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Home My WebLink About02-0817 \., / /} -,P--? - 1 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 2806111 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE *' NOTICE OF INHERITANCE TAX APPRAISEHENT. ALLOHANCE OR DISALLOHANCE OF DEDUCTIDN~, AND ASSESSHENT OF TAX ON JOINTL~ HELD OR TRUST ASSETS REV-1&48EXAFPI0l-G21 PA !19116 DATE 09-02-2002 ESTATE OF SAMUEL KOCHUMMEN K DATE OF DEATH 07-26-2001 FILE NUMBER .,:) l-a~-e /7 COUNTY CUMBERLAND SSN/DC 133-66-9012 ACN 01146527 A.aunt Rellitted MATHEW 1888 FOSTER PHILA SAMUEL ST 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-Y=is4-i-EX--AFi>-foi-=02i------------------------------------------------------------------------------------ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 09-02-2002 ESTATE OF SAMUEL KOCHUMMEN K DATE OF DEATH 07-26-2001 COUNTY CUMBERLAND FILE NO. S.S/D.C. NO. 133-66-9012 TAX RETURN WAS: (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION ACN 01146527 FINANCIAL INSTITUTION: PNC BANK ACCOUNT NO. 8596937772 TYPE OF ACCOUNT: DATE ESTABLISHED ( ) SAVINGS (Xl CHECKING ( ) TRUST ( ) TIME CERTIFICATE 06-26-1987 AccDunt Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due X 8,312.61 0.166 1,385.46 .00 1,385.46 .45 62.35 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 (-) INTEREST IS CHARGED THROUGH 09-10-2002 TOTAL TAX CREDIT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 62.35 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 1. 40 TOTAL DUE 63.75 · 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" ( CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) 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 MATHEW SAMUEL 113 AlBIRGER AVENUE PHilADELPHIA, PA 19155 -------- fold ESTATE INFORMATION: SSN: 133-66-9012 FILE NUMBER: 2102-0817 DECEDENT NAME: KOCHUMMEN SAMUEL K DATE OF PAYMENT: 01/27/2003 POSTMARK DATE: 01/24/2003 COUNTY: CUMBERLAND DATE OF DEATH: 07/26/2001 NO. CD 002091 ACN ASSESSMENT CONTROL NUMBER AMOUNT 01146527 I $65.08 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: MATHEW SAMUEL CHECK# 315 SEAL INITIALS: CW RECEIVED BY: REGISTER OF WILLS $65.08 DONNA M. OTTO DEPUTY REGISTER OF WillS - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PLEASE RETURN THIS PORTION WITH YOUR THE REGISTER OF WILLS LISTED BELOW PAYMENT TO c2 j-QQ- ff/7 ESTATE OF SAMUEL KOCHUMMEN K FILE NO/SSN 133-66-9012 COUNTY CUMBERLAND DATE OF ASSESSMENT 08-26-2002 ACN 01146527 " ;J REGISTER OF WILLS ~~M~ERL~ND CO COURT HOUSE CARLISLE, PA 17013 ~\ u\ ~~~~ ~~ ......~~~ .-.::,~........~ ~ <.) Z' J;:: Jl~ ~ f, ~ ~ ~~ ~ \1:) " ,..t. ...., () ;..1. I:..! .... Ii, 1.11 ~LI ,il - - .- - --. - .. - .- .- - - - .- '- - ()~~ ~j~ '" f' 0-- ~ "-1 ~ *" ~.~ ~ ~ "I\'J ~ ~, \) Q ~ Q s;:, "'-.. .... ~~ ~ ~ \.N ~ "& ~ , .---... ~ G' L:: .- '~;", Xt, ~\' >~.r L /, ;'-r , '," /.'-~\ ;::il /J ~ 'ltS:l ,f ;'''''.~. .11 . llf. ~ \, /'7-P-?- ? BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION OEPT. 280601 HARRISBURG1 PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT MATHEW 1888 FOSTER PHILA DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN SAMUEL ST PA 19116 * REY-ln1EX'FPUl-05> 02-10-2003 KOCHUMMEN 07-26-2001 21 02-0817 CUMBERLAND 01146527 Allount Rellitted SAMUEL K 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, submit the upper portion of this for.. with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV=ifiifi-EX-AFP-foFoiY------.iiii-ZNHERii:ANC'E-YAX-STAfEME-N"Y-OF-ACCoUiff--ji..--------------------- ESTATE OF KOCHUMMEN SAMUEL K FILE NO.21 02-0817 ACN 01146527 DATE 02-10-2003 THIS STATEMENT IS PROVIDED TD ADVISE DF 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: 09-02-2002 PAYMENTS (TAX CREDITS): PRINCIPAL TAX DUE: ... 62.35 PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 01-24-2003 CD002091 2.73- 65.08 TOTAL TAX CREDIT 62.35 BALANCE OF TAX DUE .00 INTEREST AND PEN. .02 . IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .02 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. I IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRJ, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. J