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HomeMy WebLinkAbout12-01-10y_ ~ _______~~.__~__.-- - ~,oc~ Q ~ o~~ n~- ~~ ~ o~e ; 5 ~ ~ cx~:~x-s , ~ J I ~~ ~ ~ ~ I 1 ~ ` C~ ~~t ~ ~ IOI.t,"`C'.~~~ ~~ ~ ~ e Ck 5 .f' Cry I ~ ~ - ~ ~~he~-~ t 5 ~ ~ obl~ i'Yi ~ ~~-os~ ~'~- ~e~~-- ---~--T- ~,, O .~" ~____~ order: 19181 Clerk: 350 Sale Date: 10!25/2010 Time: 09:59 f ~-- ~ ,[~. ~ ~ t_ r Delive Date: Store: -- ry 10/27/2010 Dow: WED 30 "=-°' Delivery Code: General Delivery Address: DORIS SHEPPARD GOOD SHEPPARD TRINDLE RD CAMP HILL, PA 17011 BY 900 PM r., c c~ .may wire: This order is filled!! `~ 'n ~ ~'~' ~~ ~ ~ ~~.T PN Qty. Description Designer Amount ~~. ~;~ ~ --~ ='~•= ~~ a r, 498 1 FIRESIDE, iMPSV $114.99 ~r ~-~A ~~~~ /C~ C~ ~ *,_/ ~ err :~`.:.~c ~J MAKE IN FALL COLORS ,.,ta--i ±:' `- ~ N _~. i ~~ - ~ 1 ~( Amount $114.99 10127 ~,, ` Phone $0.00 1 Delivery $0.00 ~"~~, ~ SubTotal $114.99 I` Coupon $0.00 Discount $0.00 Tax $6.90 Occasion: 1 Register Seq: Total $121.89 C Card is attached A R D Customer: B.C. CHYRLE SHEPPARD 02 BC CHARGE ACCOUNT STATUS: 0 810 S S 12TH STREET LEBANON, PA 17042 Ph (717)273-2683 Wk (717)273-2683 ~ Auth: ' PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES AND FILE N0. 21` ~ ~ ~ ~r 1.~ Po Box zso6ol TAXPAYER RESPONSE ACN lO1b4586 HARRISBURG PA 17128-0601 DATE 11-11-2010 REV-1543 EX AFP (OB-OB) TYPE OF ACCOUNT EST. OF DORIS J SHEPPARD ~ SAVINGS SSN 19b-14-3380 ^ CHECKING DATE OF DEATH l 0 - 22 - 2 010 ^ TRUST COUNTY CUMBERLAND "~"`'v ^ CE~TIF. REMIT PAYMENT AND FORMS T0: ~~ d C7 r` ~ ~ _ WILLIAM M SHEPPARD REGISTER OF WILLS ~~ 1"'~7 --µ--'`-' 3 LANTERN LN 1 COURTHOUSE SQUARE ~~~ ~ ~=~-, CAMP HILL PA 17011 CARLISLE PA 17013 ~~ ~, ~~~ ~.,~ .~"' r-° '' a.~'7 ~ PS ECU provided the Department with the information below, which has been use~i.n calculat~ the potential tax due. Records indicate that at the death of the above-named decedent, you were a joint owner/bene~iciarv of thiS""~ccount. 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 Ca~mmonwealth of Pennsylvania. Please rill 1717) 787-8327 witl: questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 0196143380 - S2 Date 08 - 04 - 1992 To ensure proper credit to the account, two Established copies of this notice must a3ccompanv payment to the Register of Wills. Make check Account Balance $ 800 • 58 Payable to "Register of Wi1:Ls, Agent". Percent Taxable X 16.667 NOTE: If tax payments are made within three Amount Subject to Tax $ 133.43 months of the decedent's date of death, Tax Rate )( . 045 deduct a 5 percent discount on the tax due. Any Inheritance Tax due wi1:L become delinquent Potential Tax Due ~` b • 00 nine months after the date of death. PART TAXPAYER RESPONSE FAILURE TO RESPOND WILL RESULT IN AN fl FFICIAL 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 interest, or check box "A" and return this notice to the Register of Wills and an official assessment will be issued by the PA Department of Revenuca. 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 estate representative. C. ~ The above informs ion is incorrect and/or debts and deductions were paid. _ ~` Complete PART 2~ and/or PART 3^ below. ~/1 n O~ ~~v~nl - ~~ ~ ~4 i `J J~2~~a~ PART If indicating a different tax rate, please state l•~'~ T ~~jCjA~ ~5E ~~~(~~~~ ^ 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 $ C~ 5. Debts and Deductions 5 - ~ ~ (~ O ~~ ~j 6. Amount Taxable 6 $ b 7. Tax Rate 7 X 7 8. Tax Due 8 $ ~° g PART DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION AMOUNT PAID A r J ~~ t.c-r.-r~~'S Y- ~ (.C~1~~. .~j -~-o< ~..L Y~ eI~GZ- ~ o~ l ~ O / _~~ c:~~ IUTAL ~tnier on nine 5 or iax computation) s ~oZ ~~~ Under penalties of perjury, I declare that the facts I have reported above are true, correct and complete to th b st of my knowledge and belief. HOME C /~ ) 7~U-~3~3C~ ~~ WORK C ) ~ ~ 3b 10 TAXPAYER IGNA E TELEPHONE NUMBER DA TE PENNSYLVANIA INHERITANCE TAXs INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES AND ! FILE N0. 21 PD eox 260601 TAXPAYER RESPONSE ACN 10164584 HARRISBURG PA 17128-0601 DATE 11-11-2010 REV-1543 EX AFP (OB-08) TYPE OF ACCOUNT EST. OF DORIS J SHEPPARD ~ SAVINGS SSN 196-14-3380 ^ CHECKING DATE OF DEATH 10-22-20~ ~ ^ TfT COUNTY CUMBERLAND ~ i° ~~i~IF. REMIT PAYMENT AND FORMS T0: ~ f`!"! G~ °~.... WILLIAM M SHEPPARD REGISTER OF WILLS ~~~- ~"' `•-w' ~ w ..~..'~.~ 3 LANTERN LN 1 COURTHOUSE SQUARE ~~-y ~ ~ CAMP HILL PA 17011 CARLISLE PA 17013 ~~r',~~ ~,`- < ~ ~ ~ 3> N PSECU 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) 767-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 0196143380-S1 Date 07-15-1976 To ensure proper credit to the account, two Established copies of this notice must: accompany Account Balance 14, 915.94 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 $ 2,486.04 months of the decedent's date of death, Tax Rate )( . 045 deduct a 5 percent discount on the tax due. Any Inheritance Tax due will become delinquent Potential Tax Due ~` 111 .87 nine months after the dates of death. PART TAXPAYER RESPONSE 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 interest, or 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. 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 estate representative. C. ~ The above informs ion is incorrect and/or debts and deductions were paid. ,~( j~ t ttt'~~~"' Complete PART ~2 and/or PART 3^ below. ~~ A ~+1 C~ C" CC., ~L f~~ Q~f1 c-°-+ )J~~^' `~ ~~ It.~ fY-2~a PART If indicating a different tax rate, please state *l Q~~'I.CIAL USE ,~N~,,.Y ^ AAA 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 $ ~ 3. Percent Taxable 3 X 3 4. Amount Subject to Tax 4 $ 4 5. Debts and Deductions 5 - ~02 ~~ 5 6. Amount Taxable 6 $ 6 7. Tax Rate 7 X 7 8. Tax Due 8 $ ~^"' © $ PART DEBTS AND DEDUCTIONS CLAIMED 3^ DATE PAID PAYEE DESCRIPTION AMOUNT PAID I0 2.5 !l7 0 ~; 5 }- Ou3c..c-S ~DW~-~'S ~a c-t,ne~ 1 ~.t ~ ~?~~ f e ,~t-~ ct c ~n ~°c~ e C ~ ~ c° c~ TOTAL (Enter on Line 5 of Tax Computation) ,~ ~ ~-Is~ `( Under penalties of perjury, I declare that the facts I have reported above are true, correct and co plete to the best of my owledge and belief. ~ IV? HOME C T ) 3C~ _ 3~l 3C~ WORK t ) ., _ ~ 1 30 ~ O TAXPAYER IGN URE TELEPHONE NUMBER DATE PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE AND FILE N0. 21 BUREAU OF INDIVIDUAL TAXES PD eox zso6ol TAXPAYER RESPONSE ACN 10164588 HARRISBURG PA 17128-0601 REV-1543 EX AFP (OB-OB) DATE 11-11-2010 TYPE OF ACCOUNT EST. OF DORIS J SHEPPARD ~ SAVINGS SSN 196-14-3380 ~ © CHECKING DATE OF DEATH 10 - 22 - 2 ~1j0 a ,T~;sT COUNTY CUMBERLAND ~C7 p '" IF. f "~ REMIT PAYMENT AND FORMS T0: ;7D ~ a~.F ~ .,;; S x, WILLIAM M SHEPPARD ~ REGISTER OF WILLS ~ ~ ~ ~;`-j 3 LANTERN LN 1 COURTHOUSE S6IUARE ~~ ~ "" r ,:..~ CAMP HILL PA 17011 CARLISLE PA 17013 ,-t~~~ ~ -~, '~ N PSECU provided the Department with the information below, which has been used inn 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 ca7.1 C717) 787-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 0196143380-S4 Date 07-15-1976 To ensure proper credit toy the account, two Established copies of this notice must accompany payment to the Register of Wills. Make check Account Balance $ 1 ~ 113.46 payable to "Register of Wills, Agent". Percent Taxable X 16.667 NOTE: If tax payments are made within three Amount Subject to Tax $` 1$5.58 months of the decedent's date of death, Tax Rate X .045 deduct a 5 percent discount on the tax due. Any Inheritance Tax due will become delinquent Potential Tax Due $ 8.35 nine months after the dates of death. PART TAXPAYER RESPONSE FAILfl~E Tfl R~ESPai~ WILL RESJJi.T 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 interest, or 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. 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 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 USE 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 $ ~ 3. Percent Taxable 3 X 3 4. Amount Subject to Tax 4 $ ~ 5. Debts and Deductions 5 - 5 6. Amount Taxable 6 $ 6 7. Tax Rate 7 X 7 8. Tax Due 8 $ $ -_ PART DEBTS AND DEDUCTIONS CLAIMED a DATE PAID PAYEE DESCRIPTION AMOUNT PAID _j ~ ~ C~.J IUTAL ctnter on Llne 5 or iax computation) ., ~~1,~ Under penalties of perjury, I declare that the facts I have reported above are true, correct and / com~lete to th ~est of my owledge and belief . HOME C '7~ ~ ) 7~Ci -_ ~~'':3(~ WORK ( ) 1 ~ ~t~ ~~' TA PAYER IGN RE TELEPHONE NUMBER DA TE ,fix 7, f` ,i~ ;Y.~ i4 Ty ~} i~ c •~ a ''' z ~ r .; y ~ ~ ¢ a :,~` ; ~ a. ~. a o ~4f~~+..s '.'a ~ ~ ~' ~`- ~. (~~ b~ ~ dc~ ~~~~ ~,~ . ~ ~~ ~I~~ ~ ~~ -;, ~_, r ,~ ~ ~..~ ~s ,~ ~, ~~~ ~. ~~ ~~ „~ti,..y 4 ' ~~ t~~ {f t~ ~ij ~j S .~ ~~tif t•. , i~ .j•~