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COHHONW£ALTH OF PENNSYLVANIA
DE~RTHENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
fiEPT. 289601
HARRISBURG, PA 171ZB-0601
REV-1S~i3 EX AFP (09-00)
ZNFORNATZON NOTICE
AND
TAXPAYER RESPONSE
FILE NO. Il- ' 3~
ACN 0211085q
DATE 05-18-2002
MARGARET M BAIAD
q BUDD DR
NEWTOWN CT
EST. OF MARGARET SAIDIS
S.S. NO. 08~-09-7879
.~]IATE_4 OF DEATH 01-25-2002
*~COUNTY CUMBERLAND
TYPE OF ACCOUNT
[] CHECK/NO
[] TRUST
[] CERTIF.
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17015
ALLFIRST BANK has provided the Department with the information listed below ehich has been used in
calculating the potential tax due. Their records indicate that et the death of the above decedent, you acre a joint OCher/beneficiary of
this account. If you feel this information is incorrect, please obtain written correction frae the financial institution, attach a copy
to this for~ and return it to the above address. This account is taxable in accordance Pith the Inheritance Tax Lams of the Commonwealth
of Pennsylvania. Ouostion= may ba ansNer;~ by calling (717) 7&7-S3ZT.
COMPLETE PART 1 BELOW # # # SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 007508576:5 Date 08-Z8-196q
Established
Account Balance 1, OqO. Z9
Percent Taxable X 16. 667
Amount Sub~ect to Tax 17~. ~9
Tax Rate X .15
Potential Tax Due 26.01
To insure proper credit to your account,
(Z) copies of this notice must accompany your
payment to the Register of Hills. Hake check
payable to: "Register of gills, Agent".
NOTE: If tax payments are made eithin three
(3) months of the decedent's date of death,
you ~ay deduct a 5Z discount of the tax due.
Any inheritance tax due will become delinquent
nine (9) months after the date of death.
PART TAXPAYER RESPONSE
A. ~-/~The above information and tax due is correct.
~ 1. You may choose to remit payment to the Register of Wills Pith two copies of this notice to obtain
CHECK a discount or avoid interest, or you may check box "A" and return this notice to the Register of
ONE ~ #ills and an official assessment mill be issuad by the PA Department of Revenue.
BLOCK J s. [] The above asset has been or will be reported and tax paid .lth the Pennsylvania Inheritance Tax return
ONLY to be filed by the decedent's representative.
C. [] The above information is incorrect and/or debts and deductions ~ere paid by you.
PART
TAX
LINE
You must complete PART [] and/or PART []below.
Zf you indicate a different tax rate, please state your
rslat/onsh/p to decedent:
RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
1. Date Established
2. Account Balance 2
$. Percent Taxable 3 ~
q. Amount Subject to Tax q.
5. Deb~s and Deductions 5.
6. Amount Taxable 6,
7. Tax Rata 7 ~
8. Tax Duo 8,
PART
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
PAYEE DESCRIPTION AMOUNT PAID
TOTAL (Enter on Line $ of Tax Computation)
Under penelt/es of perjury, Z declare that the facts I have reported above are true) correct and
_ complete to the best o~edge and belief. HOME ( ~ ) t~t ~.~ ~ 0 J 0 ~
WORK c 3->G-o
GNAT.REm~~~ TELEPHONE NUMBER DATE
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO.
REV-1162 EX(11-96)
CD 001022
BAIAD MARGARET M
4 BUDD DRIVE
NEWTOWN, CT 06470-1604
........ fold
ESTATE INFORMATION: SSN: 084-09-7879
FILE NUMBER: 2102-0323
DECEDENT NAME: SAIDIS MARGARET
DATE OF PAYMENT: 04/01/2002
POSTMARK DATE: 03/28/2002
COUNTY: CUM BERLAN D
DATE OF DEATH: 01/25/2002
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
02110834 $26.01
REMARKS:
MARGARET M BAIAD
TOTAL AMOUNT PAID:
$26.01
SEAL
CHECK# 2011
INITIALS: CW
RECEIVED BY:
MARY C. LEWIS
REGISTER OF WILLS
REGISTER OF WILLS
BUREAU OF INDIVIDUAL TAXES
/NHERZTANCE TAX DZVTSTOH
DEPT. 280601
HARRTSBURG, PA 17228-06n1
MARGARET
4 BUDD DR
NEWTOWN
M BAIAD
COMMONWEALTH OF PENNSYLVANIA
DEPARTHENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISENENT. ALLONANCE OR DISALLONANCE
OF DEDUCTIONS, AND ASSESSNENT OF TAX ON
JOINTLY NELD OR TRUST ASSETS
DATE 04-29-Z002
ESTATE OF SAIDIS
DATE OF DEATH O1-Z5-ZOOZ
FILE NUHBER
COUNTY
APR 27 P.~:?SSN/DC
ACN
21 02-0525
CUHBERLAND
084-09-7879
02110854
MARGARET
Amoun'~ Remi'l:'~ed
HAKE CHECK PAYABLE AND RENTT PAYHENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17015
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-15~8 EX AFP (01-02)
NOTICE OF INHERITANCE TAX APPRAZSEHENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 04-29-2002
ESTATE OF SAIDIS
MARGARET DATE OF DEATH 01-25-2002 COUNTY CUMBERLAND
FILE NO. 21 02-0525 S.S/D.C. NO. 084-09-7879 ACN
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
02110854
JOINT OR TRUST ASSET ZNFORHATZON
FINANCIAL INSTITUTION: ALLFIRST BANK ACCOUNT NO. 0075085765
TYPE OF ACCOUNT: ( ) SAVINGS (~ CHECKING C ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 08-28-1964
Accoun~ Balance 1,040.29
Percen~ Taxable ~ 0.166
Amoun~ Sub~ec~ ~o Tax 175.59
Debts and Deductions - .00
Taxable Amoun~ 175.59
Tax Ra~e X .15
Tax Due 26.01
TAX CREDITS:
NOTE:
TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBHIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. HAKE CHECK
OR HONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
PAYHENT RECEIPT DISCOUNT (+) AHOUNT PAID
DATE NUHBER INTEREST/PEN PAID (-)
05-28-2002 CD001022 1.50 26.01
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 NAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. )
27.51
1.5OCR
.00
1.50CR
BUREAU OF 'rNDZVZDUAL TAXES
TNHERTTANCE TAX DTV/STON
DEPT. 280601
HARRISBURG, PA 17128-0601
ROBERT C SAIDIS
$22 E MEADOW DR
MECHANICSBURG PA 17055
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAXSEHENT. ALLOHANCE OR DXSALLOHANCE
OF DEDUCTIONS, AND ASSESSHENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
BATE 02-17-2005
ESTATE OF SAIDIS
BATE OF BEATH 01-25-2002
FILE NUHBER 21 02-0525
i~COUNTY CUHBERLAND
SSN/DC 08q-09-7879
ACN 02110855
Amoun~ RBmi~ed
REV-15¢i8 EX AFP (01-05~
MARGARET
HAKE CHECK PAYABLE AND REMIT PAYHENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17015
CUT ALONG THIS LXNE ~* RETAIN LOWER PORTION FOR YOUR RECORDS *~
~-:i~'~-~--~P~--~i~-~' ...................................................................................
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 02-17-2005
ESTATE OF SAIDIS
HARGARET
DATE OF DEATH 01-25-2002 COUNTY CUMBERLAND
FILE NO. 21 02-0323 S.S/D.C. NO. 08q-09-7879 ACN 02110855
TAX RETURN WAS: (X) ACCEPTED AS FILED ¢ ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ALLFIRST BANK ACCOUNT NO. 0075085763
TYPE OF ACCOUNT: ¢ ) SAVINGS (~ CHECKING ¢ ) TRUST ¢ ) TIHE CERTIFICATE
DATE ESTABLISHED 08-28-196~
Accoun~ Balance 1,0q0.29
Percen~ Taxable X 0.166
Amoun~ Sub~ec~ ~o Tax 173.39
Debts and Deduc~/ons - .00
Taxable Amoun~ 173.39
Tax Ra~e X .15
Tax Due 26.01
TAX CREDITS:
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."
PAYHENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID C-)
AMOUNT PAID
INTEREST IS CHARGED THROUGH 02-25-2003 TOTAL TAX CREDIT
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE
REVERSE SIDE OF THIS FORH INTEREST AND PEN.
TOTAL DUE
~ ZF PAID AFTER THIS DATE., SEE REVERSE FOR CALCULATION OF ADDITIONAL TNTEREST. ~
{ ZF TOTAL DUE ZS LESS THAN $1, NO PAYHENT ZS RE{~UIRED.
ZF TOTAL DUE ZS REFLECTED AS A "CREDIT" { CR}, YOU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THTS FORM FOR INSTRUCTIONS. )
.00
26.01
.~9
26.50