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Home My WebLink About06-06-06 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 ~.. 'r' ~I; INFORMATION NOTICE AND n[-i::'l'AXPAYER RESPONSE FILE ACN DATE NO. 21 06124314 05-25-2006 REY-1545 EX Af~ [Q9-DO> zeGS p P,I ,... .., ~. 2fST. OF FRANCES K BARRICK 5.5. NO. 172-36-0275 DATE OF DEATH 02-26-2006 COUNTY CUMBERLAND TYPE OF ACCOUNT [X] SAVINGS o CHECKING o TRUST o CERTIF. 0' REMIT PAYHENT AND FORHS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 JOHN J BARRICK 18 HOSFELT RD CARLISLE PA 17013 MEHBERS 1ST FCU 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. 57699 - 0 0 Date 0 1 - 0 9 - 1 989 Established x 7,119.22 16.667 1,186.56 .045 53.40 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". Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due 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 ill 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. x If you indicate a different tax rate, please state your relationship to decedent: 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 TAX ON JOINT/TRUST ACCOUNTS OF 1 2 3 4 5 6 7 8 x PART [!J DATE PAID DEBTS AND DEDUCTIONS CLAIMED PAYEE DESCRIPTION AMOUNT PAID I $ I TOTAL (Enter on Line 5 of Tax Computation) Under penalties of perjury, I declare that the facts I have reported above are true, correct and complete to the best of my knowledge and belief. HOME ( WORK ( TELEPHONE ) ) NUMBER DATE TAXPAYER SIGNATURE COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 *r. \ . c"" r'.r ' . L';~'!, _';, i ' "- . :,' ,-,,'-..' , INFORMATION NOTICE AND TAXPAYER RESPONSE FILE NO. 21 ACN 06124312 DATE 05-25-2006 REV-1545 EX AFP [09-00) I' p. ?Dns ,1 .,,,',.'-" ~, p',': 2: 2.\\0 EST. OF FRANCES K BARRICK S.S. NO. 172-36-0275 DATE OF DEATH 02-26-2006 COUNTY CUMBERLAND TYPE OF ACCOUNT o SAVINGS [X] CHECKING o TRUST o CERTIF . JOHN J BARRICK 18 HOSFELT RD CARLISLE PA 17013 REHIT PAYHENT AND FORHS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 HEHBERS 1ST FCU has provided the Department with the information listed below which has been used in calculating the potential ta~ 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 ta~able in accordance with the Inheritance Ta~ 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. 57699-11 Date 01-28-2000 Established Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x 1,973.08 16.667 328.85 .045 14.80 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 ta~ payments are made within three (3) months of the decedent's date of death, you may deduct a 5% discount of the ta~ due. Any inheritance tax due will become delinquent nine (9) _onths after the date of death. Tax PART ill A. [ CHECK ] ONE BLOCK B. ONLY c. [] The above information and tax due is correct. 1. You may choose to remit pay_ent to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, or you may check bo~ "A" and return this notice to the Register of Wills and an official asses~ent 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 _ust complete PART ~ and/or PART ~ below. PART [!] TAX RETURN - COMPUTATION lINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions &. Amount Taxable 7. Tax Rate 8. Tax Due TAX ON JOINT/TRUST ACCOUNTS If you indicate a different tax rate, please state your relationship to decedent: OF 1 2 3 4 5 & 7 8 x x PART ~ DATE PAID DEBTS AND DEDUCTIONS CLAIMED PAYEE DESCRIPTION AMOUNT PAID I $ I TOTAL (Enter on line 5 of Tax Computation) Under penalties of perjury, I declare that the facts I have reported above are true, correct and complete to the best of my knowledge and belief. HOME ( WORK ( TELEPHONE ) ) NUMBER DATE TAXPAYER SIGNATURE COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 ~'l--(-"~, l1aW.,r f-.::,i:~= INFORMATION NOTICE AND TAXPAYER RESPONSE FILE NO. 21 ACN 06124310 DATE 05-25-2006 REV-15~S Ex AFP ["-DOl ' TYPE OF ACCOUNT o SAVINGS [X] CHECKING o TRUST o CERTIF . 7r0K f!r.\f -F p,.,I",/)',' ... ,-, ... \,., .'"~ -,-'-' , -.J 2= 2L~ EST. OF FRANCES K BARRICK 8.S. NO. 172-36-0275 DATE OF DEATH 02-26-2006 COUNTY CUMBERLAND --r r,[ REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 JOHN J BARRICK 18 HOSFELT RD CARLISLE PA 17013 MEMBERS 1ST FCU 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 texable in accordance with the Inheritance Ta~ 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. 67896-11 Date 01-26-2000 Established Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x 1,743.34 16.667 290.56 .045 13.08 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 5Z discount of the tax due. Any inheritance tax due will become delinquent nine (9) months after the date of death. Tax PART ill 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 "An 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. PART @J DATE PAID DEBTS AND DEDUCTIONS CLAIMED 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. Amount Subject to Tax 5. Debts and Deductions &, Amount Taxable 7. Tax Rate 8, Tax Due TAX ON JOINT/TRUST ACCOUNTS OF I 2 3 4 5 & 7 8 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 have reported above are true, correct and complete to the best of my knOWledge and belief. HOME ( WORK ( TELEPHONE ) ) NUMBER DATE TAXPAYER SIGNATURE 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 BARRICK JOHN J 18 HOSFEL T RD CARLISLE, PA 17013 - ___un fold ESTATE INFORMATION: SSN: 172-36-0275 FILE NUMBER: 2106-0494 DECEDENT NAME: BARRICK FRANCES K DATE OF PAYMENT: 06/06/2006 POSTMARK DATE: 06/06/2006 COUNTY: CUMBERLAND DA TE OF DEATH: OS/25/2006 NO. CD 006797 ACN ASSESSMENT CONTROL NUMBER AMOUNT 06124314 I $50.73 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: JOHN J BARRICK CHECK# 357 SEAL INITIALS: WZ RECEIVED BY: REGISTER OF WILLS $50.73 GLENDA FARNER STRASBAUGH REGISTER OF WILLS 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 BARRICK JOHN J 18 HOSFEL T RD CARLISLE, PA 17013 _u_____ fold ESTATE INFORMATION: SSN: 172-36-0275 FILE NUMBER: 2106-0494 DECEDENT NAME: BARRICK FRANCES K DA TE OF PAYMENT: 06/06/2006 POSTMARK DATE: 06/05/2006 COUNTY: CUMBERLAND DA TE OF DEATH: OS/25/2006 NO. CD 006798 ACN ASSESSMENT CONTROL NUMBER AMOUNT 06124312 I $14.06 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: JOHN J BARRICK CHECK# 358 SEAL INITIALS: WZ RECEIVED BY: REGISTER OF WILLS $14.06 GLENDA FARNER STRASBAUGH REGISTER OF WILLS 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 BARRICK JOHN J 18 HOSFEL T RD CARLISLE, PA 17013 n_____~ fold ESTATE INFORMATION: SSN: 172-36-0275 FILE NUMBER: 2106-0494 DECEDENT NAME: BARRICK FRANCES K DATE OF PAYMENT: 06/06/2006 POSTMARK DATE: 06/05/2006 COUNTY: CUMBERLAND DATE OF DEATH: OS/25/2006 NO. CD 006799 ACN ASSESSMENT CONTROL NUMBER AMOUNT 06124310 I $1 2.43 I I I I I I I I TOTAL AMOUNT PAID: $ 1 2.43 REMARKS: JOHN J BARRICK CHECK# 359 SEAL INITIALS: WZ RECEIVED BY: REGISTER OF WILLS GLENDA FARNER STRASBAUGH REGISTER OF WILLS