. Make check Percent Taxable X 16.667 payable to "Register of Wills, Agent". Amount Subject to Tax $ 105.38 NOTE: If tax payments are made within three Tax Rate X months of the decedent's date of death, . O O Potential Tax Due $ deduct a 5 percent discount on the tax due. Any Inheritance Tax due will b ~ 00 P r ecome delinquent nine months after the date of death. ~ TAXPAYER RESPONSE ~ ...... A. ~ The above information and tax due is correct. Remit payment to the Register of Wills with two copies of this notice to obtain CHECK a discount or avoid interest, or 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. BLOCK 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 estate representative. C. ~ The above informs ion is incorrect and/or debts and deductions were paid. Complete PART 2~ and/or PART 3~ below. PART If indicating a different tax rate, please state 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 PART 0 DATE PAID PAYEE OF TAX ON JOINT/TRUST ACCOUNTS 1 2 +~ 3 X 4 +~ 5 6 7 X 8 $ DEBTS AND DEDUCTIONS CLAIMED DESCRIPTION AMOUNT PAID TOTAL CEnter on Line 5 of Tax Computation) g Under penalties of perjury, I declare that the facts I have reported above are true, correct and complete to~~theyybest of my knowledge and belief. ~ G~~•+C HOME C ) Co`'i "1- ~ S i-t $ WORK C ) ~' `~ J TAXP YER SIGNATURE r BUREAU OF INDIVIDUAL TAXES PO BOX 280601 +" WIRRISBURG PA 17128-0601 ~'t°'' 6'; PENNSYLVANIA INHERITANCE T INFORMATION NOTICE ~; AND TAXPAYER RESPONSE ;~ 2010 ~I~R --2 PM I = ~b G~..~~ ANGELO ANTONICELLI 5 EVERGREEN LANE MECHANICSBURG PA 17050 FILE N0. 21~'()-~p~ ACN 10109121 DATE 02-17-2010 EST. OF HELEN ANTONICELLI SSN 178-22-7772 DATE OF DEATH b1-23-2010 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT ® SAVINGS CHECKING TRUST CERTIF. MEMBERS 1ST FCU provided the Department with the information below, which has been used in calculating the potential tax due. Records indicate that at the death of the above-named decedent, you were a joint owner/beneficiary of this account. If you feel the 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. Please call C717) 787-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 19792-04 Date 10-14-1977 To ensure proper credit to the account, two Established copies of this notice must accompany Account Balance $ 2, 000.42 payment to the Register of Wills. Make check Percent Taxable X payable to "Register of Wills, Agent". 16.667 Amount Subject to Tax $ 333.41 NOTE: If tax payments are ^ade within three Tax Rate months of the decedent's date of death, X . 0 0 deduct a 5 percent discount on the tax due. Potential Tax Due $ .00 Any Inheritance Tax due will become delinquent nine months after the date of death. PART TAXPAYER RESPONSE aree~~enn~„~.~m~. A. ~ The above information and tax due is correct. Remit payment to the Register of Wills with two copies of this notice to obtain C CHECK a discount or avoid interest, or 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 ar will be reported and tax paid with the Pennsylvania Inheritance Tax return 0 N L Y to be tiled by the estate representative. C. ~ The above inforsa ion is incorrect and/or debts and deductions were paid. Complete PART 2~ and/or PART 3~ below. PART If indicating a different tax rate, please state 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 PART DATE PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL CEnter on Line 5 of Tax Computation) g Under penalties of perjury, I declare that the facts I have reported above are true, correct an complete to the best of my knowledge and belief. HOME C ) Co ~ Z~ - ~ S~--f'~ WORK ( ) ~- 1--1c7 TAXPAYER SIGNATURE OF TAX ON JOINT/TRUST ACCOUNTS I 2 $ 3 X 4 5 - 6 7 X 8 $ DEBTS AND DEDUCTIONS CLAIMED PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES ~" ~t ~;~~ ~ AND FILE PO BOX 280601 TAXPAYER RESPONSE ACN HARRISBURG PA 17128-0601 r.~ rev-iscs1oc ~P coej e E ~~ DATE ZOiOMAR _2 PM t~ ~S ors °F cu~+? ro coo, r~: ANGELO ANTONICELLI 5 EVERGREEN LANE MECHANICSBURG PA 17050 EST. OF HELEN ANTONICELLI SSN 178-22-7772 DATE OF DEATH 01-23-2010 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS TD: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 N0. 21., ~~' 07~~ 10109117 02-17-2010 TYPE OF ACCOUNT ® SAVINGS CHECKING TRUST CERTIF. MEMBERS 1ST FCU provided the Department with the information below, which has been used in calculating the potential tax due. Records indicate that at the death of the above-named decedent, you were a ioint owner/beneficiary of this account. If you feel the information is incorrect, please obtain written correction from the financial institution, attach a copy to this forty and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Commonwealth of Pennsylvania. Please call C7171 787-8327 with questions. COMPLETE PART 1 BELOW ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 19792- 00 Date 10 -14-1977 To ensure proper credit to the account, two Established copies of this notice must accompany Account Balance $ 6 ~ 170.42 payment to the Register of Wills. Make check Percent Taxable X payable to "Register of Wills, Agent". 16.667 Amount Subject to Tax $ 1 ~ 028.42 NOTE: If tax payments are made within three Tax Rate months of the decedent's date of death, X . 0 0 deduct a 5 percent discount on the tax due. Potential Tax Due $ 00 Any Inheritance Tax due will become delinquent PART nine months after the date of death. TAXPAYER RESPONSE OEB~~~igmlm~ewwmn A. ~ The above information and tax due is correct. CHECK Remit payment to the Register of Wills with two copies of a discount or av id i t this. notice to obtain o n erest, or check box "A" and return Wills and an offi i l this notice to the Register of C 0 N E ~ c a assessment will be issued by the PA Department of Revenue. B L 0 C K 0 N L Y B. ~ The above asset has been or will be reported and tax paid with t the Penns l i o b e filed by the estate representative. y van a Inheritance lax return C. ~ The Comp above informs ion is incorrect and/or debts and deductions lete PART Z~ and/or PART 3 were paid. ~ below. PART If indicating a different tax rate, please state relationship to decedent: TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Date Established I 2. Account Balance 2 $ 3. Percent Taxable 3 X 4. Amount Subject to Tax 4 $ 5. Debts and Deductions 5 - 6. Amount Taxable 6 $ 7. Tax Rate ~ X 8. Tax Due 8 $ PART DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL CEnter on Line 5 of Tax Computation) g 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 (T j'3') G 2~~' Z 5`s~' ~~n~~1~ WORK C ) ~ .^l~ to TAXPAYER SIGNATURE PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES AND FILE N0. 21 -,'v -aQg PO BOX 280601 HARRISBURG PA ln2B-osol TAXPAYER RESPONSE ACN 10109125 mill-1543IXnFPCh"ae~08y~ ~~~ ~-n.i.er', ~ DATE 02-17-2010 20tO MAR -2 ~M l s Z~' ~~~~~ ~~•~~~~ ANGELO ANTONICELLI , 5 EVERGREEN LANE MECHANICSBURG PA 17050 EST. OF HELEN ANTONICELLI SSN 178-22-7772 DATE OF DEATH 01-23-2010 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS ® CHECKING TRUST CERTIF. MEMBERS 1ST FCU provided the Department with the information below, which has been used in calculating the potential tax due. Records indicate that at the death of th b If you feel the information is incorrect e a ove-named decedent, , please obtain written correction fro th you were a joint owner/beneficiary of this account. f m e and return it to the above address. This account is taxable in accordance with th inancial institution, attach a copy to this form I e Pennsylvania. Please call C717) 787-8327 with questions. nheritance Tax laws of the Commonwealth of COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 15332-11 Date 12-31-1979 Established To ensure proper credit to the account, two copies of this notice must accompany Account Balance $ 12, 536.08 vayment to the Register of Wills. Make check Percent Taxable X 16.667 payable to "Register of Wills, Agent". Amount Subject to TaX $ 2, 089.39 NOTE: If tax payments are ^ade within three Tax Rate ~( months of the decedent's date of death, , ~ ~ deduct a 5 percent discount on the tax due Potential Tax Due $ 00 . Any Inheritance Tax due will become delinquent P r nine months after the date of death. ~ 1 ~~ TAXPAYER RESPONSE ~~~~~ A. ^ The above information and tax due is correct. Remit payment to the Register of Wills with two copies of this notice to obtain CHECK a discount or avoid interest, or 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 estate representative. C. ~ The above informs ion is incorrect and/or debts and deductions were paid. Complete PART 2~ and/or PART 3~ below. PART If indicating a different tax rate, please state 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 PART 0 DATE PAID PAYEE DEBTS AND DEDUCTIONS CLAIMED _l DESCRIPTION AMOUNT PAID TOTAL CEnter on Line 5 of Tax Computation) g 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. ~~~ . po, HOME C 7/'7 ) G !lT ~ 6~ ~-.~.rssc+s~ WORK C ) 3 ~r` ~ TAX AYER SIGNATURE OF TAX ON JOINT/TRUST ACCOUNTS 1 2 $ 3 X 4 5 6 +~ 7 X 8 $ __ ~, ~';~, :~ ~ ._ ~ '~ .~ ~} ~' ~~~ ~~ ,_ =~: ,z- ~~_ n _~ %. ~..I ;~ `~. i~ ~: ~i ;yyf~~. .. 'pp* Jy t,. ~r ~~~~~~ ~~~~, C~~E ~~i1'r'y`C~i ~. ~-~tC~ 1Bl0 MAR -2 PM t~ ~~ t / '~ ~- ~ ~ J ~~~ n~ ~.: •+~.+ +ww t'ti ~! 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