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Home My WebLink About09-16-05 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 ~" ~I'j INFORMATION NOTICE _ ^, AND .D;:CfJ'~i'i~V:ER RESPONSE FILE NO. 21 05-0535 ACN 05138884 DATE 08-23-2005 REW-1545 EX AFP ("~~)'~ TYPE OF ACCOUNT o SAVINGS o CHECKING IXl TRUST o CERTIF. 'ff/'7 :~'~:-:, ,- f',Bsr2:bF CLARA G EISLEY S.S. NO. 171-28-4181 - DATE OF DEATH 06-02-2005 ,COUNTY CUMBERLAND , r~'- r REMIT PAYMENT AND FORMS TO: REGISTER DF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 SARAH E DESMOND 332 16TH ST NEW CUMBERLAND PA 17070 PNC BANK has providBd the Depart_nt with the inforllstion listed billow which has been uslild in calculating the potent!el tax due. Their records indicate that at the death of the above dBcedent, YOU Wllra a joint owner/lMmef1c!ary of this account. If you flllIl this inforaation is incorrect, plaase obtain "rltten correction frOB the financial institution, attach a copy to this for. and return it to the above address. This account is taxable in accordance with the Inharitance Tax Laws of thB CDII.unwealth of Pennsylvania. Questions .ay ba answerad by calling (717) 787-8327. Det. Established REVERSE SIDE FOR 07-31-2001 FILING AND PAYMENT INSTRUCTIONS COMPLETE PART 1 BEL ON . Account No. 31700215213 . . SEE Account B.lance Percent Taxable A~unt Subject to Tax Tex Rat. Potential Tax Due To insure proper credi t to your account, two (2) copies of this notice BUst eccDllpany your paY.BI'It to the Ragistar of Wills. Make check payable to: "Register of Wills, AgBnt". x x NOTE: If tax pa~ents are .adB wi thin thrH (3) .onths of the dBclldent"s date of dBath, YOU .ey deduct a SX discount of the tax due. Any inheritance tax due will becu.. dBlinquent nine (9) Bonths aftBr the date of death. [CHECK ] ONE BLOCK ONLY The above inforaation and tax dUB is correct. 1. You Bay chaose to r.Bit pay..nt to the Register of Nills with tlltD copies of this notice to obtain a discount or avoid interllst, or you .ay check box "A" and return this notice to the Ragister of Wills and an official assesSllent will be issued by the PA DeparuBI'1t of RevBnue. B. [] The above asset has been or will ba reported and tax paid with the PennsYlvania Inheritance Tax return to be filed by the decedent"s representative. C. 0 The above infor.ation is incorrect and/or debts and deductions were paid by you. You Bust cOlIPlete PART [!J and/or PART ~ below. OF TAX ON JOINT,TRUST ACCOUNTS PART ~ TAX RETURN - COMPUTATION If you indicate a different t.x rate, ple.se state your relationship to decedent: L!H~ 1_ Dat. E$+~lt$h4d 1 2. Account Balance 2 3. Percent Taxabl. 3 x 4. gount Subject to Tax 4 S. Debts end Deductions 5 ,. A~unt Taxable , 7. Tax Rate 7 X 8. Tax Due 8 PART @J DATE PAID DEBTS AND DEDUCTIONS CLAIMED PAYEE DESCRIPTION AMOUNT PAID I TOTAL (Enter on Line 5 of Tax Coaput.tion) I . perjury, I declare that the facts I have reported above are true, correct and "" owllMllI8 - beU.f. HOME (<{- ~") '3 4-14- - '7 {( 3 ~ WORK ( ) I z:, ELEPHON NUMBER AT COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV- 1162 EX(1 1-98) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT DESMOND SARAH E 332 16TH ST NEW CUMBERLAND, PA 17070 ~n_~n~ folCl ESTATE INFORMATION: SSN: 171-28-4181 FILE NUMBER: 2105-0535 DECEDENT NAME: EISlEY CLARA G DATE OF PAYMENT: 09/16/2005 POSTMARK DATE: 09/14/2005 COUNTY: CUMBERLAND DATE OF DEATH: 06/02/2005 NO. CD 005808 ACN ASSESSMENT CONTROL NUMBER AMOUNT 05138884 I $233.09 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: CHECK# 560 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS $233.09 GLENDA FARNER STRASBAUGH REGISTER OF WillS ... .J o ... (I' "- "I (,,' o ... - - ~cf ~ ~~- C::~#- - -, ~ ~ ~C> ~ ~ -b>~ - ~ --l~\A ~\ ~ & ~ 1,;- . 10' i _ :t;J0J ~ ~l~3 &:J, t C*, ~ ('I ~Ji~'T'- . ,,~5\.,) .,,' '"'1:J '--. \: s:.' .,r .~ ~./ ~..i .. ";".~ ~ '\. .. ~"~ ~ \\\ I) \ .', . .' ..~ !) J " I ! :.l ~,t.:'_" . z I COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUAEAU OF INDIVIDUAL TAXES DEpT. 280601 HARRISBURG, pA 17128-0601 AEV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT DESMOND SARAH E 332 16TH ST NEW CUMBERLAND, PA 17070 ___~_n~ fold ESTATE INFORMATION: SSN: 171-28-4181 FilE NUMBER: 2105-0535 DECEDENT NAME: EISLEY CLARA G DATE OF PAYMENT: 09/16/2005 POSTMARK DATE: 09/14/2005 COUNTY: CUMBERLAND DATE OF DEATH: 06/02/2005 NO. CD 005809 ACN ASSESSMENT CONTROL NUMBER AMOUNT 05138882 I $184.26 I I I I , I I I TOTAL AMOUNT PAID: REMARKS: CHECK# 559 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS $184.26 GLENDA FARNER STRASBAUGH REGISTER OF WILLS .. .J o .. \.,,\ .... (J i.J ,jl ~ 't"' ::- L """" .- ~ ~ .- ~ ~ :::: =- ::- - ;- ;:. - -' ~ - =- - - :::- \)?~ e, 3 D-' -~:;& v' ~ ~ {\~() '- ~ q-.,. ::!> P b> ~ ~ -l ~ v;-- ~~ t o I. -~J . " v -.q~~ - ~ 9:?'J' \n t.ft .~ :5 ~o-~ ~ f:E c-,~ \NW(~ ....? ~ "?~ - ~ , . - \.1 . ..-' ~~, '., . ~, ~;.. J. > , d'=" CDMMONWEALTH DF PENNSYLVANIA DEPARTMENT OF RE\lEHUE BUREAU OF INDIVIDUAL TAXES OEPT. 280601 HARRISIJURG, PA 17128-0601 ~r '0181";~ INFORMATION NOTICE ~~,-'~- ,-,' AND '"':f;AXPAYER RESPONSE FILE NO. 21 05-0535 ACN 05138882 DATE 08-23-2005 a:Y~15"3 DAF':(09-IIIJ" ,-,' , ""~ r' ~ST. 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. <"'1',r r:'" -:"') f ,. [,-, 1':-: - REHIT PAYHENT AND FORKS TD: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 SARAH E DESMOND 332 16TH ST NEW CUMBERLAND PA 17070 PNC BANK has providlilld the Oepar-Ullmt with thll info.....ation listlMl belON which hes ban us8d in calculating ~ potential tax due. Their- r-ecor-ds indicate that at the death of thB above decedent, YOU were lit joint owner/beneficiary of this account. If YOU feel this infor-Bation is incorrect, plea_ obuin written corraction frOll the ffnlW'lc!_l institution, attach. copy to this forw and rllturn it to the above addr.s$. This account is taxabl. in accordance with ttte Inheri~ce To L.ws of the CDIMOnwealth uf' PtWmsylY60i.# Wwosti.:.ns.~ ~ ..."1~'K b~ ~&:'1:-. ::717) 7&7-8327# COMPLETE PART 1 BELOW Acco...t No. 5140018117 . . . SEE REVERSE SIDE FOR Date 05- 04-1989 EstabUsha" FILING AND PAYMENT INSTRUCTIONS Account Balance PercllOt Taxable A.ount Subject to Tax Tax ht. Potentiel Tax Due x 24,566.97 16.667 4,094.58 .045 184.26 TAXPAYER RESPONSE To insure proper credit to your account, two (2) copies of this notice BUst accoBpaoy your PilIY.lIOt to the Rsvister of Wills# Hak. check payable to: nRegister Qf Mills, Agen~. x NOTE: If tax paRents ara II8de wi thin thr_ nil Bonths of the decedent's datil of dflath, YOU I18Y deduct a S:<: discount of the tilt)!: due# Any inheritance ux due will becOlle delinquent nine (9) BonthS ilIfter the date of death# PART ill The above inforll8tion and tax due is correct# 1# You eay choose to reBit pBY'..nt to the Register of wills with two copies of this notice to obtldn a discount Dr avoid interest, or you .ay chltCk box nAn and r-eturn this notice to the Register of Wills and an official assessBant will be issued by the PA O.par~ent of Rev8nU8. [CHECK ] ONE BLOCK ONLY B. [] The above asset has been or- will be reported and tax paid with the Pennsylvania Inheritance Ta)!: return to be filed by the decedBnt"s representative. C# 0 The above Infor_tion is incorrect and/or debts and deductions ....rB paid by you. You eust co~letB PART [!] and/or PART [!] below. PART [!J DATE PAID DEBTS AND DEDUCTIONS CLAIMED If you indicat. 1& di11.rent tax rat., pleasa state your relationship to decedent: PART ~ TAX RETURN - COMPUTATION LINE 1, o.t. Est8bli~ 2. Account Balance 3# Percent Taxabl. 4. Allount Subject to Tax S. Debts and Deductions 6. AIIount Taxable 7# Tax Rate 8. Tax Due OF TAX ON JOINT'TRUST ACCOUNTS 1 2 3 X .. 5 6 7 X 8 PAYEE DESCRIPTION AMOUNT PAID I . I TOTAL (Enter- on Line S of Tax Comput.tion) Under penalties of par-jury, I declare that the facts I ::i;.::bt~ ~;:~ EHld baUef. TAXPA~ER SIGNATURE have reported above are true, correct HOME ('o/,;-z..> ~ 't-~ ""ll \ ~ WORK ( > TELEPHON NUMB ~ end DATE