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HomeMy WebLinkAbout11-09-05 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 O'CONNELL THOMAS J 22 HILL BLVD MECHANICSBURG, PA 17055 n______ fold ESTATE INFORMATION: SSN: 203-24-8820 FILE NUMBER: 2105-0879 DECEDENT NAME: YINGER FRANK E DA TE OF PAYMENT: 11/09/2005 POSTMARK DATE: 11/08/2005 COUNTY; CUMBERLAND DATE OF DEATH: 08/12/2005 REV-1162 EX(11-96) NO. CD 005987 ACN ASSESSMENT CONTROL NUMBER 05150335 I 05150336 I 05150337 I 05150338 I 05150339 I I I I I TOTAL AMOUNT PAID: REMARKS: THOMAS J. O'CONNELL CHECK# 2312 SEAL INITIALS: RSK RECEIVED BY: REGISTER OF WILLS AMOUNT $2,471.68 $2,569.71 $2,563.18 $2,579.49 $5,873.01 $16,057.07 GLENDA FARNER STRASBAUGH REGISTER OF WILLS C DELUXE W"LLET OR DlPUC~TE (r, r"~ K r'" rO r~ ;, ... g~ ~ : ~ n~ ~ ~ OHr .JJ5V'i ~ ~ I f ~ .. ~..11 -i I IP lJ1 - o IP (\'; -U ~.r', -U i,~ IP ~, ~ ~t UJl - If' ru'i~ ~ ~ I~ I\~ ~ 1(' I i;; ,~ ;l"' C:t ~: ~, "-..: ;l i=l. ....N ,... +" :>0,. .;: ('0 fi~ ~; ~l ;::l C=-J ,"" ~, "'- ;.- ,-. ~, tI ~.-- t.~. ~ <:; t\l ;:i r... , . (\) ;:i ~. o r' r' >- :::0 (j) 8) ~~~ ~~! ~ ! Q"' ",;,.. 0-< m..., "'0 0..., IR; >t (\) ~ "'-. ~ t"<;. (\) f'< C) ~ <=:: ~ -., ,S (\) ~ i:fi --.. -~.;"\ C) '-'1 ......J . C) '-.J -t s: ::J: Pl .,,0 J: :ciS: ~"')>~ (5"'ZW (JJJ:"c:.. 01- . cFmO JJ . _Gl~<<i -UClZO ~, G)z mZ Cj :c~ g: r- g ~/) tJ o ~ Cl <::; (\) ~ ~ (;) ~ <J\ .J) ~ "'19 ~'" "'~ ~ ~ ,"':.t:J I'..) C) ,~ '-.Tl N W P N -:11 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 05- 0879 05150339 1l-01-2005 REV-15~3 EX AFP 109-00) EST. OF FRANK E YINGER S.S. NO. 203-2~-~820 DATE OF DEATH 08~-2005 COUNTY CUMBERLAND TYPE OF ACCOUNT o SAVINGS o CHECKING IXI TRUST o CERTIF. THOMAS J OCONNELL 22 HILL BLVD MECHANICSBURG PA 17055 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 SOVEREIGN BANK has provided the Department 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 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 Commonwealth of pgnnsylvania~ QUQsticns may be answsr9d by calling (7!?~ 187-8327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 1674000755 Date 02-13-1998 Established Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x 41,214.13 100.00 41,214.13 .15 6,182.12 TAXPAYER RESPONSE To insure proper credit to your account, two (2) copies of this notice must accompany your payment 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 may deduct a 5% discount of the tax due. Any inheritance tax due will become delinquent nine (9) months after the date of death. Tax PART [!] A. 'fVi'I'The above information and tax due is correct. ~ 1. You may 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. [CHECK ] ONE BLOCK ONLY B. [J 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. C. [J The above information is incorrect and/or debts and deductions were paid by you. You must complete PART ~ and/or PART ~ below. PART [!] DATE PAID DEBTS AND DEDUCTIONS CLAIMED If you indicate a different tax rate, please state your relationship to decedent: PART [3J TAX RETURN - COMPUTATION LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due OF I 2 3 4 5 6 7 8 x TAX ON JOINT/TRUST ACCOUNTS x PAYEE DESCRIPTION AMOUNT PAID TOTAL CEnter on Line 5 of Tax Computation) I $ perjury, I declare that the facts I and belief. have reported above are true, correct and HOME (7/ 7) 7 b-c?# .i/ /' ~ WORK ( ) /f//A // - /y ,.. &f.:!>-- TELEPHONE NUMBER DATE 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 05- 0879 05150338 11-01-2005 REV-1SQ5 EX AFP 109-001 EST. OF FRANK E YINGER S.S. NO. 203-24;~820 DATE OF DEATH 08-~-2005 COUNTY CUMBERLAND TYPE OF ACCOUNT o SAVINGS o CHECKING !Xl TRUST o CERTIF. THOMAS J OCONNELL 22 HILL BLVD MECHANICSBURG PA 17055 REHIT PAYHENT AND FORHS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 SOVEREIGN BANK has provided the Oepartllent 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 from the financial institution, attach a copy to this forll and return it to the above address. This eccount is taxable in accordance with the Inheritance Tax Laws of the Comllonwealth of Pennsylvania. Questions may be answered by c~lling (717) 787-8327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 1685209338 Date 01-25-1999 Established Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x 18,101.65 100.00 18,101.65 .15 2,715.25 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 may deduct a 5% discount of the tax due. Any inheritance tax due will become delinquent nine (9) months after the date of death. Tax PART [!] A. ~The above information and tax due is correct. 1. You may 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. [CHECK ] ONE BLOCK ONLY B. [] 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. C. [] The above information is incorrect and/or debts and deductions were paid by you. You must complete PART ~ and/or PART ~ below. If you indicate a different tax rate, please state your relationship to decedent: PART [!J DATE PAID DEBTS AND DEDUCTIONS CLAIMED PART ~ TAX RETURN - COMPUTATION LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due OF TAX ON JOINT/TRUST ACCOUNTS 1 2 3 4 5 6 7 8 x x PAYEE DESCRIPTION AMOUNT PAID TOTAL (Enter on Line 5 of Tax Computation) I $ perjury, I declare that the facts I knowledge and belief. have reported above are true, correct and HOME (7/1) ttb -# q 7& WORK ( ) V/.A //- f?-t16 TELEPHONE NUMBER DATE 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 05- 0879 05150337 11-01-2005 REV-1545 EX AFP 109- 00) EST. OF FRANK E YINGER S.S. NO. 203-2~~820 DATE OF DEATH 08~2005 COUNTY CUMBERLAND TYPE OF ACCOUNT o SAVINGS o CHECKING !Xl TRUST o CERTIF. THOMAS J OCONNELL 22 HILL BLVD MECHANICSBURG PA 17055 REHIT PAYHENT AND FORHS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 SOVEREIGN BANK has provided the Department 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 owne,'/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 Commonwealth 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. 1685211540 Date 10-05-1994 Established Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x 17,987.21 100.00 17,987.21 .15 2,698.08 TAXPAYER RESPONSE To insure proper credit to your accountl two (2) copies of this notice must accompany your payment 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 may deduct a 5% discount of the tax due. Any inheritance tax due will become delinquent nine (9) months after the date of death. Tax PART [!] A. 1'VI'The above information and tax due is correct. ~ 1. You may 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 "An and return this notice to the Register of Wills and an official assessment will be issued by the PA Department of Revenue. [CHECK ] ONE BLOCK ONLY B. [] The above asset has been or will be reported and tax paid with the Pennsylvania Inheritanc:e Tax return to be filed by the decedent.s representative. C. [] The above information is incorrect and/or debts and deductions were paid by you. You must complete PART ~ and/or PART ~ below. PART [!] DATE PAID DEBTS AND DEDUCTIONS CLAIMED If you indicate a different tax rate, please state your relationship to decedent: PART [!I TAX RETURN - COMPUTATION LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax S. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due OF 1 2 3 4 S 6 7 8 x TAX ON JOINT/TRUST ACCOUNTS x PAYEE DESCRIPTION AMOUNT PAID TOTAL CEnter on Line S of Tax Computation) I $ Under penalties of perjury, I declare that the facts I complete to the best of my knowledge and belief. ~ ~;7UW c:'7 /-h'-??z:1L.-/L __ TAXPAYER SIgNATURE have reported above are true, correct and HOME (7/;') 7k~" ~~ 7"~ WORK ( ) AI/A /J - y- t15 TELEPHONE NUMBER DATE 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 05- 0879 05150336 11-01-2005 REY-1545 EX AFP (D9-DDl EST. OF FRANK E YINGER S.S. NO. 203-2~-~820 DATE OF DEATH 08~~-2005 COUNTY CUMBERLAND TYPE OF ACCOUNT D SAVINGS D CHECKING IX] TRUST D CERTIF. THOMAS J OCONNELL 22 HILL BLVD MECHANICSBURG PA 17055 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 SOVEREIGN BANK has provided the Department 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 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 Commonwealth 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. 1685211730 Date 05-09-1996 Established Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x 18,033.06 100.00 18,033.06 .15 2,704.96 TAXPAYER RESPONSE To insure proper credit to your account, two (2) copies of this notice must accompany your payment 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 may deduct a 57. discount of the tax due. Any inheritance tax due will become delinquent nine (9) months after the date of death. Tax PART m A. E The above information and tax due is correct. 1. You may 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. [CHECK ] ONE BLOCK ONLY B. [J 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. C. [J The above information is incorrect and/or debts and deductions were paid by you. You must complete PART ~ and/or PART ~ below. PART @] TAX RETURN - COMPUTATION If you indicate a different tax rate, please state your relationship to decedent: DEBTS AND DEDUCTIONS CLAIMED OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Date cbtablisnea ~ 2. Account Balance 2 3. Percent Taxable 3 4. Amount Subject to Tax 4 5. Debts and Deductions 5 6. Amount Taxable 6 7. Tax Rate 7 8. Tax Due 8 PART ~ DATE PAID PAYEE x x DESCRIPTION AMOUNT PAID I TOTAL (Enter on Line 5 of Tax Computation) I $ Under penalties of perjury, I declare that the facts I complete to the best of my knowledge and belief. ::: ~t-d4 C) /~J.~'lL{;> L... TAXPAYER SI~NATURE have reported above are true, correct and HOME (7/7) 7tt?-ij/f7~ WORK ( ) /f//A /1 - y, t75- TELEPHONE NUMBER DATE 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 05-0879 105150335 11-01-2005 REV-154l EX AFP 109-00) EST. OF FRANK E YINGER S.S. NO. 203-2~~820 DATE OF DEATH 08;.It-2005 COUNTY CUMBERLAND TYPE OF ACCOUNT o SAVINGS o CHECKING IX] TRUST o CERTIF. THOMAS J OCONNELL 22 HILL BLVD MECHANICSBURG PA 17055 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 SOVEREIGN BANK has provided the Department 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 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 Commonwealth of Pennsylvania. QUAstions may be answerpd by r.al!ing r717~ 787-8377. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 1685212217 Date 11-10-1997 Established Account Balance Percent Taxable A.ount Subject to Tax Rate Potential Tax Due x 17 ,345 .10 100.00 17 ,345 .10 .15 2,601.77 TAXPAYER RESPONSE To insure proper credit to your account, two (Z) copies of this notice must accompany your payment 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 may deduct a 5% discount of the tax due. Any inheritance tax due will become delinquent nine (9) months after the date of death. Tax PART [!] A. [ CHECK ] ONE BLOCK B. ONLY c. ~ The above information and tax due is correct. ~ 1. You may 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 and deductions were paid by you. You must complete PART ~ and/or PART ~ below. If you indicate a different tax rate, please state your relationship to decedent: PART @J TAX RETURN - COMPUTATION LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. A.ount Subject to Tax S. Debts and Deductions 6. A.ount Taxable 7. Tax Rate 8, Tax Due PART ~ DATE PAID DEBTS AND DEDUCTIONS CLAIMED OF TAX ON JOINT/TRUST ACCOUNTS 1 2 3 4 5 6 7 8 x x PAYEE DESCRIPTION AMOUNT PAID I TOTAL (Enter on Line 5 of Tax Co.putation) Under penalties of perjury, I declare that the facts I co.plete to the best of .y knowledge and belief, .;..;;' att'-;7..Jtrt-t1 c~:: tt~<'I.?Z~Z.It' TAXPAYER SI ATURE I $ have reported above are true, correct and HOME ("7/1) "7t:~ .1f~;; WORK ( ) /~~ TELEPHONE NUMBER . Y A - //-- -v5 DATE r l. ~ ~ ~ ~... f; ~. '>! \~ ~~ ~, :\. ,. ~ ~ ~"\ <::-,. , ~~ t\ ~ \0- ~ ~ ~ ,,~~ t:- ~ ~ ~ ~ ~ ~ t\ \s r , (~ ~ ~, a !:;;ooN~ """N..., g.~d ~ Eo I t::'!:l:IS @.[e; I:i ':-< ~ 0 ~ ~ ~ ~ VI VI i ~ '" .~ ,~R:~&~ " r -.: :3: :: '. Cl' - ~' \,. ;0 [ L \ ~ . .~.\