HomeMy WebLinkAbout12-16-05 (2)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL I:A>Q::,S..
INHERITANCE TAX DIVISION '
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
~PPRAISEMENT, ALLOWANCE OR DISALLOWANCE
. OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
.. .JOINTL Y HELD OR TRUST ASSETS
REV-1548 EX AFP (06-05)
CLEF;;(
THOMAS J ~\tLi
22 HI l L Bl \iJi)\_f:r-l~--~
MECHANICSBURG PA 17055
DATE 12-19-2005
ESTATE OF YINGER FRANK E
DATE OF DEATH 08-12-2005
FILE NUMBER 21 05-0879
COUNTY CUMBERLAND
SSN/DC 203-24-8820
ACN 05150328
APPEAL DATE: 02-17-2006
(See reverse side under Objections)
Amount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
.~~ ~-C,.~ r,.) D~-~ !r;:'~ r::--'
, - Iii: '-' ..J I
CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
REV=is4S-EX-AFP-C03=Osi--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 12-19-2005
ESTATE OF YINGER
FRANK
E DATE OF DEATH 08-12-2005
COUNTY
CUMBERLAND
FILE NO. 21 05-0879
TAX RETURN WAS:
S.S/D.C. NO. 203-24-8820
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
05150328
FINANCIAL INSTITUTION: M & T BANK
ACCOUNT NO.
31003914465058
TYPE OF ACCOUNT: ()SAVINGS () CHECKING ()TRUST 0< )TIME CERTIFICATE
DATE ESTABLISHED 09-01-1994
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
36,410.42
0.500
18,205.21
.00
18,205.21
.15
2,730.78
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 (-)
11-08-2005 ..... CD005986 136.54 2,594.24
TOTAL TAX CREDIT 2,730.78
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
· 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" ( CRJ, YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
Qi-
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION ~',' ~ c','
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
,~~PPRAISEHENT, ALLOWANCE OR DISALLOWANCE
'-,Of:DEDUCTIONS, AND ASSESSHENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-1548 EX AFP (06-05)
~r-,,; r;:-r' I r
..~l,. .,-'J U,I"., "~I t 0
0" I'" ...-,
I Ii {: J I
DATE 12-19-2005
ESTATE OF YINGER FRANK E
DATE OF DEATH 08-12-2005
FILE NUMBER 21 05-0879
COUNTY CUMBERLAND
SSN/DC 203-24-8820
ACN 05150329
APPEAL DATE: 02-17-2006
(See reverse side under Objections)
Amount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
(';I':;~;I(
V\._.~.' I \
THOMAS J ~e't~
22 HILL BLvf:jIJ' '
MECHANICSBURG PA 17055
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS 4-
REY=is4S-EX-AFP-roi=osi--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 12-19-2005
ESTATE OF YINGER
FRANK
E DATE OF DEATH 08-12-2005
COUNTY
CUMBERLAND
FILE NO. 21 05-0879
TAX RETURN WAS:
S.S/D.C. NO. 203-24-8820
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
05150329
FINANCIAL INSTITUTION: M 8 T BANK
ACCOUNT NO.
65106776
TYPE OF ACCOUNT: ()SAVINGS ~) CHECKING ()TRUST ()TIME CERTIFICATE
DATE ESTABLISHED 08-01-1964
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
74,376.53
0.500
37,188.27
.00
37,188.27
.15
5,578.24
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 (-)
11-08-2005 ....... CDOO5986 278.91 5,299.34
TOTAL TAX CREDIT 5,578.25
BALANCE OF TAX DUE .01CR
INTEREST AND PEN. .00
TOTAL DUE .01CR
· IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT"" ( CR), YOU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. )
pJ.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL ,T~ES
INHERITANCE TAX DIVISION ,-- - ,-
PO BOX 280601
HARRISBURG PA 1712B-0601
NOTICE OF INHERITANCE TAX
, -"-- APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-1548 EX AFP (06-05)
:-. ~ ,..--, [r-
'_: :.:. 'oJ ;!) 1} 1 ~
c,
. l.,.J l
DATE 12-19-2005
ESTATE OF YINGER FRANK E
DATE OF DEATH 08-12-2005
FILE NUMBER 21 05-0879
COUNTY CUMBERLAND
SSN/DC 203-24-8820
ACN 05150335
APPEAL DATE: 02-17-2006
(See reverse side under Objections)
Amount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
THOMAS .c'OOdNN~t1/"!
("\":.~'--:'-:-'" "~"
22 HILL BbVD, , '
MECHANICSBURG PA 17055
CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS +-
REY=is4S-EX-AFP-rOj=osi--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 12-19-2005
ESTATE OF YINGER
FRANK
E DATE OF DEATH 08-12-2005
COUNTY
CUMBERLAND
FILE NO. 21 05-0879
TAX RETURN WAS:
S.S/D.C. NO. 203-24-8820
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
05150335
FINANCIAL INSTITUTION: SOVEREIGN BANK
ACCOUNT NO.
1685212217
TYPE OF ACCOUNT: ()SAVINGS () CHECKING ~ )TRUST ()TIME CERTIFICATE
DATE ESTABLISHED 11-10-1997
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
17,345.10
1. 000
17,345.10
.00
17,345.10
.15
2,601.77
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 (-)
11-08-2005 ....... CD005987 130.09 2,471.68
TOTAL TAX CREDIT 2,601.77
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
· 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"
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
. NOTICE OF INHERITANCE TAX
.. APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-1548 EX AFP (06-05)
(~r:'r:;:---1 ",":
THOMAS itj! '-oeo-NNELl'
22 HILL BLVD
MECHANICSBURG PA 17055
DATE 12-19-2005
ESTATE OF YINGER FRANK E
DATE OF DEATH 08-12-2005
FILE NUMBER 21 05-0879
COUNTY CUMBERLAND
SSN/DC 203-24-8820
ACN 05150336
APPEAL DATE: 02-17-2006
(See reverse side under Objections)
Amount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
ri":"'"'> r 5 P;; i2: 57
CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS +-
REY=is4S-EX-AFP-C03=Osi--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 12-19-2005
ESTATE OF YINGER
FRANK
E DATE OF DEATH 08-12-2005
COUNTY
CUMBERLAND
FILE NO. 21 05-0879
TAX RETURN WAS:
S.S/D.C. NO. 203-24-8820
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
05150336
FINANCIAL INSTITUTION: SOVEREIGN BANK
ACCOUNT NO.
1685211730
TYPE OF ACCOUNT: () SAVINGS () CHECKING 0< >TRUST (>TIME CERTIFICATE
DATE ESTABLISHED 05-09-1996
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
x
18,033.06
1.000
18,033.06
.00
18,033.06
.15
2,704.96
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 (-)
11-08-2005 ..... CD005987 135.25 2,569.71
TOTAL TAX CREDIT 2,704.96
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
· 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. )
RK
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL..TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
-APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
'OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-1548 EX AFP (06-05)
,", : r
I r')
..J 1 '...'
f",' '.'-. -. -,
" ~ ' '. ,'. '
'II i:' J i
DATE 12-19-2005
ESTATE OF YINGER FRANK E
DATE OF DEATH 08-12-2005
FILE NUMBER 21 05-0879
COUNTY CUMBERLAND
SSN/DC 203-24-8820
ACN 05150337
APPEAL DATE: 02-17-2006
(See reverse side under Objections)
Amount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
C'.,Q,Dl_+/" !'~ 1',-'1,' 'DT
THOMAS JlluuuNNI:LL ", I
22 HILL B(i;VbT-~' "
MECHANICSBURG PA 17055
CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS .....
REV=is4S-EX-AFP-rOj=osi--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 12-19-2005
ESTATE OF YINGER
FRANK
E DATE OF DEATH 08-12-2005
COUNTY
CUMBERLAND
FILE NO. 21 05-0879
TAX RETURN WAS:
S.S/D.C. NO. 203-24-8820
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
05150337
FINANCIAL INSTITUTION: SOVEREIGN BANK
ACCOUNT NO.
1685211540
TYPE OF ACCOUNT: ()SAVINGS () CHECKING ~ )TRUST ()TIME CERTIFICATE
DATE ESTABLISHED 10-05-1994
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
x
17,987.21
1. 000
17,987.21
.00
17,987.21
.15
2,698.08
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 (-)
11-08-2005 ...... CD005987 134.90 2,563.18
TOTAL TAX CREDIT 2,698.08
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
· 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" ( CRJ, YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. J
~
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAl,. TAXES..
INHERITANCE TAX DIVISION .
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSHENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-1548 EX AFP (06-05)
'r 1-\:1:::57
DATE 12-19-2005
ESTATE OF YINGER FRANK E
DATE OF DEATH 08-12-2005
FILE NUMBER 21 05-0879
COUNTY CUMBERLAND
SSN/DC 203-24-8820
ACN 05150338
APPEAL DATE: 02-17-2006
(See reverse side under Objections)
Amount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
THOMAS,"" S~;QL~~t,~~~~LJF;T
22 HIL~~-BlVD .
MECHANICSBURG PA 17055
CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS +-
REY=is4S-EX-AFP-rOj=osi--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 12-19-2005
ESTATE OF YINGER
FRANK
E DATE OF DEATH 08-12-2005
COUNTY
CUMBERLAND
FILE NO. 21 05-0879
TAX RETURN WAS:
S.S/D.C. NO. 203-24-8820
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
05150338
FINANCIAL INSTITUTION: SOVEREIGN BANK
ACCOUNT NO.
1685209338
TYPE OF ACCOUNT: ()SAVINGS () CHECKING ~ )TRUST ()TIME CERTIFICATE
DATE ESTABLISHED 01-25-1999
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
18,101. 65
1. 000
18,101. 65
.00
18,101.65
.15
2,715.25
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 RECEl PT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
11-08-2005 " CD005987 135.76 2,579.49
TOTAL TAX CREDIT 2,715.25
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
· 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 HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. )
RJ(
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL T~XE~.
INHERITANCE TAX DIVISION .
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
'-ilPPRAISEHENT, ALLOWANCE OR DISALLOWANCE
'OF, DEDUCTIONS, AND ASSESSHENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
12-19-2005
YINGER
08-12-2005
21 05-0879
CUMBERLAND
203-24-8820
05150339
APPEAL DATE: 02-17-2006
(See reverse side under Objections)
Amount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
LL
. r- -.,
. 0 J
[) ~
I: I
:r,:n:'1' ','.<',,1.,
THOMAS ,J.,!,,~O~E.~~' .......
22 HILL BLVD"
MECHANICSBURG PA 17055
REV-1548 EX AFP (06-05)
FRANK
E
TO:
CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS +-
REY=is4S-EX-AFP-roi=osi--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 12-19-2005
ESTATE OF YINGER
FRANK
E DATE OF DEATH 08-12-2005
CUMBERLAND
FILE NO. 21 05-0879
TAX RETURN WAS:
COUNTY
S.S/D.C. NO. 203-24-8820
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SOVEREIGN BANK
ACN
05150339
ACCOUNT NO.
1674000755
TYPE OF ACCOUNT: ()SAVINGS () CHECKING ~ )TRUST ()TIME CERTIFICATE
DATE ESTABLISHED 02-13-1998
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
41,214.13
1.000
41,214.13
.00
41,214.13
.15
6,182.12
X
TAX CREDITS:
PAYMENT
DATE
11-08-2005
RECEIPT
NUMBER
CD005987
DISCOUNT (+)
INTEREST/PEN PAID (-)
309.11
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."
AMOUNT PAID
5,873.01
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
· IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
{ IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" { CRJ, YOU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. J
6,182.12
.00
.00
.00
f<f..