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Home My WebLink About07-06-06 COMMONWEALTH OF PENNSYLVANIA I' IJEPAR", r~NT 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 DISILVERIO ALBERT T 8916 HANNIGAN CT TAMPA, FL 33626 __nnn fold ESTATE INFORMATION: SSN: 187-14-1425 FILE NUMBER: 2106-0599 DECEDENT NAME: HOMER IRMA M DA TE OF PAYMENT: 07/06/2006 POSTMARK DATE: 07/03/2006 COUNTY: CUMBERLAND DA TE OF DEATH: 03/29/2006 NO. CD 006927 ACN ASSESSMENT CONTROL NUMBER AMOUNT 06129136 I $79.29 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: CHECK# 3196 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS $79.29 GLENDA FARNER STRASBAUGH REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 *R INFORMATION NOTICE AND CO TAXPAVER"RESPONSE ACN DATE FILE NO. 21 Ola S-- <1Cj 06129136 06-28-2006 REY-1543 EX AFP 109-00) r , (::)D: Vjl. j (', ; EST. O~c.RMA M HOMER S.S. NO. 187-14-1425 DATE OF DEATH 03-29-2006 COUN~Y CUMBERLAND TYPE OF ACCOUNT D SAVINGS D CHECKING D TRUST \Xl CERTIF. 7'Y~ 1" .'..'r vU ALBERT T DISILVERIO 8916 HANNIGAN CT TAMPA FL 33626 REHIT PAYHENT AND FORHS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 HEHBERS 1ST FCU has provided the Departllent 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 froll the financial institution, attach a copy to this forll and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Comllonwealth 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. 15692-63 Date 08-02-2001 Established x 3,523.78 50.000 1,761.89 .045 79.29 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". Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x Tax 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 [!] 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 Depertment 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 [!J 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 PART ~ DATE PAID DEBTS AND DEDUCTIONS CLAIMED PAYEE DESCRIPTION AMOUNT PAID I TOTAL (Enter on Line 5 of Tax Computation) I $ declare that the facts I have reported above are true, correct and and belief. HOME ( WORK ( TELEPHONE ) ) NUMBER DATE I,J, ",I o :::u p P /iJ \:' -Q ~ S C; ~ Ci,} ~ r- ID - (/) ;;0 ;;b r- r- I "1"J ~ ~ ~ 'J ~ -n ~ (:J () - ~ '-.j \) ~ 1- -..... G \) r- c::::: 0) ;h '-t .0":. (.,1 '" " (,.I (..1 () I..... - - ~ ~ C:' ~ I):, ~ ',~ J........ I' ..1. 07 ;/.: : ''': e', - - ~-':, ;'J-/ ~ l...l ,:..,.j ..,. ;Ill ...'....- V , .'r":J ii', :Tj: ,(),,:"(:.J','; ._...... _;VI.-J...lV' '....... .~l;\..JV__ ff~ liY -lID!: ~ "'~ " m~ ,II ~i ~::l::l. ~i.:-I 8l'!l!2 ~o~ ",g~ ~:+ S. 0 IJj l..J C -1 r )) ~ .... oS "0 l> 'V "Ti S r VI l,;') 0J r ell t-J, ,.,1 (:I t-J' (.J ..... I'.,i ':.,1 :", I... ...t. - - - - - - - == - - !:l <;,f ".,,, -=~~~ l;-~! .~ -lCXliil: If '" ~ 3 ~. ." "'~ .If i= Ii "''':1 ~~.~ Ill!:Q ~O~ "-Jg~ ~::+S' '" (:! :::::u p ~ in ~ ~ ....... ~ "'^ ~ ~ 7=' ~ r- p ~ 0 r- r-- ii' t c:> a ~ 17 f-- p .- . , ~ .- ~ (;J l...! -- ...... C -I "1"'" '-.J r- r jfI} r:J. "'lC' ~ ~ () \- - (J :.".1 -...,. VJ }~ W \:. ~~ """ .. H ~ '7 r ,"" t!i ~AJ (., ". f't 1- ...11 v.~ '~0 ::r- .J ~ ...~.. '. \ (\ Z ::~ \ \ ~~ (\.- ~L.1 -' COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT 260601 HARRISBURG, PA 17126-.01 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT DISIL VERIO ALBERT T 8916 HANNIGAN CT TAMPA, FL 33626 n__U__ fold ESTATE INFORMATION: SSN: 187-14-1425 FILE NUMBER: 2106-0599 DECEDENT NAME: HOMER IRMA M DATE OF PAYMENT: 07/06/2006 POSTMARK DATE: 07/03/2006 COUNTY: CUMBERLAND DA TE OF DEATH: 03/29/2006 NO. CD 006928 ACN ASSESSMENT CONTROL NUMBER AMOUNT 06129137 I $534.78 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: CHECK# 3191 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS $534.78 GLENDA FARNER STRASBAUGH REGISTER OF WILLS OR' (" ,I '" ......J\,; l'lPE of ACCOUNl EST" ~~. ~1\l'I~ II 1I0llER 0 s...... 5.5. 1<0'. I';J 181-14-14Z5 OollECl'DlG DAn: Of DEA'tII 0~_Z9-Z006 0 tRIISt co1lll'l"l CUll8ER1~ND \)(\ OE"'" REKIT pt.YMENT t.ND fORKS TO ~ REGIS1ER Of WIllS CUMBERlAND CO COURl "OUSE CARlISlE, PA 17013 fILE MO. 2.1 Ol.o 5C'.{\ AeM 0612.9137 DATE 06_2.8-2.006 ------- )N"'E~L 1\\ Of PENNSYLI/~NI~ Rllo\ENl Of REI/EtlUE ,AU Of INnII/Il)11~L l~}(ES \. zao&01. RISSURG, PA 1.11.Za-O&01. - 1NrOR~AT10N NOT1CE AND TA)(PA "l'\E~",,1l~S PONS E . '''"'I . ., "j,-';j:-. i.;= ~E~_1543 EX Id'P (119-00) LunG '- AlBERl 1 DISIlVERIO 8916 "ANNIGAN Cl lAMPA fl 3362.6 ... ...,..,... .........' .,,, ... .......',.. ".... ,.... ",.. ,., ,,.. ."" ,. .........i 1S~ ,CU, " , ""'..... ThO" ...:"'. i"''''''' -'" ... -" .. - - .-" ," ".. · jo'" -,'-""'" .. ..,,.,,, .. ."..." ..' . . ' . ....,. .."'" ......',.. ..... - ,,""".,., ,.."..."... .,- . ..., ",. .......,. " .... _, "" >n.....".. " '"'':''i''' · on~, ...",... ......-' .,,, ... ,-"- ,.. ..... ., - ~'" .. "" .... ... ..,.~ " .. ... ...... -.... ,..' ....... . .. ,.....'_,.. ....."... on' ... ........ '" .,,"" "n' ",_.W' COllP1ETE PART 1 _EloM . . . sEE REVERSE StDE fOR ftlt,.G AND PA~lIE"T t,.STRUCTtal<S ..."...., "". 1569Z-6. .." 08_09-1995 ,. ,..... ,..... ...." .. ,... .......,. ... OD copies of this l'Io"tice IIUS"t acco",pan~ ~oUr E''''''- ..-' .. ... ..."'" ., "".- .......... Z3 .161 . 91 ,..,.." "" ....''''' .' Vi"" ........ 50.000 11,883.96 .045 534.78 TA)(PAYER RESPONSE t.cc()\,ll'\t Balance percent Taxable t..ount subject to TaX Rate potential TaX t)U8 x MOlE' If "tal< pa~IIel'l"ts are ",ade wi"thil'l "three (3) I'IOnths of the decedel'l"t' s da"te of death, ~ou lIa~ deduc"t a SY. diSCOUI'I"t of "the "tal< dUe. ~I'I~ il'lheri"tal'lCe "tal< dUe wn1. becolle de1.il'lquel'l"t l'Iine (9) lloo"ths af"ter "the da"te of dea"th. TaX x l C"EC\{ J ONE BlOC\{ ONl'l c. 0 ThO _" ,.W",," 'Wi'-' "",.\!i""... ....."....... ,."" ,,.. ,.....' ....,... ,.., ~...," ..., t!J"'''' .." " you .....00'. . ..".....' ,a>< ro'" .,.... ..... your (!} r""''''''. '0 ~t, TA~ RETURN _ COllPUTATtal< Of TA~ ON JotNT/TRUST ACcOUNTS LINE 1. Date EstabliShed 1 Z. t.ccount Balance Z 3. percent Taxable 3 4. t..ount Subject to TaX 4 5. Debts and DedUctionS 5 6. t..ount Taxable 6 7. TaX Rate 7 8. TaX Due 8 ,. "" ThO __ .._"" ... ~ ... .. ~..~" "'1.1.'~"~' - of ....is l'Io"tice "to ob"tail'l ""', ". _ __ .. ..." ,..._' .. _ ...,.". .... ,...,.~ _'" w . . ....-' .. ..." i.'....'. " ...'" ..... .... "," ~. ....... "',. M"" .. - ...,.... .. .",. ... "" ...,.,., .........' .", .. .,.... .. ... " .........' .. ........ S. 0 ,.. -.. ....' "". .... " .,,, ... .-"" ... ... .... .,,, - ,.....,...'. ,.....,-- ,,. ..",~ "to be fi1.ed bY "the decedel'l"t's represel'l"ta"ti"e. pt.RT \TI DEBTS AND DEDUCT toNS C1AtllED AMOUNl fAID DESCRIP110N pt.RT @ DAlE fAID PA'lEE totAL (En,.r on L'nO . o' t.. 0......'.0., of por"'" 1 ...,... thO' thO ...t. 1 "" ,,,0'- .... ....... KOllE $ ---- COMMONWEALTH OF PENNSYLVANIA OEPARTMENT 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 DISll VERIO ALBERT T 8916 HANNIGAN CT TAMPA, Fl 33626 u_uu_ lold ESTATE INFORMATION: SSN: 187-14-1425 FILE NUMBER: 2106-0599 DECEDENT NAME: HOMER IRMA M DA TE OF PAYMENT: 07/06/2006 POSTMARK DATE: 07/03/2006 COUNTY: CUMBERLAND DATE OF DEATH: 03/29/2006 NO. CD 006932 ACN ASSESSMENT CONTROL NUMBER AMOUNT 06129135 I $439.62 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: CHECK# 3194 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS $439.62 GLENDA FARNER STRASBAUGH REGISTER OF WillS COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 *' INFORMATION NOTICE AND :::~-A,y:'~:(\~e~ PONS E . "." -'....'. '\_"L... '. .. ACN DATE FILE NO. 21 0 lo 5-fJ Cj 06129135 06-28-2006 REV-150 EX AFP (09-00> J&ST~ OF: I~MA M HOMER SJ. SI: i tin: I ':J 187-14-1425 DATE OF DEATH 03-29-2006 COUNTY CUMBERLAND TYPE OF ACCOUNT D SAVINGS D CHECKING D TRUST [Xl CERTIF. ALBERT T DISILVERIO 8916 HANNIGAN CT TAMPA FL 33626 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 MEMBERS 1ST FCU has provided the Departllent 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 inforllation is incorrect, please obtain written correction froll 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 Comllonwealth 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. 15692-61 Date 08-09-1995 Established x 19,538.66 50.000 9,769.33 .045 439.62 TAXPAYER RESPONSE To insure proper credit to your account, two (2) copies of this notice lIust accompany your paYllent to the Register of Wills. Make check payable to: "Register of Wills, Agent". Account Balance Percent Taxable A.ount Subject to Tax Rate Potential Tax Due x Tax NOTE: If tax paYllents are lIade within three (3) lIonths of the decedent.s date of death, you may deduct a 57. discount of the tax due. Any inheritance tax due will becolle delinquent nine (9) lIonths after the date of death. PART [!] A. [ CHECK ] ONE BLOCK B. ONLY c. ~ The above information and tax due is correct. ~l. 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 lIay 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 IIUst cOllplete 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. A.ount Subject to Tax 5. Debts and Deductions 6. A.ount Taxable 7. Tax Rate 8. Tax Due OF TAX ON JOINT/TRUST ACCOUNTS 1 2 3 4 5 6 7 8 x PART ~ DATE PAID DEBTS AND DEDUCTIONS CLAIMED PAYEE DESCRIPTION AMOUNT PAID I $ I TOTAL (Enter on Line 5 of Tax Co.putation) declare that the facts I have reported above are true, and belief. ( I oG. T . ~ ^ \0 r\l \.-'""j; "1 l~ i ( ~ '., -,;;;,.: :, 1:",' ~ Ck. ~ ~{ ;:[i C ,~\ ~~ r'''' f....i t', () <t> .g 1: S; ~lJ~ =UN is ~,!!! I- '~ Ii 10.. _ 2i J: !. ~~i 2m..... 1{ (}h V'\ ::::l ..... ~ 'llJ ,~ 6 I Pwr !J..l '.J) -::, ::J --r- - ~ ~ C) c:J ~ cJ ll. ~ ~ lL.' +- . V') - ~ ~ <;J ~ <t -! ~ ~ ~ ~ ,:) cJ Q \:J r- - - ,~ - - - ~ Q.. ~ -J V) ..:1 c:l. ~ -cJ N in 1\' ft) ..... f') .,.+ .., 1.- I'.. :,.+ ~ 'J.! - - - ~ ":J - ~ - ~ - - --- - ,.., t~ -+- - .~. r'~ .~ - h., 'I; "::J - - ; '1'<" f\~ .i' t8 ~ 'J.. Q. - '1 V) CJ - :'<, 8 '.\. -J :r -1 (J - ;~ ,..;,J - -. - ,.;.j .... () ('.. 1"""J ~ - -- - -/:('0, \:J ""':: 1,", V - J..l. ~ N Q... i1l .~ g ':'.1 1. f':f ~ '. '. f') ~ lJ..! .,.., 0 s:::- -J -J r... ~ .,.., ll! V) +== ~ -::T V) 0 ,~ ........ cr- ~ ~ L!2. ~ G:::: cJ -"_.' . -.: '~ o ro .~li;,_, ,. fl3~ -1.:;1 /' a~~ r: .gt p) jl~r ID'3 ir '''1 ~,~,:U~ ~ . ~l.!~ "-~ e '''''''' I .-------- II ~ \ \ \\. 'c <. ')' '\"\,,\ ,,' l,' ,,'\, <,. t ~ " ,r; i f , III J {/ ( (( i '\\\\\\ ,\ '\ '\ \ \, ;.0 r~ H'o!:t \.,fl \ '.... ~1... i~ ''J.. ~t :~ ~.~ ';8 ~ _. d , j ft', f'" 'd o co !t~:\~! I' D~~ !'l~. ID3 'i" t:~ ~\ .>v la I.J.! - V':'l "') - ~ := - - - - -Q - - - -::J - - ~ - D CJ :::: a - - - b ~ - cJ - - ~ N CL \j1 g l.~'t ., f') ~ ". i';~ :J ul .,-1 () ---1 r'" ~ .,-1 VJ ~ :j cD ri... ~ ~ ~ -c) V\ ~ -1 ..., ~ .LL .~ -.;::: ~ +- .....r"\ --> cr &.. <::x:: ; , ,ir " ,,-'I_:ut 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 DISllVERIO ALBERT T 8916 HANNIGAN CT TAMPA, Fl 33626 n_nn_ fold ESTATE INFORMATION: SSN: 187-14-1425 FILE NUMBER: 2106-0599 DECEDENT NAME: HOMER IRMA M DATE OF PAYMENT: 07/06/2006 POSTMARK DATE: 07/03/2006 COUNTY: CUMBERLAND DA TE OF DEATH: 03/29/2006 NO. CD 006931 ACN ASSESSMENT CONTROL NUMBER AMOUNT 06129134 I $439.62 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: CHECK# 3192 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS $439.62 GLENDA FARNER STRASBAUGH REGISTER OF WillS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT DF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. Z80601 HARRISBURG, PA 171Z8-0601 * INFORMATION NOTICE ..... V-,..... r. _ AND '.. ,.Q~,; /:'.) :\l~~~ER RESPONSE FILE ACN DATE NO.21 OG sqc1 06129134 06-28-2006 REV-1545 EX AFP' (D9-D1ll 2GO;~ -6 "'" to :! I.J::S i:i OF IRMA M HOMER S.S. NO. 187-14-1425 DATE OF DEATH 03-29-2006 COUNTY CUMBERLAND TYPE OF ACCOUNT o SAVINGS o CHECKING o TRUST [Xl CERTIF. ALBERT T DISILVERIO 8916 HANNIGAN CT TAMPA FL 33626 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 MEMBERS 1ST FCU has provided the Department with the inforllation listBd below which has been usad in calculating the potential tax due. Their records indicate that at the death of the above decedant, you ware a joint owner/benaficiary of this account. If you feal this inforllation is incorract, please obtain written correction from the financial institution, attach a COpy to this form and return it to the above address. This account is taxabla in accordance with the Inheritanca Tax Laws of the Commonwealth of Pannsylvania. Questions lIay ba answered by calling (717) 787-83Z7. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 15692-62 Date 08-09-1995 Established Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x 19,538.66 50.000 9,769.33 .045 439.62 TAXPAYER RESPONSE To insura proper credit to your account, two (Z) copias of this notice IIUSt eccollpany your payment to the Registar of Wills. Make check payabla to: "Register of Wills, Agant". x NOTE: If tax paYllents are lIade within three (3) lIonths of tha dacedent.s data of death, you lIay daduct a 5X discount of the tax due. Any inheritance tax due will becolle 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 rellit 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 assessllent will be issued by the PA Department of Revenue. [J The above asset has bean or will be reported and tax paid with the Pennsylvania Inheritance Tax return to be filed by tha decadent.s representative. [J The above information is incorrect and/or debts and deductions were paid by you. You IIUSt cOllplete 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 @] 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 I $ TOTAL (Enter on Line 5 of Tax Computation) Under penalties of perjury, I declare that the facts I complete to the best of my knowledge and belief. true, correct and 1Y_5 g-r 3 7. 07 03 (It, 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 DISllVERIO ALBERT T 8916 HANNIGAN CT TAMPA, Fl 33626 ___nn_ fold ESTATE INFORMATION: SSN: 187-14-1425 FILE NUMBER: 2106-0599 DECEDENT NAME: HOMER IRMA M DA TE OF PAYMENT: 07/06/2006 POSTMARK DATE: 07/03/2006 COUNTY: CUMBERLAND DATE OF DEATH: 03/29/2006 NO. CD 006930 ACN ASSESSMENT CONTROL NUMBER AMOUNT 06129139 I $484.53 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: CHECK# 3195 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS $484.53 GLENDA FARNER STRASBAUGH REGISTER OF WillS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 '*' INFORMATION NOTICE _,~ AND TAX~A'Yn ,1tE~QNS E ~. -' "-- ',.' .~), '1".,:1 :, ACN DATE FILE NO. 21 0Z0 Sq~ 06129139 06-28-2006 REV-1545 EX AFP 109-DOl ,-ES.T-;' ,:OFFiI~~~ lfob HOMER S.S. NO. 187-14-1425 DATE OF DEATH 03-29-2006 COUNTY, CUMBERLAND TYPE OF ACCOUNT iii SAVINGS D CHECKING D TRUST D CERTIF. ALBERT T DISILVERIO 8916 HANNIGAN CT TAMPA FL 33626 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 MEMBERS 1ST FCU has provided the Departllent 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 inforllation is incorrect, please obtain written correction frail 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 COllmonwealth of Pennsylvania. Questions lIay be answered by calling (717) 787-8327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 15692-00 Date 01-22-1974 Established Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x 21,534.58 50.000 10,767.29 .045 484.53 TAXPAYER RESPONSE To insure proper credit to your account, two (2) copies of this notice IIUSt 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 57. discount of the tax due. Any inheritance tax due will becolle 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. ~l. 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 IIUSt complete PART ~ and/or PART ~ below. PART ~ TAX RETURN - COMPUTATION OF LINE 1. bate 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 TAX ON JOINT/TRUST ACCOUNTS If you indicate a different tax rate, please state your relationship to decedent: x x PART [!] DATE PAID DEBTS AND DEDUCTIONS CLAIMED PAYEE DESCRIPTION AMOUNT PAID I $ TOTAL (Enter on Line 5 of Tax Computation) perjury, I declare that the facts I have reported above are true, correct and my knowledge and belief. ( C, ()~ QC(\'1R~:n i I_V\.jJ '-,_,-' 2C:lS J,_n_ -: ,;" I'": ; 9 ,..:. ",1 ") I... ,..,. (,.I ..... (,i .:.) () ,..,. ;-r:~ ~ ,.. , ~ jj\ ~, J. _. ~ (r. '\;> n1 ffi ~ c-' ~ ;A:7 .L J- :;s. (,I) ~ r ,")l \d ". U () ~ 0 ~ ~ r- l"- - Q .(/) ~ C - ; W - - - - - - ::::: - - - - - - '+- ~ \::. ~ I "f'T - - - - - - - - ::::: - n{} ~~ -i"'~ .. U> ~ ~ iD~ ~ i &" ",,;>. r- ;;;!. ..-.t "'10' lsl!!l~ IlIO: :Gg(i ~;:a.~' m "", -.iX) \:) , . ...... t- '- rO" t' .1- f':i ..';, .J? ,..IX;. <1' 1'~ t. I,;; '..Ii .......\ 1,,1' r --.:::=::::::::-....."--- ,..,. ",I o ..,. !:.J '. (.j (..1 o ,..,. - - - - - - - - - :;:: G-~ ~ :s: 7> D [ iB . ~ t;{; ~ "0 ~ (:) () ~ -....j ~ p G \J C: ~ --i --- '&- & ,,,, ,-. o ~ ~;: 71 j :::z:s jTT -C:> - lr. ~ m ;A> ~ -n ~ )- ~ - .i i (,':17 ...l.,,;v(J (", I~",. U~~ :l~:J: m'mi: 3 -'" ~ 'tl "'~ ." Iii ;!1s:! Wq5'.4 ~!g ~o~f ",0< ~~~. o 1.1.) W r '- F ~'\ iJ ':;f ~. ''l'' ~; J- ~; n ,:1) 1J "P ~ iJ1 y.; )::' ~.~ ~j COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRIS8URG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT DISILVERIO ALBERT T 8916 HANNIGAN CT TAMPA, FL 33626 _u__n_ fold ESTATE INFORMATION: SSN: 187-14-1425 FILE NUMBER: 2106-0599 DECEDENT NAME: HOMER IRMA M DATE OF PAYMENT: 07/06/2006 POSTMARK DATE: 07/03/2006 COUNTY: CUMBERLAND DATE OF DEATH: 03/29/2006 NO. CD 006929 ACN ASSESSMENT CONTROL NUMBER AMOUNT 06129138 I $364.61 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: CHECK# 3193 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS $364.61 GLENDA FARNER STRASBAUGH REGISTER OF WILLS COMMONWEALTH OF PENNSVLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 '* INFORMATION NOTICE AND T~1Y'eR:~~~NSE . -.j ".. '.,~ .--..'" .~, '." ..- .. FILE ACN DATE NO. 21 ~ 5Qcl 06129138 06-28-2006 REV-1545 EX AFP '09-001 ~ST_. -~ ~~"'~: M\ '!JOMER S.S. NO. 187-14-1425 DATE OF DEATH 03-29-2006 -,COUNTY. CUMBERLAND TYPE OF ACCOUNT D SAVINGS D CHECKING D TRUST IX] CERTIF. ALBERT T DISILVERIO 8916 HANNIGAN CT TAMPA FL 33626 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 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, pleasa 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. 15692-55 Date 08-02-2001 Established Account Balance Percent Taxable Anount Subject to Tax Rate Potential Tax Due x 16,204.92 50.000 8,102.46 .045 364.61 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 ill A. [ CHECK ] ONE BLOCK B. ONLY c. ~ The above information and tax due is correct. ~l. 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. c=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 ~ TAX RETURN - COMPUTATION LINE 1. Date Established 2. Account Balance 3. Percent Taxable ~. Anount Subject to Tax 5. Debts and Deductions 6. Anount Taxable 7. Tax Rate 8. Tax Due OF TAX ON JOINT/TRUST ACCOUNTS I 2 3 ~ 5 6 7 8 x x PAYEE DESCRIPTION AMOUNT PAID I TOTAL (Enter on Line 5 of Tax Conputation) of perjury, I declare that the facts I have reported above knowledge and belief. HOME. I $ and O(p