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HomeMy WebLinkAbout04-1005BUREAU OF INDIVIDUAL TAXES TNHERZTAHCE TAX DZVTSZOH DEPT. Z80601 HARRTSBURG,. PA 171Z8-0601 DENISE L RAMSEY 'u~ 258 W COLUMBIA RD ENOLA PA 17~'~5 COMMONgEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAZSEHENT. ALLORANCE OR DZSALLO#ANCE OF DEDUCTZON~, AND ASSESSHENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REV-i$¢8 EX AFP (01-0~) DATE 10-19-200q · ESTATE OF PRIAR THOMAS DATE OF DEATH 08-Iq-ZOOS FILE NUMBER ~,~l- ~ ~' J CD~)~ COUNTY CUMBERLAND ~T 1~ P? :~? SSN/DC Z01-18-5550 ' ~- ACN 051~2286 Amoun~ Remi~ed I HAKE CHECK PAYABLE AND REHIT PAYMENT TO: REGISTER OF HILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17015 D CUT ALONG THIS LINE ~ RETAIN LO#ER PORTION FOR YOUR RECORDS ~ REV-1548 EX AFP (01-03) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLO#ANCE OR DZSALLOgANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON dOZNTLY HELD OR TRUST ASSETS DATE 10-19-200~ ESTATE OF PRIAR THOMAS D DATE OF DEATH 08-2~-Z005 COUNTY CUHBERLAND FILE NO. S.S/D.C. NO. 201-18-5550 ACN 051~2286 TAX RETURN HAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET ZNFORHATZON FINANCIAL INSTITUTION: PNC BANK ACCOUNT NO. 51q0108855 TYPE OF ACCOUNT: ( ) SAVINGS (~ CHECKING ( ) TRUST ( ) TIME CERTIFICATE DATE ESTABLISHED 01-01-1970 Account Balance Percent Taxable X 0.166 Amount Subject to Tax 529.60 Debts and Deductions - .00 Taxable Amount 529.60 Tax Rate X .~5 Tax Due lq.85 TAX CREDITS: 1,977.56 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE gITH YOUR TAX PAYMENT TO THE REGISTER OF gILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE TO: "REGISTER OF gILLS, AGENT." PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID INTEREST IS CHARGED THROUGH lO-Z7-ZOOq AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE TF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATTON OF ADDITIONAL INTEREST. ZF TOTAL DUE ZS LESS THAN $1, NO PAYMENT ZS REI~UZRED. ZF TOTAL DUE ZS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. .00 lq.85 .25 15.08 PURPOSE OF NOTICE: PAYHENT: REFUND (CR): OBJECTIONS: ADNIN- ISTRATIVE CORRECTIONS: DISCOUNT: PENALTY: INTEREST: To {ulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act 13 oF ZOO0. (71 P.S. Section 9140). Detach the top portion of this Notice and submit with your payment to the Register of Hills prlnted on the reverse side, -- Hake check or money order payable to: REGISTER OF NZLLS) AGENT. A refund of a tax credit, which Nas not requested on the tax return, may be requested by completing an "Application for Refund of Pennsylvania ZnheHtance and Estate Tax" (REV-1313). Applications ara available at the OFfice of the Register of NJlls, any of the 15 Revenue District OfFices or by calling the special 24-hour answering service for forms ordering= 1-800-361-Z050~ services for taxpayers aith specie1 hearing and or speaking needs: 1-800-447-3020 (TT only). Any party in interest not satisfied with the appraisement, allowance, or disalloaance of deductions or assessment of tax (including discount or interest) as shown on this Notice may object within sixty (60) days of receipt of this Notice by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. 181011, Harrisburg, PA 17118-1011, OR --electing to have the matter determined at the audit of the account of the personal representative, OR --appea! to the Orphans' Court Factual errors discovered on this assessment should bo addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, DEPT. 180601, Harrisburg, PA 17118-0601 Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-1501) for an explanation of administratively correctable errors. If any tax due is paid within three (3) calendar months after the decadant's death, · five percent (51) discount of the tax paid is allowed. The 151 tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation penalty is appealable in the same manner and in the the same time period as you would appeal the tax and interest that has been assessed as indicated on this notice. Interest is charged beginning eith first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes ehich became delinquent before January 1, 1981 bear interest at the rate of six (6X) percent par annum calculated at a daily rate of .000164. Al1 taxes ehich became delinquent on or after January 1, 1982 will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 1982 through Z004 are: Interest Daily Interest DaiZy Interest Daffy Year Rate Factor Year Rate Factor Year Rate Factor 198~ ZOZ .000S48 198--8-1991 llX .000301 ZO0~ 91 .000147 1983 162 .000438 1991 91 .000247 ZOOZ 61 .000119 1984 112 .000301 1993-1994 71 .000191 2003 52 .000137 1985 132 .000356 1995-1998 92 .000247 2004 42 .000110 1986 101 .000274 1999 72 .000192 1987 9Z .000247 ZOO0 81 .000119 --Interest is calculated as folloas: INTEREST = BALANCE OF TAX UNPAID X NUHBER OF DAYS DELINQUENT X DALLY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculated. BUREAU OF TNDTVZDUAL TAXES INHERITANCE TAX DTVTSZON DEPT. 280601 HARRTSBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAZSEHENT. ALLONANCE OR DZSALLO#ANCE OF DEDUCTZON~, AND ASSESSHENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REV-15'~8 EX AFP t01-03) MARILYN PRIAR '04 OCT 15 F;2 258 W COLUMBIA RD ENOLA PA 17025 FILE NUMBER COUNTY SSN/DC ACN DATE 10-19-200~ ESTATE OF PRIAR THOMAS DATE OF DEATH 08-2~-2005 /oo CUMBERLAND 201-18-5550 051~2285 Amoun* RemL~ed MAKE CHECK PAYABLE AMD REHIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE., PA 17015 D CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV-1548 EX AFP (01-03) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON dOZNTLY HELD OR TRUST ASSETS DATE 10-19-200~ ESTATE OF PRIAR THOMAS D DATE OF DEATH 08-2~-2005 COUNTY CUMBERLAND FILE NO. S.S/D.C. NO. 201-18-5550 ACN 051q2285 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED dOZNT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PNC BANK ACCOUNT NO. 51~0108855 TYPE OF ACCOUNT: ( ) SAVINGS (~ CHECKING ( ) TRUST ( ) TIME CERTIFICATE DATE ESTABLISHED 01-01-1970 Accoun~ Balance Percen~ Taxable X 0.166 Amoun~ Subjec~ ~o Tax $29.60 Debts and Deductions - .00 Taxable Amoun~ $29.60 Tax Ra~e X .00 Tax Due .00 TAX CREDITS: 1,977.56 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYHENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. HAKE CHECK OR HONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT.ff PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE ZF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( ZF TOTAL DUE ZS LESS THAN $1, NO PAYHENT ZS REgUZRED. ZF TOTAL DUE ZS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. ) .00 .00 .00 .00 PURPOSE OF NOTICE: To fulfill the requirements of Section Z140 of the Inheritance and Estate Tax Act, Act Z3 of ZOO0. (71 P.S. Section 9140). PAYNENT: REFUND (CR): OBJECTIONS: ADMIN- ISTRATIVE CORRECTIONS: DISCOUNT: PENALTY: INTEREST: Detach the top portion of this Notice and submit with your payment to the Register of Hills printed on the reverse side. -- Make check or money order payable to: REGISTER OF HILLS, AGENT. A refund of a tax credit, which was not requested on the tax return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance end Estate Tax" (REV-1313). Applications are available at the Office of the Register of Nills, any of the Z3 Revenue District Offices or by calling the special Z4-hour answering service for forms ordering: 1-800-$6Z-ZOSO; services for taxpayers eith special hearing and or speaking needs: 1-800-447-30Z0 (TT only). Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions or assessment of tax (including discount or interest) as shown on this Notice may object eithin sixty (60) days of receipt of this Notice by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. 2810Z1, Harrisburg, PA 171ZS-lOZ1, OR --electing to have the matter determined at the audit of the account of the personal representative, OR --appeal to the Orphans' Court Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, DEPT. Z80601, Harrisburg, PA 171Z8-0601 Phone (717) 787-6505. See page S of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-IS01) for an explanation of administratively correctable errors. If any tax due is paid within three (3) calendar months after the decedent's death, a five percent discount of the tax paid is atIoead. The 15Z tax amnesty non-participation penalty is computed on the tote1 of the tax and interest assessed, and not paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation penalty is appealable in the same manner and in the the same time period as you would appeal the tax and interest that has been assessed as indicated on this notice. Interest is charged beginning with first day of delinquency, or nine (9) months and Dna (1) day from the date of death, to the date of payment. Taxes ehich became deZinquent before January l, I98Z bear interest at the rate of six (6Z) percent par annum calculated at a daily rate of .00016~. All taxes which became delinquent on or after January 1~ 1982 will hear interest at a rate ehich will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 1981 through ZOO4 are: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor 198~ ' ZOZ .000548 198'~8-1991 11Z .000301 2001 9Z .000Z47 1983 162 .000438 1992 9Z .000247 ZOOZ 62 .000119 1984 112 .000301 1995-1994 72 .000191 2005 52 .000137 1985 132 .000356 1995-1998 92 .000247 2004 42 .000110 1986 101 .000274 1999 72 .000192 1987 92 .000247 ZOO0 82 .000219 --Interest is calculated as folloes: INTEREST = BALANCE OF TAX UNPAID X NUHBER OF DAYS DELINQUENT X DALLY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (153 days beyond tho date of the assessment. If payment is made after the interest computation date shown on the Notice, additionat interest must ba calculated. BUREAU OF INDIVIDUAL TAXES XNHERZTANCE TAX DZVTSXON DEPT. 180601 HARRISBURG, PA 171Z8-0601 DENISE L RAMSEY 238 W COLUMBIA RD ENOLA COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAXSEHENT. ALLO#ANCE OR DXSALLO#ANCE OF DEDUCTZON~, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP ¢01-05) 'O4 FXLE NUMBER COUNTY ~T ]5 ?? :~?SSN/DC ACM DATE 10-19-200q ESTATE OF PRXAR DATE OF DEATH 08-2q-2003 CGHBERLAND 201-18-5550 031~228~ Amoun~ Rmm/~ed THOMAS MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS M ~-:~-~-~--~5~-5~¥ ................................................................................... NOTICE OF INHERITANCE TAX APPRAXSEMENT, ALLOWANCE OR DXSALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON dOXNTLY HELD OR TRUST ASSETS DATE 10-19-200q ESTATE OF PRIAR THOMAS D DATE OF DEATH 08-Iq-ZOO3 COUNTY CUMBERLAND FXLE NO. S.S/D.C. NO. 201-18-5550 ACN 031q228q TAX RETURN WAS: eX) ACCEPTED AS FILED ( ) CHANGED dOZNT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PNC BANK ACCOUNT NO. 513010886q TYPE OF ACCOUNT: C~ SAVINGS ( )CHECKXNG ( ) TRUST ( ) TIME CERTIFICATE DATE ESTABLISHED 03-31-1983 Account Balance Percent TaxabZe X 0.166 Amount Subject to Tax 113.06 Debts and Deductions - .00 TaxabZe Amount 113.06 Tax Rate X .q5 Tax Due 5.09 TAX CREDITS: 678.32 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID INTEREST IS CHARGED THROUGH 10-27-200q TOTAL TAX CREDTT AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE REVERSE SXDE OF THIS FORM INTEREST AND PEN. TOTAL DUE ~ XF pATD AFTER THTS DATE, SEE REVERSE FOR CALCULAT/ON OF ADD/TTONAL TNTEREST. ( zF TOTAL DUE TS LESS THAN $1, NO PAYMENT TS REI~UTRED. TF TOTAL DUE TS REFLECTED AS A 'CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE STDE OF THTS FORM FOR TNSTRUCTTONS. .00 5.09 .09 5.18 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 171ZS-O6D1 MARILYN PRIAR 258 W COLUMBIA RD ENOLA PA 17025 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOMANCE OR DISALLOMANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX OM JOINTLY HELD OR TRUST ASSETS 'O4 DATE 10-19-200q ESTATE OF PRIAR THOMAS DATE OF DEATH 08-Iq-ZOOS FILE NUMBER COUNTY 15 ACN I Amoun~ Remi~ed I HAKE CHECK PAYABLE AND REMZT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17015 ERLAND 201-18-5550 051qZ285 CUT ALONG THIS LINE ~ RETAZN LOWER PORTION FOR YOUR RECORDS "~ ~-:[B~-~-~--~p~--~i~-6~~- ................................................................................... NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON dO/NTLY HELD OR TRUST ASSETS DATE 10-19-Z00~ ESTATE OF PRIAR THOMAS D DATE OF DEATH 08-2~-2005 COUNTY CUMBERLAND FILE NO. S.S/D.C. NO. 201-18-5550 ACN O$1RZZ8$ TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PNC BANK ACCOUNT NO. 515010886q TYPE OF ACCOUNT: ¢~ SAVINGS ( ) CHECKING ( ) TRUST ( ) TIHE CERTIFICATE DATE ESTABLISHED 05-$1-1985 Accoun~ Balance 678.52 Percen~ Taxable X 0.166 Amount Subject ~o Tax 115.06 Debts and Deductions .00 Taxable Amount 115.06 Tax Ra~e ~ .00 Tax Due .00 TAX CREDITS= NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID TOTAL TAX CREDIT BALANCE OF TAX DUE TNTEREST AND PEN. TOTAL DUE IF PAID AFTER THTS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~ ( ZF TOTAL DUE IS LESS THAN $1, NO PAYMENT TS REI~UIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE STDE OF THTS FORM FOR INSTRUCTIONS. ) .00 .00 .00 .00 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV 1162 E NO. CD 004 RAMSEY DENISE L 238 W COLUMBIA RD ENOLA, PA 17025 ESTATE INFORMATION: SSN: 201 18 5550 FILE NUMBER: 2104 1005 DECEDENT NAME: PRIAR THOMAS D DATE OF PAYMENT: 11/05/2004 POSTMARK DATE: 11/04/2004 COUNTY: CUMBERLAND DATE OF DEATH: 08/24/2003 ACN ASSESSMENT CONTROL NUMBER AMOUN 03142286 $15.0~ REMARKS: D RAMSEY CHECK//3724 SEAL TOTAL AMOUNT PAID: $1 5.0~ INITIALS: VZ RECEIVED BY: GLENDA FARNER STRASBAU REGISTER OF WILLS REGISTER OF WILLS ~H RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 004 RAMSEY DENISE L 238 W COLUMBIA RD ENOLA, PA 17025 ESTATE INFORMATION: SSN: 201185550 FILE NUMBER: 2104-1005 DECEDENT NAME: PRIAR THOMAS D DATE OF PAYMENT: 11/05/2004 POSTMARK DATE: 11/04/2004 COUNTY: CUMBERLAND DATE OF DEATH: 08/24/2003 ACN ASSESSMENT CONTROL NUMBER AMOUN 03142284 $5.18 96) 94 REMARKS: D RAMSEY CHECK# 3724 SEAL TOTAL AMOUNT PAID: $5.1 INITIALS: VZ RECEIVED BY: GLENDA FARNER STRASBAt REGISTER OF WILLS REGISTER OF WILLS ,3H HUREAU OF INDIVIDUAL TAXES DENISE L RAMSEY 238 W COLUMBIA RD ENOLA PA 17025 cOMMONWEALTH OF pENNSYLVANIA DEPARTMENT OF REVENUE CE OF INHERITANCE TAX DATE 10-19-200fi THOMAS ESTATE OF PRIAR DATE OF DEATH FILE NUMBER V~M~ERLANU cOUNTY 201-18-5550 SSN/DC ACN HAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO cOURT HOUSE CARLISLE, PA 17015 BUREAU OF /ND/V/DUAL TAXES DENISE L RAMSEY 238 W COLUMBIA RD ENOLA PA 17025 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT ALLONANCE OR DISALLORANCE OF DEDUCTION~, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE ESTATE OF DATE OF DEATH 'FILE NUMBER COUNTY SSN/DC ACN IO-19-2OOq PRIAR OS-Zq-2OO~ zt-oi-(O05 CUMBERLAND 201-18-5550 t Amoun'~ RemJ.{'~ed THOMAS MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA I7013 MARLYN M. PRIAR DENISE L. RAMSEY 238 W. COLUrq BIA ROAD ENOLA, PA 17025 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF ZNDTVTDUAL T~I~.E~ ~C~!~'~ OF INHERITANCE TAX INHERITANCE TAX DIVISION ~I, fi, J',~I,~LL, V ti'~ PO BOX 280601 ~' ,':D~ ,~ t:0 STATEMENT OF ACCOUNT DEC 29 AHg:I2 CLERt< OF ORPHAN'S COURT 258 W COLUMBIA RD ENOLA PA 17025 DATE 12-15-2004 ESTATE OF PRIAR DATE OF DEATH 08-24-2005 FZLE NUMBER 21 04-1005 COUNTY CUMBERLAND ACN 05142286 I Amoun~ Remi~ed REV-I&$7 EX AFP C09-0~) THOMAS E HAKE CHECK PAYABLE AND REMIT PAYMENT TO: RE6ISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credi~c ~o your account:, subei~ ~he upper por~:ion of ~:his for. wi~h your ~cax paymen~:. CUT ALONG THIS LINE ~ RETAIN LOWER PORT/ON FOR YOUR RECORDS ~ I~i~V::f;bY '~.'x' ';Pl~' 'i'§ 1'-'~.~3 ...... ';~;~' 'f~lf:~ q'E; ~t' 'f~IY '~ fT~¥g RtliY ' ~'~ ';l~'c'~0;ff ' ' ~; ..................... ESTATE OF PRIAR THOMAS E FILE NO. 21 04-1005 ACM 03142286 DATE 12-13-2004 TH]iS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACM TN THE NAMED ESTATE. SHONN BELOW IS A SUHNARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPL/CABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 10-19-2004 PRINCIPAL TAX DUE: ................................................................................ PAYMENTS (TAX CREDITS): 14.83 PAYMENT DATE 11-04-2004 RECEIPT NUMBER ~CD004595 DISCOUNT (+) INTEREST/PEN PAID (-) .25- AMOUNT PAID IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), 15.08 TOTAL TAX CREDIT 14.85 BALANCE OF TAX DUE .00 INTEREST AND PEN. .0Z TOTAL DUE .0Z YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FeRN FOR INSTRUCTIONS. ) COHHONWEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE [NH£RZTANCE TAX DTVT$ION TA a ~ ~ UFr~ OF ~NHER~TANCE TAX po BOX ZSOGOX mr~.'~r'r ~','T ?ql QSTATEMENT OF ACCOUNT HARRISBURG, PA 171Z8-0601 ~t~ ~., ~ .... ~ ~ REV-X$07 EX 4FP (09-0~) 2001 DEC 29 AH 9: i 2 CLERK OF ORPHAN S COURT DENISE L ~),~ 258 W COLUMBIA RD ENOLA PA 17025 DATE 12-15-2004 ESTATE OF PRIAR DATE OF DEATH 08-24-2005 FXLE NUHBER 21 04-1005 COUNTY CUHBERLAND ACN 05142284 Amoun'~ Rem i 'l:ted THOHAS E HAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17015 NOTE: To Ansure proper crmdZ~ ~co your account, submi'~ ~he upper por~ion of ~:his fore wZ~h your ~ax payment. CUT ALONG THXS LXNE M~ RETAXN LOWER PORTION FOR YOUR RECORDS ~11 ESTATE OF PRIAR THOMAS E FXLE NO. 21 04-1005 ACN 05142284 DATE 12-15-2004 TH/S STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHO#N BELO# TS A SUHNARY OF THE PR/NC/PAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND:, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: PRINCIPAL TAX DUE:. PAYMENTS (TAX CREDITS): PAYMENT DATE 11-04-2004 RECEIPT NUHBER ~CD004594 DISCOUNT (+) J ,INTEREST/PEN PAID (-) .09- IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" [CR), AMOUNT PAID 5.18 TOTAL TAX CREDIT 5.09 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 10-19-2004 YOU NAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. 5.09 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE *' n~b.'~;:""" ('"T!~C ('"' BUREAU OF INOIIII '["_mEst"\.L ,Ji INHERITANCE TAX DlYI'$IOHI~'~:.' PO BOX 280601 i".,- HARRISBURG PA 17128-0601 NOTICE OF INHERITANCE TAX APPRAISEHENT. ALLOHANCE OR OISALLOWANCE OF OEOUCTION,,<.ANO ASSESSHENT OF TAX ON JOINTLY nELD OR TRUST ASSETS REV-1548EXAFPI12-04l ZP1C, ",'! I, I. ......'1 JHi"1 Y, ph' '). "9 , II J' oJ DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN.lDC ACN 01-10-2005 PRIAR 08-24-2003 21 04-1005 CUMBERLAND 201-18-5550 04104644 Allount Rellitted THOMAS E CLEF:K 0:= Or>"'L' (""lln"- n;-', l).),__;-:i DENISgU:' RAMSEY, 401 VESTA OR DAUPHIN PA 17018 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ... RE-V=isiri-ix--AFP--roi-:oii------------------------------------------------------------------------------------ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD DR TRUST ASSETS DATE 01-10-2005 ESTATE OF PRIAR THOMAS E DATE OF DEATH 08-24-2003 COUNTY CUMBERLAND FILE NO. 21 04-1005 TAX RETURN WAS: S.S/O.C. NO. 201-18-5550 (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION ACN 04104644 FINANCIAL INSTITUTION: WAYPOINT BANK ACCOUNT NO. 8978002353 TYPE OF ACCOUNT: (Xl SAVINGS ( ) CHECKING ( ) TRUST ( ) TIME CERTIFICATE DATE ESTABLISHED 01-08-2003 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due X .00 1.000 .00 .00 .00 .15 .00 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." x TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 . IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. . ( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. ) ~<"" Y- COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNYYLVANIA ORPHANS' COURT DIVISION Docket No: 21-2004-1050 IN RE: FIItST AND FINAL ACCOUNT OF MICHELE M. HEASTER, ADMINISTRATRIX FOR THE ESTATE OF TERRY E. HEASTER, LATE OF DICKINSON TOWNSHIP, CUMBERLAND COUNTY, PENNSYLVANIA, DECEASED. AND PETITION FOR ADNDICATION/STATEMENT OF PROPOSED DISTRIBUTION ORDER OF COURT AND NOW, this 24th day of November, 2009, the herein account is confirmed absolutely and distribution is decreed in accordance with the proposed schedule of distribution herewith. t: ~:, M Q~ f.- d $ ~ri N euC J ~ ~ ` C~_ ~ .~ ~ CI-'~ O ~~ N ~ ~~'~~ BY THE COITRT_