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Home My WebLink About09-13-05 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INOIVIDUAl TAXES DEPT. 280601 HARAISBURG, PA 17128-0601 REV-1162 EX(11~96} RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT VANDERBILT SUZANNE ELAINE 320 AVENUE "E" REDONDO BEACH, CA 90277 n_nn_ fold ESTATE INFORMATION: SSN: 171-28-4181 FILE NUMBER: 2105-0535 DECEDENT NAME: EISLEY CLARA G DATE OF PAYMENT: 09/13/2005 POSTMARK DATE: 09/09/2005 COUNTY: CUMBERLAND DATE OF DEATH: 06/02/2005 NO. CD 005793 ACN ASSESSMENT CONTROL NUMBER AMOUNT 05138885 I $233.09 I I I I I I I I TOTAL AMOUNT PAID: $233.09 REMARKS: S E V ANDERBIL T CHECK# 3757 SEAL INITIALS: VZ RECEIVED BY: REGISTER OF WILLS GLENDA FARNER STRASBAUGH REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREMJ OF INDIVIDUAL TAXES DEPT. lB0601 HARRISBURG, PA 17128-0601 * ZNFORMATZON NOTZCE AND ';:{'0Q,.f' I~XP~~ER RESPONSE "'-"43 ,,1Jf: \MI.; L, 0 , ICE ,-'- ; ',,-,"':':_.); FILE NO. 21 05-0535 ACN 05138885 DATE 08-23-2005 SUZANNE E VANDERBILT 332 16TH ST NEW CUMBERLAND PA 17070 CLERK OF Or'"' "'C f'lur. ";\' < CU,,' ,'~ TYPE OF ACCOUNT EST. OF CLARA G EISLEV 0 SAVINGS Prl12s al. NO. 171-28-4181 0 CHECKING DATE OF DEATH 06-02-2005 1iJ TRUST COUNTY CUMBERLAND 0 CERTIF. REHIT PAYMENT AND FORMS TO, REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 20D5 SEP I 3 PNt: BANK has providBd ths DepartHnt with ths infonlsUon listed below which has bINn usBd in calculating the potential tax duB. Their records indicate that at the death of the above decedent.. yoU warlil a joint o......r/b.OllIficiary of this account. If YOU fllBI this infor.a'tian is incorrect, pluSIl obtain writtsn correction fr~ the fin...cial institution.. attach a COPy to this fo,.. and rstum it to th. above address. This account is taxable in accordance with ths Inhedt....ce Tax Laws of the C~nwaalth of Pmmsylvania. Qutls:tlons ny bEl ..ns_Ad by celling (717) 787-831.7. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAVMENT INSTRUCTIONS Acco....t No. 31700215213 Date 01~31-2001 Establi_d Account Balance Percent T.x&ble A.aunt Subject to Tax Rate Potential Tax Due x 10,359.70 50.000 5,179.85 .045 233.09 To insure proper credl t to your account.. two (2) copies of this notice IIUst aCCOIlpBny your p1ly-.nt to the Reaisblr of Vills. Make check. payable to: nRegister of Wills.. Agent". x NOTE: If blx P8Y11l1111ts are .ad. wi thin thrllB (3) lIonths of the decedent"s date of death.. YOU II1!IY deduct a 5% discount of the t1lX due. Any inheritance tax due will beco.e delinquent nil1ll (9) lIanths after the data of death. T8x PA~ TAXPAYER RESPONSE [!]."'._II~~~~~._tl_ ~~,_.~''''~,,,~_,s~. ,~.~,= ",S!;. ,';'. .';'","'_. -;;;"'!i:l!i~,~~:;:;..,., ",.~",15"'. . ",,,,;:,"'..,.,,~,!,!,,,:;~.~~~~,,,!l!._. ,...",,,,:;,;J; . '~ij{"",,,,.,._,~...,,,,,,j!;:;.,,,~... ,,!?_-"',- ",~;!;~.,.,.",,~j!; . ...",=!~,,,...,,,,,"!,~~ ~~",;;!._.,... -~=; .~,,,,;!;:;!~,~.~;;;! [CHECK ] ONE BLOCK ONLY A. I\il'The above infol"ll8tion and tax due is correct. P-l. Vou Il8Y choose to ruit p8yeent to the Register of Wills with two copies of this notice to obtain 11 discount or 1Ivoid interest, or you ny check. box nAn and return this notice to the Register of Wills and an official asses~ent will be issued by the PA Depart.ent of Revenue. B. [] The abovs 1Isset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return to be filed by the decedent"s rapresantBtive. C. 0 The above inferllsUon is Incorrect and/or debts and deductions were paid by you. ~ou ....st cOlIPlliIte PART ~ Clnd/or PART 0 below. If you indiC8t. a different tax rate, please state your relationship to decedent: PART @] TAX RETURN - COMPUTATION OF TAX ON JOINT,TRUST ACCOUNTS LINE 1. u.t. Establish8d 1 2. Account Balance 2 3. Percent Taxable 3 X 4. A.ount Subject to Tax 4 S. Debts .nc:I Dec:luctions S 6. Attolrtt Taxable 6 7. Tax Rate 7 X 8. Tax Due 8 PART [!] DATE PAID DEBTS AND DEDUCTIONS CLAIMED PAYEE DESCRIPTION AMOUNT PAID I I TOTAL (Enter on Lin. S of Tax ConPUtation) . Under penalties of perjury, I declare that the facts I have reported above are true, correct 8nd ~et8 to tM boost of "" knowledge - belief. HOME C2;) 311:, -.:Jhff=?' ~ ~ W~IlK ~ ) ~ ~p/ns- TA A S NA E ELEP 0 E NUMBE n H ~ .J o ... ". t ,..t . ..... (J i.J o ... ~~$ ~~~ ~5-~ '- -:t)t ~ f' ? ~. :i~~ o r {;J~ &- ~ ~ ~. - -:- ~ - -' - - - ~ ~ ~ - - ~ - ;- - ;::: A:)G)<- 9~g~ "-D3 ~ o~c.t:) ~ W~1\~ ~t ---:; \ , .. \ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM; PENNSYLVANIA INHfRITANCf AND fSTATf TAX OFFICIAL RECEIPT VANDERBILT SUZANNE ELAINE 320 AVENUE "E" REDONDO BEACH, CA 90277 _nn~n fold ESTATE INFORMATION: SSN: 171-28-4181 FILE NUMBER: 2105-0535 DECEDENT NAME: EISLEY CLARA G DATE OF PAYMENT: 09/13/2005 POSTMARK DATE: 09/09/2005 COUNTY: CUMBERLAND DATE OF DEATH: 06/02/2005 NO. CD 005794 ACN ASSESSMENT CONTROL NUMBER AMOUNT 05138883 I $184.26 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: S E VANDERBILT CHECK# 3756 SEAL INITIALS: VZ RECEIVED BY: REGISTER OF WILLS $184.26 GLENDA FARNER STRASBAUGH REGISTER OF WILLS COMMONWEALTH OF PENNSVL VANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG I PA 17128-0601 R~go~Q~*r f.:.- r>, _ :...'~n- '1'1- 0 : -_'~>U; 'tt~-lMi EJr,'A';p !rJ~:".n INFORMATION NOTICE AND ;"'~~ RESPONSE FILE NO. 21 05-0535 ACN 05138883 DATE 08-23-2005 SUZANNE E VANDERBILT 332 16TH ST NEW CUMBERLAND CLERi< CF T"" ORPH/.:rS (I': :RY nRPS~~" Ct. 'C - '. '-''''~ .~,\;:" r1f"\.: ..A~8Frr EST. OF CLARA G EISLEY S.S. NO. 171-28-4181 DATE OF DEATH 06-02-2005 COUNTY CUMBERLAND TYPE OF ACCOUNT o SAVINGS !Xl CHECKING o TRUST o CERTIF. 2005 SEP J 3 PH ~a~gEP /3 PA 17070 RENIT PAYNENT AND FORNS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 PNC BANK hilS provided the Depart.Bot with the Inforllation listed below which has been uS8d in calculating the potential tax due. Their records indicate that at the death of tha above decBd&ntl YOU Wllra a joint owner/beneficiary of this account. If you flllill this info~tion is incorrect, plesse obtain written corraction fru. thll financial institution I 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 C~onw88lth of P~sylvania. Questions ~y be Bnsw.~ad by calling (717) 787-8327. COMPLETE PART 1 BELOW Account No. 5140018117 . . . SEE REVERSE SIDE FOR Date 05-04-1989 Established FILING AND PAYMENT INSTRUCTIONS Account Balance Percent Taxable Anount Subiect to Tax Tax Rete Potential Tax Due To Insure proper credit to your accountl two (2) copIas of this notice .ust IIccDapany your p8Yl1ent to the Register of tU11s. Make chack payable to: "Register of WIllsl Agent". x NOTE: If tax pllYllents are Bade within three (3) .onths of the decedent.s date of death I you Bay deduct a 5% discount of the tax due. Any inheritance tax due will beCDBe delinquent nine (9) .onths aftar the date of death. x .. [CHECK ] ONE BLOCK ONLY B. [] The above asset has been or will be rsported and tax paid with the PennSYlvania Inheritance Tax return to be filed by the decedent's representative. C. 0 ThB above inforntion is Incorr8Ct and/or debts and deductions were paid by YOU. You Bust coeplete PART ~ and/or PART ~ below. If you indicate a different tax rate, please state your relationship to decedent: PART @] TAX RETURN - COMPUTATION OF TAX ON JOINT'TRUST ACCOUNTS LXNE 1. Date Est~lished 1 2. Account Balance 2 3. Percent Taxable 3 X 'i. A.oW'tt Subject to Tax " S. Debts and Deductions 5 6. A..aunt Taxable 6 7. Tax Rate 7 X 8. Tax Due 8 PART [!J DATE PAID DEBTS AND DEDUCTIONS CLAIMED PAYEE DESCRIPTION AMOUNT PAID I . I TOTAL (Ent.r on Line S of Tax Cu.putation) Under penalties of perjury, I declare that the cooplete to the best ~ knowl~ end beli.f. ~" ~ TAXP R S NA facts I have reported above ..... true, correct and HOME ( .3 10 ) ~h -;;l..b ~ W~:K' ) : Urqas- LEPHONE NUM T ... .J o ... i,J ..... (J (J r;.> Lt.' - :::.... = ~ . _.; '?' -:'-" ~, ?: ~ --"" ~ _. ::..... ::-". ~. ::: ;--- ;- F - ?t~t ~ \\) ~ ~.... ?> ~~ ~ ~--t' ~~~ ""\ 3, U' -;:- ( (t '"&- _ -'i ~ ::t)t ~ ~()c:. - ~ ~- .,- ~r;- 2\ \>>t (t ~~~::'\, j~: \ ""':7;:d,:;J '.:--" !, "'\l q):::~. ~...cr.""'" 7_':; i > ~ l''''~ .~_, ';:~,-C~-~' ~ " ,,~ C:."__ , C. \ ~ . il' 1 i"l'\'"