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Home My WebLink About03-18-10BUREAU OF INDIVIDUAL TAXES Po Box zao601 HARRISBURG PA 17128-0601 _ ;,r ~~~ REV-1543 'ER~71FP (OB-OB) PENNSYLVANIA INHERITANCE T INFORMATION NOTICE rF'i' +E- (~` AND ,.. J ,,;~ ~ TAXPAYER RESPONSE FILE N0. 2r"~0-OZ~~ ACN 10111619 DATE 03-04-2010 ~~ C~; r'C G~ fit, °^ ~,,, ** JANET GALLAGHER 344 HADDENVILLE ROAD UNIONTOWN PA 15401 EST. OF EDNA L SOULERET SSN 182-12-3912 DATE OF DEATH o1-22-2010 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 taxablo in accordance kith the Snheritanca 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. 265359-41 Date 03-11-2009 7o ensure proper credit to the account, two Established copies of this notice must accompany Account Balance $ 25 ~ 016.7$ payment to the Register of Wills. Make check payable to "Register of Wills, Agent". Percent Taxable X 33.333 Amount Subject to Tax $ 8, 338.84 NOTE: If tax payments are made within three months of the decedent's date of death, Tax Rate X .045 deduct a 5 percent discount on the tax due. Potential Tax Due $ 375.25 Any Inheritance Tax due will become delinquent nine months after the date of death. P~r TAXPAYER RESPONSE 1 FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX A55E55MENT C H E C K 0 N E ~ A. ^ The above information and tax due is correct. Remit payment to the Register of Wills with two copies of a discount or avoid interest, or check box "A" and return Nills and an official assessment will be issued by the PA this notice to obtain this notice to the Register of Department of Revenue. B L 0 C K 0 N L Y B. The to above asset has been or will be reported and tax paid with be filed by the estate representative. the Pen - nsylvania Inheritance Tax return C. ^ The above informs ion is incorrect and/or debts and deductions Complete PART 2~ and/or PART L-J below. were paid. rwrci +~ +,iu+caiing a aitrerent 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 OF TAX ON JOINT/TRUST ACCOUNTS 1 2 $ 3 X 4 5 6 7 X 8 $ PART OFFICIAL U5E ONLY ^ AAF PA DEPARTMENT OF REVENUE PAD --,......._---,.._._______. 1 2 3 4 5 6 7 8 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 kn Sledge and belief. HOME (' c/ ~ o7y,f- g ~/~ ~ '~ WORK (7a~/ ~ Si.37- ~/7c~~ _3 / /s`V TA AYFR c7r en(vc DEBTS AND DEDUCTIONS CLAIMED PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE BUREAU OF INDIVIDUAL TAxES ~ C ~~ AND FILE N0. 21 PD Box zaosol ~. TAXPAYER RESPONSE ACN 10111618 HARRISBURG PA 17128-0601 ` ``~ DATE 03-04-2010 REV-1543 EX'AFP(On-OB) 2010 ~'~.p ! 8 P~~ 2~ Oy ~~__ rT rtp i~r~~ t '-i~ ** LARRY SOULERET 4727 BALDWIN MANOR RD PITTSBURGH PA 15227 EST. OF EDNA L SOULERET SSN 182-12-3912 DATE OF DEATH o1-22-2010 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 acccrdance with the Inheritance Tax laws of }he Commonwealth or Pennsylvania. Please call (717) 787-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 265359-4 1 Date 03-11-2009 7o ensure proper credit to the account, two Established copies of this notice must accompany Account Balance $ 25, 016.7$ Payment to the Register of Wills. Make check payable to "Register of Wills, Agent". Percent Taxable X 33.333 Amount Subject to Tax NOTE: If tax payments are made within three $ 8, 338.84 months of the decedent's date of death, TaX Rate X .045 deduct a 5 percent discount on the tax due. Potential Tax Due $ 375.25 Any Inheritance Tax due will become delinquent nine months after the date of death. P~T TAXPAYER RESPONSE 7 FAILURE TO ~tESPOND WILL RESULT IN AN OFFICIAL TAX AS5E55MENT 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 H E C K a discount or avoid interest, or check box "A" and return this notice to the Register of 0 N E is and an official assessment will be issued by the PA Department of Revenue. B L 0 C K ~ B. he 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 3LJ below. PART If indicating a different tax rate, please state OFFICIAL U5E ONLY ~ AAF relationship to decedent: PA DEPARTMENT OF REVENUE TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS. PAD LINE 1. Date Established 1 1 2. Account Balance 2 $ 2 3. Percent Taxable 3 X 3 4. Amount Subject to Tax 4 $ 4 5. Debts and Deductions 5 - 5 6. Amount Taxable 6 $ 6 7. Tax Rate 7 X 7 8. Tax Due g $ 8 PART DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL (Enter on Line 5 of Tax Computation) g Under penalties of perjury, I declare that the facts I have reported above ar'e^t rue, correct and comp ete my knowledge and belief. HOME CQ~Z )~ - ~Z ev o crruernor WORK_ lZ ) ~~OVX Z/~ ~ lZ IV BUREAU OF INDIVIDUAL TAXES PO BOX 280601 HARRISBURG PA 17128-0601 PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE y,_ ,_;,- AND FILE _, TAXPAYER RESPONSE ACN REV-1543 E% AFF (OB-08) DAT E n.~ N0. 21 10111617 03-04-2010 ~c ~ tS 1~r~ 2~ 05 C;~EF,K ~"r ~ ~p ..,, ~i „~ ~, ~~ - ~ Y;.1 ** JUDY SOULERET 313 WEST GREEN STREET SHIREMANSTOWN PA 17011 EST. OF EDNA L SOULERET SSN 182-12-3912 DATE OF DEATH 01-22-2010 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 ~oWmonwealth of Pennsylvania. Please call (717) 787-8327 with questions. COMPLETE PART 1 BELOW ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 265359-41 Date 03-11-2009 To ensure proper credit to the account, two Established copies of this notice must accompany Account Balance $ 25, 016.7$ payment to the Register of Wills. Make check payable to "Register of Wills, Agent". Percent Taxable X 33.333 Amount Subject to Tax $ 8, 338.84 NOTE: If tax payments are made within three months of the decedent's date of death, Tax Rate X .045 deduct a 5 percent discount on the tax due. Potential Tax Due $ 375.25 Any Inheritance Tax due will become delinquent nine months after the date of death. P~r TAXPAYER RESPONSE 1 FAILURE Tq RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT A. ~ The above information and tax due is correct. Remit payment to the Register of Wills with twa copies of this notice to obtain CHECK a discount ar 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.\YL/-JI The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return O 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 3L_..J below. YAKI +~ +„~+ca a ng a aifterent 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 OF TAX ON JOINT/TRUST ACCOUNTS 1 2 3 X 4 +t 5 6 7 X 8 PAD 1 2 3 4 5 6 7 8 OFFICIAL USE ONLY ~ AAF PA DEPARTMENT OF REVENUE PART DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL CEnter on Line 5 of Tax Computation) 8 U er penalties Df perjury, I declare that the facts I have reported a-b7ove are tru/e, correct and / co plete to t bes of my~owledge and belief . HOME ( 1 ~ ) 7 to `j f ~ ~ y!J ;v WORK C ll-1 ) ~~ ~ 3~~ ~' ~..`~ ~1~ ~(~ j T XPAYE SIGNATURE r~. ~...._.._ - BUREAU OF INDIVIDUAL TAXES PD BOX 280601 HARRISBURG PA 17128-0601 PENNSYLVANIA INHERITANCE INFORMATION NOTICE AND _ 3~EPAYER RESPONSE 1 „ REV-1543 E% AF~ ZOB}118)'-. T FILE N0. 21 ACN 10111620 DATE 03-04-2010 ZOIO~R 18 P ,~. pg n CJP, ~ ~ ~,t, f 1, JUDY SOULERET ~, ~-a 313 WEST GREEN STREET SHIREMANSTOWN PA 17011 EST. OF EDNA L SOULERET SSN 182-12-3912 DATE OF DEATH 01-22-2010 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 (717) 787-8327 with questions. COMPLETE PART 1 BELOW ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 265359-42 Date 04-28-2009 Ta ensure proper credit to the account, two Established copies of this notice must accompany Account Balance $ 30,561.78 payment to the Register of Wills. Make check payable to "Register of Wills, Agent". Percent Taxable X 33.333 Amount Subject to TaX $ lU, 187.16 NOTE: If tax payments are made within three Tax Rate months of the decedent's date of death, X . 0 4 5 deduct a 5 percent discount on the tax due. Potential Tax Due $ 458.42 Any Inheritance Tax due will become delinquent nine months after the date of death. PART TAXPAYER RESPONSE 1 FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT 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 H E C K a discount or avoid i nterest, 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 0 N L Y B. ® The above asset has been or will be reported and tax paid with the Pennsylvania Inherit T to be filed by the estate representative. ance ax return C. ~ The above informs ion is incorrect and/or debts and deductions were paid Complete PART ~2 and/or PART 3~ below. . r,alci •~ iiiuica~ins a airrerent 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 OF TAX ON JOINT/TRUST ACCOUNTS IPA 1 h 2 3 X 4 +fi 5 6 7 X 8 OFFICIAL USE ONLY ~ AAF PA DEPARTMENT OF REVENUE D 1 2 3 4 5 6 7 8 PART 0 DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL CEnter on Line 5 of Tax Computation) g Un penalties of perjury, I declare that the facts I have reported above are true, correct and omp et e/ to th e'st f my k wledge and belief. _ ~ / zC~- ,~'Z~~ HOME C / 1 ) _ G 17r~ TA PAYE. SIGNATURE WORK C~/ -.7 ) ~ ~ 33 ~ ~ ~ / ~' TCI CILIA AIC \Illun r,-. _ _- PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES PO BOX 280601 ~' r •~ ; ~;, AND FILE N0. 21 HARRISBURG PA 171za-0601 ' ' `T'AXPAYER RESPONSE ACN 10111621 - :, ~. REV-1543~E7t'-A~P~Y08-oe'~` `"~ -' - DATE 03-04-2010 Z~E~ ~i~~ ~ ~ ~ L~ 0~ CLFrt~< `,:~ ~~ LARRY SOULERET 4727 BALDWIN MANOR RD PITTSBURGH PA 15227 EST. OF EDNA L SOULERET SSN 182-12-3912 DATE OF DEATH 01-22-2010 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 Drovided 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 point 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. Thisaccount is taxable ;n 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. 265359-42 Date 04-28-2009 To ensure proper credit to the account, two Established copies of this notice must accompany Account Balance $ 30,561.78 payment to the Register of Wills. Make check Percent Taxable X payable to "Register of Wills, Agent". 33.333 Amount Subject to Tax $ lU ~ 187.16 NOTE: If tax payments are made within three Tax Rate months of the decedent's date of death, X . 0 4 5 deduct a 5 percent discount on the tax due. Potential Tax Due $ 458.42 Any Inheritance Tax due will become delinquent nine months after the date of death. PART ~ TAXPAYER RESPONSE FAILURE TO RESPDNB WILL RESULT IN AN OFFICIAL TAX ASSE55MENT 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 "115 and an official assessment will be issued by the PA Department of Revenue. B L 0 C K B. he above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax 0 N L Y to be filed by the estate representative. return C. ~ The above informs ion is incorrect and/or debts and deductions were paid. Complete PART 2~ and/or PART L_J below. rHrti ~~ +naicau ng 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 OF TAX ON JOINT/TRUST ACCOUNTS 1 2 3 X 4 +~ 5 6 7 X s $ OFFICIAL ti3FE ONLY ~ AAF PA DEPARTMENT OF REVENUE PAD ._ 1 2 3 4 5 6 7 8 PART DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL (Enter 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 o the be a and belief. HOME c-Q~Z ~ ZO - ZfPP~ TAX R S URE WORK__ C ~ ~ ,. xLJs•~ ~ /2~~ BUREAU OF INDIVIDUAL TAXES PO BOX 280601 HARRISBURG PA 17128-0601 _~ REV-3543 EX AFP (pp -0e), PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE ,.. AND FILE - T~~CP'~iYER RESPONSE ACN 'J+ .. ~' ~ ^ DATE zoro ~ r 8 JANET GALLAGHER 344 HADDENVILLE ROAD UNIONTOWN PA 15401 N0. 21 10111622 03-04-2010 EST. OF EDNA L SOULERET SSN 182-12-3912 DATE OF DEATH 01-22-2010 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SgUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS CHECKING TRUST XI~ 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) 787-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 265359-42 Date 04-28-2009 To ensure proper credit to the account, two Established copies of this notice must accompany Account Balance $ 30,561.78 payment to the Register of Wills. Make check Percent Taxable X payable to "Register of Wills, Agent". 33.333 Amount Subject to Tax $ 10, 187.16 NOTE: If tax payments are made within three Tax Rate months of the decedent's date of death, X . 0 4 5 deduct a 5 percent discount on the tax due. Potential TaX Due $ 458.42 Any Inheritance Tax due will become delinquent nine months after the date of death. P~T TAXPAYER RESPONSE 1 FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT 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 C H E C K a discount ar avoid interest, or check box "A" and return this notice to the Register of 0 N E Nills 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. PART If indicating a different tax rate, please state relationship to decedent: TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS LINE I. 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 7 X 8. Tax Due 8 $ PAL 1 2 3 4 5 b 7 8 PART DEBTS AND DEDUCTIONS CLAIMED 0 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 be ~# of my know dge and belief. HOME C /~f/ ) aYS -~3i~ WORK (7oZ[r ) `~~ 7 `~/ 7ui ~//.~ //r TAXPAYER crrNeT7ior C. ~ The above informs ion is incorrect and/or debts and deductions were paid. Complete PART 2~ and/or PART 3~ below. ~; rn ~~~ en ~. t~~..'t ~~ OFFICIAL USE ONLY ~ AAF PA DEPARTMENT OF REVENUE O ~ N Z D m O O A D , O C m O n T V' --~ r+ ~- J o W ~~ ~_