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HomeMy WebLinkAbout02-0456 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT SWEGER SHIRLEY A 115 N MARKET STREET MECHANICSBURG, PA 17055 -------- fold ESTATE INFORMATION: SSN: 208-42-3572 FILE NUMBER: 2102-0456 DECEDENT NAME: SWEGER ETHEL M DATE OF PAYMENT: 05/10/2002 POSTMARK DATE: 05/09/2002 COUNTY: CUMBERLAND DATE OF DEATH: 01/10/1999 NO. CD 001163 ACN ASSESSMENT CONTROL NUMBER AMOUNT 102121318 I $21.48 I I I I I I I I TOTAL AMOUNT PAID: $21.48 REMARKS: SHIREL Y A SWEGER CHECK# 8036 SEAL INITIALS: AC RECEIVED BY: REGISTER OF WILLS MARY C. LEWIS REGISTER OF WILLS t7-,,~;;{' - .;7 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 171Z8-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE '* f}t/ NOTICE OF INHERITANCE TAX APPRAISEKENTL ALLOKANCE OR DISALLOKANCE OF DEDUCTION~l AND ASSESSKENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REY-15U EX AFP <G1-9U 'O/~ JUL -() , . Ii /.. I . .__' DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 07-08-2002 SWEGER 01-10-1999 21 02-0456 CUMBERLAND 208-42-3572 02121319 Allount Rellitted ETHEL M DORIS SWEGER 115 N MARKET ST MECHANICSBURG i PA t~rp55 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 ~ RiE\i:is~8-E)f-AFFi-(o-i:02)------------------------------------------------------------------------------------ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 07-08-2002 ESTATE OF SWEGER ETHEL M DATE OF DEATH 01-10-1999 COUNTY CUMBERLAND FILE NO. 21 02-0456 TAX RETURN WAS: S.S/D.C. NO. 208-42-3572 (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION ACN 02121319 FINANCIAL INSTITUTION: PNC BANK ACCOUNT NO. 5140150097 TYPE OF ACCOUNT: DATE ESTABLISHED ( ) SAVINGS ()() CHECKING ( ) TRUST ( ) TIME CERTIFICATE 09-01-1978 X 2,864.55 0.166 477.43 .00 477.43 .06 28.65 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." Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due X TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) INTEREST IS CHARGED THROUGH 07-16-2002 TOTAL TAX CREDIT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 28.65 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 6.26 TOTAL DUE 34.91 . IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. . ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRJ, YOU I1AY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORI1 FOR INSTRUCTIONS. J /7~t;; -;l BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 171Z8-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE *' C\/ NOTICE OF INHERITANCE TAX APPRAISE"ENTL ALLOHANCE OR DISALLOHANCE OF DEDUCTIONlS, AND ASSESS"ENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REY-1548 EX AFP lDl-P2J '07 IJUL -9 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 07-08-2002 SWEGER 01-10-1999 21 02-0456 CUMBERLAND 208-42-3572 02121318 Allount RelliUed ETHEL M SHIRLEV A SWEGER 115 N MARKET ST MECHANICS BURG PA 11.Q.5~ t.t ; I' 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 ~ iifi=is4-i-Er>f-AFP--coi-;ozl------------------------------------------------------------------------------------ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 07-08-2002 ESTATE OF SWEGER ETHEL M DATE OF DEATH 01-10-1999 COUNTY CUMBERLAND FILE NO. 21 02-0456 TAX RETURN WAS: S.S/D.C. NO. 208-42-3572 (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION ACN 02121318 FINANCIAL INSTITUTION: PNC BANK ACCOUNT NO. 5140150097 TYPE OF ACCOUNT: DATE ESTABLISHED ( ) SAVINGS ()() CHECKING ( ) TRUST ( ) TIME CERTIFICATE 09-01-1978 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due 2,864.55 0.166 477.43 .00 417 .43 .06 28.65 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." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 05-09-2002 CDOO1l61 .00 21.48 05-09-2002 CDOO1163 5.94- 21. 48 TOTAL TAX CREDIT 37.02 BALANCE OF TAX DUE 8.37CR INTEREST AND PEN. .00 TOTAL DUE 8.37CR . 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" ( CRJ, YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. J COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE B~R,;AU OF INDIVIDUAL TAXES ," DEPT.. Z~0601 . H.l\RRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 001161 DUPLICA TE SWEGER SHIRLEY A 115 N MARKET STREET MECHANICSBURG, PA 17055 -------- fold ESTATE INFORMATION: SSN: 208-42-3572 FILE NUMBER: 2102-0456 DECEDENT NAME: SWEGER ETHEL M DATE OF PAYMENT: 05/1 0/2002 POSTMARK DATE: 05/09/2002 COUNTY: CUMBERLAND DATE OF DEATH: 01/10/1999 ACN ASSESSMENT CONTROL NUMBER AMOUNT 02121319 I $ 21 .48 I I I I I I I I TOTAL AMOUNT PAID: $21.48 REMARKS: DORIS SWEGER CHECK# 8035 SEAL INITIALS: AC RECEIVED BY: REGISTER OF WILLS MARY C. LEWIS REGISTER OF WILLS DUPLlCAT"B CHANGE SENT TO SAM SHELCR:>SS 7/12/2002 ACN # CORRECTED TO REFLECT 02121319 SEE TAX IDRKSHEEl' FOR <X>RRECl'ION/ALSO SEE CD 1163 FOR REASON COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUR~AU OF INDIVIDUAL TAXES DEPT.. ~80601 . HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT SWEGER SHIRLEY A 115 N MARKET STREET MECHANICSBURG, PA 17055 u______ fold ESTATE INFORMATION: SSN: 208-42-3572 FILE NUMBER: 2102-0456 DECEDENT NAME: SWEGER ETHEL M DATE OF PAYMENT: 05/10/2002 POSTMARK DATE: 05/09/2002 COUNTY: CUMBERLAND DATE OF DEATH: 01/10/1999 NO. CD 001161 ACN ASSESSMENT CONTROL NUMBER AMOUNT 02121318 I $21.48 I I I I I I I I TOTAL AMOUNT PAID: $ 21 .48 REMARKS: DORIS SWEGER CHECK# 8035 SEAL INITIALS: AC RECEIVED BY: REGISTER OF WILLS MARY C. LEWIS REGISTER OF WILLS .~~~~. ~._a.M~ Lu~t2~ ....._. . ~. ~a.bf-~~ ... . mLM~d A !..~~!IA~LJ:;,e~.& '<1. ~. - --. -0)/.1/1'........ .~~~~...._--- ..- . ~_n_~.!LL~_~A._____.__ -L. _ -- _ . ~___t7oU-Q2dLV~ _~_~_._.un_ _...~ ~ .L)o2LcZ>/.3L~ . _=cU...2(?'_ ____n ..___ ~~_.:_~-~._---- ~u_ k~--~~t!:t~.._._-- .~-. 7::!.02-_~ ~_. _._... __ u_ _____._________ -.k_4T~~- .... .... tD)ltol Received of DC>R \.5 S't0C' 1c:?~ Address / J $' AJ mMk'LT t5T /Jl~/. Page No. Estate No. 21 - Or:2 -4~-?' Estate of i=:77/E.L m. CLUe G-e:. ~ Social Security No. ,,;j.c; J?- -<V' ~ - d':;- 7 ~ Died / - /0 - 1'99j7 Paid 6-:-1'0 - c:)..::;/ Yd Tax 62/, Postmark Date ~-:.. '9 - O.;l../ ./9 e V - c:; c::J / ..;)- / oS / '? .) tJ IF (Ju0.-) /1CA ~ JtiHttd;-~ CLJ II" B ()r2/OZ/3/9 il~~ /~~~ ~&:)Jt? --/~~. r4l<t &ir~4.~. ''Z# j~~.~ v ,..... "... , " Z ;: ~. c:5 N ;:~ :< --" CJ :::::: N CD II L,3 - Received of (',. c;'i..t I R. \ ~ t 1 t\ SLu~1e.R- Address 115 t-j. YY1AI<..k'l:O.\ bT \\'\E..d~ Page No. Estate No. 21 -Od... - l.../S b Estate of ETI4E L 1'Y\ SAJEGER- Social Security No.~g>- 4~- .3.6-7:V Died ) - f 0 - I q C( cr :;j \-")-In - n.J/ stmarkDate ..5 - q-o~ rqLV-O":)/~/ 3/t!? V'" o ;;:: 2::: N P :..,,( -. ,- > ~- )- ,.it :; - '.., ...- .J ___ ~p Tax 02/, COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 *' INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DATE NO. 21 -0,.:)- ~o~ 02121319 05-06-2002 REV-IS4S EX AFP [09-001 EST. OF ETHEL M SWEGER S.S. NO. 208-42-3572 DATE OF DEATH 01-10-1999 '02 MAY 10 f\!1 :12 COUNTY CUMBERLAND TYPE OF ACCOUNT D SAVINGS [Xl CHECKING D TRUST D CERTIF. DORIS SWEGER ~~EH:N~~~~5~GST PA 170~flTl'" REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 PNC BANK has provided the Departllent 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, yoU were a joint owner/beneficiary of this account. If you feel this information is incorrect, please obtain written correction froll the financial institution, attach a copy to this for. and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Comllonwealth of PennsYlvania. Questions may be answered by calling (717) 787-8327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 5140150097 Date 09-01-1978 Established Account Balance Percent Taxable A.ount Subject to Tax Rate Potential Tax Due x 2,864.55 16.667 477.43 .15 71.61 TAXPAYER RESPONSE To insure proper credit to your account, two (2) copies of this notice must accompany your paYllent to the Register of Wills. Make check payable to: "Register of Wills, Agent". x NOTE: If tax payments are made within three (3) months of the decedent's date of death, you lIay deduct a 5Z discount of the tax due. Any inheritance tax due will become delinquent nine (9) 1I0nths after the date of death. Tax PART [!] A. [ CHECK ] ONE BLOCK B. ONLY c. [] The above information and tax due is correct. 1. You .ay choose to remit payment to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, or you may 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. [] 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. ~The above information is incorrect and/or debts end deductions were paid by you. You IIUSt cOllplete PART ~ and/or PART ~ below. PART If you indicate a different ~ ratt~l,ase state your ~ relationship to decedent: ~ TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Date Established 1 2. Account Balance 2 3. Percent Taxable 3 4. A.ount Subject to Tax 4 5. Debts and Deductions 5 6. A.ount Taxable 6 7. Tax Rate 7 ~~, 8. Tax Due 8 Ji' t I.. ifi' DEBTS AND DEDUCTIONS CLAIMED ,; /./77. 'IS PART [!J DATE PAID PAYEE DESCRIPTION AMOUNT PAID I TOTAL (Enter on Line 5 of Tax Co.putation) I $ perjury, I declare that the facts I have reported above are true, correct and .y knowledge and belief. ) HOME ( WORK ( TELEPHONE COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. Z80601 HARRISBURG, PA 171Z8-0601 '* INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DATE NO. 21 -o~ - -</6"~ 02121318 05-06-2002 REV-1543 EX AFP 109-001 EST. OF ETHEL M SWEGER S.S. NO. 208-42-3572 DATE OF DEATH 01-10-1999 '02 rlf\'( 10 /:c11 :11 COUNTY CUMBERLAND TYPE OF ACCOUNT o SAVINGS [X] CHECKING o TRUST o CERTIF. SHIRLEY A SWEGER ~~~H~N~~~~5~G ST PA 170~1~"',_ REHIT PAYHENT AND FORHS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 PNC BANK has provided the Department with the infor.ation 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 joint owner/beneficiary of this account. If yoU feel this 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 Com.onwealth of P"nnsl/lv"ni". Questions ilia" be answe,"ed by call1ng (717) 787-83Z7. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 5140150097 Date 09-01-1978 Established Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x 2,864.55 16.667 477.43 .15 71.61 TAXPAYER RESPONSE To insure proper credit to your account, two (Z) copies of this notice .ust accompany your pay.ent to the Register of Wills. Make check payable to: "Register of Wills, Agent". x NOTE: If tax payments are .ade within three (3) .onths of the decedent.s date of death, you may deduct a 5% discount of the tax due. Any inheritance tax due will become delinquent nine (9) .onths after the date of death. Tax PART [!] A. [ CHECK ] ONE BLOCK B. ONLY c. [] The above information and tax due is correct. 1. You .ay choose to re.it pay.ent to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, or you may 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. [] 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. ~ The above information is incorrect and/or debts end deductions were paid by you. You must complete PART ~ and/or PART ~ below. PART If you indicate a different.~x ra~,~l,ase state your [!] relationship to decedent: ~L TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Date Established 1 2. Account Balance 2 3. Percent Taxable 3 4. Amount Subject to Tax 4 S. Debts and Deductions S 6. Amount Taxable 6 7. Tax Rate 7 8. Tax Due 8 x ~'17.1, ~/{ PART [!J DATE ~r d I: '/7 . DEBTS AND DEDUCTIONS CLAIMED PAID PAYEE DESCRIPTION AMOUNT PAID I TOTAL (Enter on Line S of Tax Computation) perjury, I declare that the facts I have reported above are my knowledge and belief. HOME ( WORK ( TELEPHONE I $ correct and /'}-6~ - ~ '\, BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 171Z8-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT '* RU-1n7 EX AFP (01-02) SHIRLEY A SWEGE~2 115 N MARKET ST MECHANICSBURG '-,PA 17055 )'< i._.j '15 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 07-15-2002 SWEGER 01-10-1999 21 02-0456 CUMBERLAND 02121318 ETHEL M Allount Rellitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV= i 6oj-ix-AFP-(' 01:0 2y------....--iN'HEiiiYANCi-YAX-SYjf TEMENy-cfF-ACCOUNT--....---------------- -- --- ESTATE OF SWEGER ETHEL M FILE NO.21 02-0456 ACN 02121318 DATE 07-15-2002 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 07-08-2002 PR I NC I PAL TAX DUE: .........................."............................"................".."...."".".."."...."."....."..."................................................".......,..".......... "...."...."."."........ 28.65 PAYMENTS (TAX CREDITS): INT AT REV PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 05-09-2002 CDOO1163 .00 21. 48 EREST IS CHARGED THROUGH 07-30-2002 TOTAL TAX CREDIT 21.48 THE RATES APPLICABLE AS OUTLINED ON THE ERSE SIDE OF THIS FORM.* BALANCE OF TAX DUE 7.17 INTEREST AND PEN. 6.04 . IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE 13.21 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) ~ /?-6.a. - ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT *' REY-!i07 EX AFP 101-021 'r" ..;/, .JUL ~~\ 3 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 07-15-2002 SWEGER 01-10-1999 21 02-0456 CUMBERLAND 02121319 ETHEL M 5 DORIS SWEGER 115 N MARKET ST MECHANICSBURG PA 1~055 ,,'l Allount Rellitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE~ PA 17013 NOTE: To insure proper credit to your account~ subllit the upper portion of this forll with your tax paYllent. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV=i6'ifj-EX-iFP--COY=ozY------...-iNHEiiTANCE-YAX-Si''jrfEMENY-OF-ACCOLiiff--...--------------------- ESTATE OF SWEGER ETHEL M FILE NO. 21 02-0456 ACN 02121319 DATE 07-15-2002 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE~ APPLICATION OF ALL PAYMENTS. THE CURRENT BALANCE~ AND. IF APPLICABLE. A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 07-08-2002 P R I N CI PAL TAX DUE: .............."........,...............................................".......,..,.........."....................."................,..............""......................,... ............_.................,.,.... 28.65 PAVMENTS (TAX CREDITS): INT AT REV PAVMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 05-09-2002 CDOO1161 .00 21. 48 EREST IS CHARGED THROUGH 07-30-2002 TOTAL TAX CREDIT 21.48 THE RATES APPLICABLE AS OUTLINED ON THE ERSE SIDE OF THIS FORM.* BALANCE OF TAX DUE 7.17 INTEREST AND PEN. 6.04 . IF PAID AFTER THIS DATE. SEE REVERSE TOTAL DUE 13.21 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1. NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT"" (CR). YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) //7 /-'-/ / - D' ::-.L. ,:: ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT '* REV-l'D7 EX .FP 101-02) DORIS SWEGER 115 N MARKET ST MECHANICSBURG PA 17055 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 08-26-2002 SWEGER 01-10-1999 21 02-0456 CUMBERLAND 02121319 ETHEL M Allount Rellitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS -- REV =i6'ifj-ix-AFP-foY=ozY------...-iNHEiii'-A'NC'E-YAX-STAfEHENY-OF-Accouiif--...--------------------- ESTATE OF SWEGER ETHEL M FILE NO. 21 02-0456 ACN 02121319 DATE 08-26-2002 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYHENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 07-08-2002 PR I NC I PAL TAX DUE: ................................................................................................................................................................................ ........................................... 28.65 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 05-09-2002 CDOO1161 .00 21. 48 07-23-2002 CDOO1444 6.03- 13.21 TOTAL TAX CREDIT 28.66 BALANCE OF TAX DUE .0ICR INTEREST AND PEN. .00 IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .0ICR II SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRl, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. 1 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT SHIRLEY A SWEGER 115 N MARKET ST MECHANICSBURG PA 17055 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN *' REY-In7 EX AFP 101-02l 08-26-2002 SWEGER 01-10-1999 21 02-0456 CUMBERLAND 02121318 ETHEL M Allount Rellitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV =i6"ifi-E3f-AFP-foY:02Y------...--iNifERiYANcE--iA3f-sTA"fEME-rii-oF'-Ac-couiff--.-..--------------------- ESTATE OF SWEGER ETHEL M FILE NO.21 02-0456 ACN 02121318 DATE 08-26-2002 THIS STATEHENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED ESTATE. SHOWN BELOW IS A SUHHARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYHENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 07-08-2002 P R I NCI PAL TAX DUE: ................................................................................................................................................................................ ........................................... PAYMENTS (TAX CREDITS): 28.65 PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 05-09-2002 CDOO1l63 .00 21. 48 07-23-2002 CDOO1443 6.03- 13.21 TOTAL TAX CREDIT 28.66 BALANCE OF TAX DUE .01CR INTEREST AND PEN. .00 IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .01CR . SIDE 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. )