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04-07-11
COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: REV-1162 EX111-96) PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 014259 MYERS LINDA M 404 GILMER ROAD COATESVILLE, PA 19320 fold ESTATE INFORMATION: ssrv: oo0-00-0000 FILE NUMBER: 211 1-0445 DECEDENT NAME: HUGHES NEWTON S DATE OF PAYMENT: 04/07/201 1 POSTMARK DATE: 04/05/201 1 COUNTY: CUMBERLAND DATE OF DEATH: 01 / 1 6/201 1 REMARKS: CHECK#114 ACN ASSESSMENT AMOUNT CONTROL NUMBER 11500754 ~ $295.52 TOTAL AMOUNT PAID: 5295.52 INITIALS: CJ SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS COMMDNWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES ~~'~'+ INFORMATION NOTICE Po Box zao6ol AND HARRISBURG PA 17128-0601 '!',~ ~F,'~L,' 3 ,,, ~FTAXPAYER RESPONSE REV-1543A AFP (7?pp)?~r~~ d~.!~ FILE N0. 21,~~_~~C) ACN 11500754 DATE 04-04-2011 .:~F i ~,,~~ _ 7 ~,~,~~ E : 3 CCERK OF ORP~~~ ~O~RT CIJ~~R~~.,~~~ r,~-~ Pq LINDA M MYERS 404 GILMER ROAD COATESVILLE PA 19320 TYPE OF ACCOUNT EST. OF NEWTON S HUGHES ^ SECURITY S.S. H0. 146-22-5851 DATE OF DEATH O 1-16 - 2011 ~ sEC accT COUNTY CUMBERLAND ^ sTOCK ^ BONDS REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 AMERIPRISE 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, If you feel this information is incorrect, please obtain written correction frog the transfer agent, attach a copy to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax Lawsoofwthe Commompealth offPennsylvania. Questions ^ay be answered by calling (717) 787-8327. COMPLETE PART 1 BELOW * ~ * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 930068932035004 To insure proper credit to your account, two <2) copies of this notice ^ust accompany your DOD Valuation 34,563.68 payment to the Register of Wills. Make check Percent Taxable payable to: "Register of Wills, Agent". X 20.000 AmOUnt Subject to Tax 6,912.74 NOTE: If tax payments are wade within three Tax Rate C3) months of the decedent's date of death, X . 0 4 5 you ^ay deduct a 5Y. discount of the tax due. Potential Tax Due 311.07 Arty inheritance tax due will become delinquent PART nine C9) months after the date of death. 0 .TAXPAYER RESPONSE P'AILt~: Tti RE~D#1~3; ~1iLL' fitEStlLT It# AlI, ilS~i~1~, . fi~-)[ ASSES.StIEHT,, ` A. The above information and tax due is correct. 1. You may choose to remit payment to the Register of Wills with two copies of this notice to obtain C CHECK a discount or avoid interest, or you may 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 Departaent of Revenue. BLOCK B. ^ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance lax 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: TAX RETURN - COMPUTATION LINE 1. DOD Valuation 2. Percent Taxable 3. Amount Subject to Tax 4. Debts and Deductions 5. Amount Taxable 6. Tax Rate 7. Tax Due PART DATE PAID PAYEE OF TAX ON ABOVE ASSET(S) .Z~.. 1 _ .,, 2 X r _ V-T__"'~" 3 ~ -*----'~'-~ i 5 ~~ 6_X_ ,r ~ , +.+..,. ~ .,,,,s„ DEBTS AND DEDUCTIONS CLAIMED DESCRIPTION ' ~` s+ ~ r - JI < a v, #- i~m~:~: , Af.ll~(.. yi A '.5. AMOUNT PAID TOTAL (Enter on Line 5 of Tax Computation) 8 Under penalties omplete to the best of perjury, I declare that the facts I have reported above f o my knowledge and belief. are true, correct and ln/1 HOME C [B/~ ) ~ _ ~`,?_ 1j8~ a ~ ~ ~[ TAXP ,ell ~ ~ ) , AYER SIGN URE -~, _ _._____ - ~~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: MYERS LINDA M 404 GILMER ROAD COATESVILLE, PA 19320 fold REMARKS: CHECK#115 PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EXI11-96) NO. CD 014261 ACN ASSESSMENT AMOUNT CONTROL NUMBER TOTAL AMOUNT PAID: INITIALS: CJ 538.75 SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES PO BOX 280601 HARRISBURG PA 17128-0681 INFORMATION NOTICE AND TAXPAYER RESPONSE REV•1543A AFP (7-00) FILE N0. 21-~~- 1~L~5 ACN 11500759 DATE 04-04-2011 LINDA M MYERS 404 GILMER ROAD COATESVILLE PA 19320 TYPE OF ACCOUNT EST. OF NEWTON S HUGHES S•S. N0. 146-22-5851 ^ SECURITY DATE OF DEATH O 1-16 - 2011 © sEC ACCT COUNTY CUMBERLAND ^ sTOCK ^ BONDS REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 AMERIPRISE has provided the Departwent with the inforwation 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 beneficia If you feel this inforwation is incorrect, please obtain written correction frow the transfer agent, 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 Cowwonwealth offPennsylvania. Questions ^ay be answered by calling C717) 787_8327. COMPLETE PART 1 BELOW * ~ * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 930066061043004 To insure proper credit to your account, two (2) copies of this notice wust accowpany your DOD Valuation paywent to the Register of Wills. Make check 4,532.00 Percent Taxable X payable to: "Register of Wills, Agent". 20.000 Amount Subject to Tax 906.40 N07E: If tax paywents are wade within three TaX Rate X (3) wonths of the decedent's date of death, . 0 4 5 you ^ay deduct a 5Y. discount of the tax due. Potential TaX Due 40 • 79 Any inheritance tax due will becowe delinquent PART nine (9) wonths after the date of death. 0 TAXPAYER RESPONSE FK~L~.T~1- ,RESP~B. ~1ii.L ItESi1LT Iti '~ctFfI~~AL, T1A~X ~~--ww Aft:. ,. ' ~~~5~~;>~ '~ ~ . - . ~ . A• IvlThe above inforwation and tax due is correct. '~#°Tit~~;~~t~,,. L 1• You waY choose to rewit paywent to the Register of Wills with two copies of this notice to obtain C CHECK a discount or avoid interest, or you way check box "A" and return this notice to the Register of 0 N E ~ Wills and an official assesswent will be issued BLOCK by the PA Departwent of Revenue. 0 N L Y B• ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return to be filed by the decedent's representative. C• ^ The above inforwation is incorrect and/or debts and deductions were paid by you. You wust cowplete PART 2^ and/or PART ^ 3 below. PART If you indicate a different tax rate, please state your ® relationship to decedent: TAX RETURN - COMPUTATION OF TAX ON ABOVE ASSET(S) ~~~~ P~ LINE 1. DOD Valuation 1 „~..~w 2. Percent Taxable 2 X ;'~ ~t "~.c,„c 3. Amount Subject to Tax 3 ' '3 s:y~~1 °Sr,¢v- ; 4. Debts and Deductions y _ , x ;v. 5. Amount Taxable 5 6. Tax Rate 6~- ~ 7. Tax Due 7 " ~;w+.r,,,,w ~' h~.....-..: PART ® DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION ` ~ s+•,.. AMOUNT PAID TOTAL (Enter on Line 5 of Tax Computation) S Under penalties of perjury, I declare that the facts I have reported above are true, correct and omplete to the best of my knowledge and belief. HOME C I1I?1 ) ~~ `~ ' ~~~ ~ XPAYER SIGNAT RE ~ ) - JIp „~ Tr, ~•...~..~ -- COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: MYERS LINDA M 404 GILMER ROAD COATESVILLE, PA 17320 fold REMARKS: CHECK#113 PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX~11-96) NO. CD 014262 ACN ASSESSMENT AMOUNT CONTROL NUMBER TOTAL AMOUNT PAID: INITIALS: CJ S 175.09 SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES PO BOX 280601 HARRISBURG PA 17129-0601 INFORMATION NOTICE AND TAXPAYER RESPONSE REV-1543A AFP (7-00) LINDA M MYERS 404 GILMER ROAD COATESVILLE PA 19320 FILE N0. 21 -~,~~~~~ ACN 11500749 DATE 04-04-2011 TYPE OF ACCOUNT EST. OF NEWTON S HUGHES S.S. N0. 146-22-5851 ^ SECURIT; DATE OF DEATH O 1-16 - 2011 0 sEC Acc i COUNTY CUMBERLAND ^ STOCK ^ BONDS REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 AMERIPRISE calculating the potential tax due. Their recordsvindicate thatratethewdeathhofltherabovendecedentbelow which has been used in If you feel this infonation is incorrect, please obtain written correction frow the transfer agent, attach a copy to this forty and return it to the above address. This account is taxable in accordance with the Inheritance lax Lawsoofwthe Cowwom,ealth offPennsylvania. Questions way be answered by calling (717) 787-8327. COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PevMrur ~.,..~....___ e~~.,....« ., • ~..au,uu71`IY1004 DOD Valuation Percent Taxable Amount Subject to Tax Tax Rate Potential Tax Due CHECK ONE BLOCK ONLY 20,479.09 X 20.000 4,095.82 X .045 184.31 _ ........,.. ~ i u n, To insure proper credit to your account, two C2) copies of this notice •ust accowpany your paywent to the Register of Wills. Make check payable to: "Register of Wills, Agent". NOTE: If tax paywents are wade within three (3) wonths of the decedent's date of death, You ^ay deduct a 5Y. discount of the tax due. Any inheritance tax due will becowe delinquent nine (9) wonths after the date of death. A• The above infonation and tax due is correct. 1. You way choose to rewit paywent to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, or you ^ay check box "A" and return this notice to the Register of Wills and an official assesswent will be issued by the PA Departwent of Revenue. B• ^ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance lax return to be filed by the decedent's representative. C• ^ The above inforwation is incorrect and/or debts and deductions were paid by you. You wust cowplete PART ^ and/or PART ~ below. U relationship to decedent; •~~ 'tlce, TAX RETURN - COMPUTATION LINE 1. DOD Valuation 2. Percent Taxable 3. Amount Subject to Tax 4. Debts and Deductions 5. Amount Taxable 6. Tax Rate 7. Tax Due PART 0 liEBTS AND DEDUCTIONS CLAIMED DESCRIPTION Under _. ._.. •,~'wwcazion) ~ 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. a HOME C /a ) R ~ - S ~,~ f~ XPAYER SIGNA URE ~~__ ~ ,~ ) 3'/3 _ ~~~~• OF TAX ON ABOVE ASSET(S) 1 2 X 3 4 5 6 X 7 DATE PAID PAYEE {~; ~ ~., ~s y,s Y' y :~ r ;~ ;~. ~: 4+0 ~~N~~ :~~A yF.4,i 'f Y f ` ~+"t ~QJ j' /+A T- J 1~ }~n. r 4y:, ~# ii;ec ~`~ N n a N 0 N M a¢~ ~cra a~ a`, ?' ~ .~ ~ •~ ~ ~' Y ~O o --~ v U i V V ~~~- 1 yVI V -~ ~ ` V 1 d~ ~ ~~ ~ ~~no~ ~~~ ~ ~o r j 1 Iily ~ ~`~ ` , r w {5~4 iii k ~r} i~ ;~} ., y ~; 't .,..~ ~ ~~.