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Home My WebLink About11-09-05 (2) 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 NO. CD 005986 O'CONNELL THOMAS J 22 HILL BLVD MECHANICSBURG, PA 17055 ACN ASSESSMENT CONTROL NUMBER AMOUNT n_nn_ 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 05150328 05150329 $2,594.24 $5,299.34 TOTAL AMOUNT PAID: $7,893.58 REMARKS: THOMAS J. O'CONNELL CHECK# 2311 SEAL INITIALS: RSK RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS 'l' '~, !I) ill: illl ...-i 'i, ...-i ~~ ("') 'j C\J i;'j I! i~ ~ f1 11 I Ij: III ! ~j I'I~~ It? r;g 1iJ1,.J I' /", u:l a: ~ vzw f'-.. JclZO .<<: Ii O~S;a. II U>iIlc:i ! Ow --,!I: Iii i~~i I o~ &3 J: "" I- ~ ,-..., ~~ ... .tj,iD1 M ;;::: b ;; ~ '" -< o l{, C: c:. c< -':' c-:J '" ...... ~ ~ ~ I ~ c: \\! :~ ~ ~ "-.J ::.'3 ~ o ..: \\! ~ o~ ~ \\! .~ '" :C'" f-<o 0", f-<", >-00 -<'" ,,"0 <EI CJ) ~ ~ ~ ~I 1::1 .-.. ~ \ll 2 \\! \\! ~u '""' t::-..l -t? :j.. dc, ~ "~ u -J c .~ ~ -~ -..l --~ <:j 0"'; ~~ .N -6""t:l C"' c: ~ ~ ::;:: ~ -r: o~ ..0 ""t:l c: (j ~ ::l c ""' I::: l:' \\! ~ \\! V) r W~ 'r-- ill \\! .:i~og SIl tj ~IB ~ 101-4 ~i5 ~ ~U c~ II ~~' ri Ii :1 !I .i t: II' (i :; \J \J ~I .~! ~i \'~I ~.Jl "':\ I \ I ~~'I ~'~ii RI ~ Iii . ~j LlI I' 'I'\! C'- I! 'J ~ i - I j.' j:i II 1-'1 ! ! . L.Il LlI \ (' .. L.Il L.Il IJ'" ru o r1'l - .... r1'l ~ ~ ~ - 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 05150328 1l-01-2005 REV-1545 EX AFP 'D9-DDl EST. OF FRANK E YINGER S.S. NO. 203-24-8820 DATE OF DEATH 08-12-2005 COUNTY CUMBERLAND TYPE OF ACCOUNT o SAVINGS o CHECKING o TRUST IX] 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 M & T BANK has provided the Department with the inforllation 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) 787-8377. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 31003914465058 Date 09-01-1994 Established Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x 36,410.42 50.000 18,205.21 .15 2,730.78 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 [TI 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. [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. [J 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 ~ TAX RETURN - COMPUTATION OF LINE 1. Date Established 1 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 DEBTS AND DEDUCTIONS CLAIMED TAX ON JOINT/TRUST ACCOUNTS x x PAYEE 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. ~::;~~I~Af~~V/U/'~ have reported above are true, correct and HOME (7/ 7) 7L.~'- #LJ76 WORK ( ) NLA /1- }/-/J5 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 NO. 21 05-0879 ACN 05150329 DATE 1l-01-2005 REV-1545 EX AFP [09-00> I EST. OF FRANK E YINGER 5.5. NO. 203-24-8820 DATE OF DEATH 08-12-2005 COUNTY CUMBERLAND TYPE OF ACCOUNT o SAVINGS [Xl CHECKING o 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 M & T 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 ~ay bs answered ~y ~9Jling (717) 787-8327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 65106776 Date 08-01-1964 Established Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x 74,376.53 50.000 37,188.27 .15 5,578.24 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... Tax 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. PART !!J 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 OF LINE 1. Date Established 1 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 DEBTS AND DEDUCTIONS CLAIMED TAX ON JOINT/TRUST ACCOUNTS x x PAYEE DESCRIPTION AMOUNT PAID TOTAL (Enter on Line 5 of Tax Computation) perjury, I declare that the facts I and belief. I $ r ------r E3 ==~~ 8-g~ 2,t:l:lg n ......., ~aCi1 ~ ~ ~ 8 .... 5 ~ ~ \Jl \Jl i..... ....1 '''I f.., f..:, (.-' ", ,',I ;:,) I.l:! f'.) r~ ~ ~-1' ,'\r ~ r ~ ~ ,~ ~ "\ ~ ~ ~ ~ i ~ ~~, , ~ ~ ~ ~ ( \~ f ~ g V.,! :r :> ~ ~ H ." \,e,! z o " f,,) W C ~>'../ o ::0 if'. Q v 3: - n ~. ...~ ,:.i;' i...l, ;...; ....J ~ '4