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No. 21.94 0)50
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RECEIVED FROM:
i
ACN
ASSESSMENT I!'
CONTROL I;rI
NUMBER
AMOUNT
George E. Seidle
422 App1etre8 Road
Camp Hill, PA 17011
....,...,U(\01522
866.14
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1010 Hut
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,m TOTAL AMOUNT PAID
866.14
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S. 8195-32-0717
SEAL
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RECEIVED BY , ,'.. ~'X'lh/ i if. / 1/(<.1/
. . .(".' f I'
(. " \ I, ; -' I .' J '""17:,
.. ~ t .',.'" ,I I ,') 'f "l"t 1,J..;]..,1 /.. ',.1.).,. ~ II
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. nn --.- .n --. --.,'''.- .._~ "'-'''- --.'--.- --,,, --- --r'
REGISTER OF WILLS
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RI!V-1543 EX AFP (1.91).
CL1NiOHWUl TH OF PENNSYLVANIA
DEPARTHENT OF REVENUE
BUREAU OF INDIVIDUAL lAKES
Df:pT. 1I0601 .
HARAISBURO, PA 171%1-0601
I'''; - I ~ L\ - ,t{
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
':,'lIOltr-
mDL~ SR
422 APP L ETREE
CAMP HILL
ESTATE OF COOKER
5.5. NO, 195-32-0717
DATE OF DEATH 11-14-93
COUNTY CUMBERLAND
FUll NO. 21'" 9"(- ,~
ACN 94101522
DATE 01-21-94
TYPE OF ACCOUNT
HENRIETTA E ~ SAVIHGS
CHECKIHG
TRUST
CERTIFICATE
REHIT PA YHEHT AHD FORHS TO I
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
GEORGE E
RD
PA 17011
DAUPHIN DEPOSIT BK I T has provldld thl DIPert.,nt with thl Inforutlon Ihtld b.low which has b..n u..d In calcuhtlng the
potlntl,1 tlX dUI. Th'lr record. indlcat. th't at tho death of th, IIboy, dlCldlnt. you wtre a Jo~n( own.r/benlflchry of this aCcount.
If yOU ,..t thll Inlor..tlon h Incorrlot, pllll.. obtain wr!thn corr.ctlon fr08 the 'Inane"" In.tltution, attach a copy to thll for.
'If'l''' I'~~':" I' ~:: ~I:Q ~':':'., ,":!-n.,'J, wll'..:I .,...:I.:.,,,~t l~ ',:;:O-u:J!:: II. .......lI'y...,.... "1\,, ."... 1"j''''liQw... r.1\ L..... Ut ..i... ..ul"U,r'Wllld'\I' ut to.nnlly!van!a,
Qua.tlon. .ay be anlwUld by calling (17) 787-8127.
COMPLETE PART 1 BELOW M M M SEE REVERSE SIDE FOR
Aooount Ho. 0023936428 D.t. 04-09-84
Elt.blhh.d
FILINO AND PAYMENT INSTRUCTIONS
To In.ura proplr credit to your Iccount, two
(2) copt.. 0' thh notlcl IU.t Icco.p.ny your
p.y..nt to the RI1I1.hr 0' Will.. Hllkl ch.ck
payabl. tal "R.ghtlr 0' Wlll1, Ag.nt",
AcooLlnt a.hne.
Percent rexlbl.
A.ount Subjlot to
Tax R.t.
Pohntl.l To. Du.
PART
[II
2,204,76
50,000
1,102.38
,06
66.14
TAXPAYER RESPONSE
FAILURI TO RISPOND WUL RIlSUL T IN AN OFFICIAL TAX ASSESSHIlNT BASlD ON THIS NOTlCI
M
r..
HOTE I If talC paY.lnt. Ir' ..d, within thr..
(3) .onth. of thl dlc.dlnt'. dltG of duth,
yoU Ilay dlduct a S% dhcount 0' th. talC dUI.
Any InherItance tax duo will bleo.. dlllnqulnt
nine (9) ..onth. aft.r thl dati 0' dl.th.
M
[CHECK ]
ONE
BLOCK
ONLY .
A. r"i Thl abovl In'or"atlon and talC dUI 11 corrlct,
~1. You ..y chao.. to r..1t pay..nt to the RIghtlr of Willi, wlth two copl.. of thl. "otlct to obteln
e tJllcount or avoid Jntlrut, or you uy chick tlOIC "A" Itnd rlturn thh notice to thl R.ghtlr of
WH1. and an official a.......nt will bll I..Uld by thl PA Depart.lnt of RIVI.lUI,
B. 0 Thl aboYI a..~t hu b..n or wUl bl rlportld and talC paid with thl PIMlylvanh Inhlrltanol Tile r.turn
to bl fllld by thl dleldlnt', rlprl..ntatlve.
C. 0 Thl abov. Infor.atlon IWncorr.ot end/or dlbts and dlductlon. wlr. paid by you.
Vou .u.t eo.pllt, PART ~ nnd/or PART ~ bllow.
If you indicata a din.r.nt t.x r.t., pl.... .tat. YOLlr
r.l.Uonohlp to dloldlnt I
PART
~
'fAX HnURN - COMPUTATION DF
LIHE 1. D.t. Elhblhh.d 1
2, Account BllIno. 2
5. P.r..nt TI.lbl. 5 M
4, A.ount SUbjlot to To. 4
5. D.bto .nd Dlductlon. 5
6. AMount TI.lbl. 6
7, re. R.ta 7
a, To. Du. a
OFFICIAL USE ONLY 0 AAF
PA ~P~RTHENT OF REVENUE
-, Uf I.,d "T1~
',' t~. .,1.,.(1,)
I ' '..-
1",1
TAX ON JDINT/TRUST ACCOUNTS
PAD
1
2
3
4
5
6
7
8
DEBTS AND DEDUCTIONS CLAIMED
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PART
[!]
DATE PAID
-
PAYEE
DESCRIPTION
AMOUNT
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PAID
=f
TOTAL IEnt.r on Lln.
5 of re. Co.put.tlolI)
-
Und.r Plnll tlu
oo~.t. to thl b.
/.'JI . 'f
of plrjury, I d.ohro th.t thl hoto I
of .~ knowl'df' .nd b.ll.f,
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h.y. rlported .boy. Ir_ tru., Cor' act Ind
HOME ()/ 7) 7.12:- ~t.;(<,1.--'-2Ij'lY
WORK ( )
DATE
GENERAL INFORMATION
1. FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAK ASSESSHENT with '001100.1. Inll,..t b.... on In'"..Uon
lub_ltt.d b~ the flnWl<ll.l InltHutlon.
Z. Inhultancl tlX bleau. dvllnqutnt 1111'1' lonthl .ftlt thl dlced_nt', ellt. of du'h,
). A joint account It tluble IVln though thl dlcld.nt', nu. w.. Ddd,d 01 . .,ttar of conl/lnl.nal.
It. Account, (Including tho.. held blt....n hUlband Ind ",U" which th, dlCldlnt put In joint n.... within one v..r prior to
d..tn 1ft fUlly tllI,bl, u ttlntfl",
5. Accounts ..t~lhh.d jointly bat....n husband tnd wlh lor. than on. YUt prior to dletl'l Ir. rIOt "ublt.
6. Accounh held by II dletel.nt "In trult for" another or oth.r. art tlllablt fully,
,.
REPORTING INSTRUCTIONS - PART
1
- T AXPAVER RESPONSE
1. BlOCK A ~ If thl Inlor..Uon Ind cOlputat1on In thl notlcl It. cor riot IInd d.duct1on. art not bllng clll.'d, pilei an ")("
In block ..... of Plrt I of ~he "lIMplYlr R..pon.... 'Ictlon, Sign two copl.. arnJ ,ubalt th.. with your chick for the ..ount of
talC to thl Rlghhr of Wllh of th. county Indleatad. Thl D.part..nt of R'II,nu. will IIIUI an offlclal ........nt
(Fer. REV"154ft Ell) upon rac.lp,: of thl Rlturn froa th. R'IIi1hr of Will..
Z. BlDCK B - 11 th. ....t ,paclfl.d on this notlc. hu b..n or will b, rlport.d IInd talC p.ld with thl P'nn.y!vanl. Inh.ritane.
TalC Rlturn fll.d by thl dacld.nt', rlprauntatlll', plec. an "MOO In block "II" of Part 1 of thl "TIlIP'YIr R..pon.... ..ct1on. Slrln ona
copy Ind rtturn to thl PA Clparta.nt of RIII.nuI, Buruu of Indhlldu.1 TaMil, DIPt Z1I0601, tlarrl'burll, PA 17128-0601 In thl
.nll.loPI provided,
3. i1lliCj( C :r l;., !loth.. l..f......t1"oI h 1,'.~.:lrrl..t a.-,d.'M d.:tucHr.n' ;:\rI bll'-:II ol.l..d, the:l: hloe!: "e" IInd coarlttr C.rh Ii! 'net ,
.cccrdlng to thl In.tructlon. bIlow, SI;n two copl.. and lub,1t thu with your chlc~ for the ..ount of tll)( PIYlblt to the Righter
of Willi of thl county Indloated. Thl PA D.part..nt 0' RIVlnUI will IIIUI In offlcl,1 .........nt (fOri REV-ISU EIO upon racllpt
rof thl rlturn froa th, Righter of willi.
TAX RETURN - PART Z - TAX COMPUTATION
LINE
1. En\C!r the data thl account orlglnllly w.. IItablhhld or tltlld In thl unn,r IlIhtlnglt dati of d..th.
HOTEl for !I dlc.dlnt dying aftar lZl12l8Z1 Account. which thl dlcldlnt put Inlolnt naa.. wlthln anI (1) y..r of d..th ara
tlleabl. fully II trIllOl"r.. /tow.var, thert h l!In eMclullon not to IlCClld 13,000 par tran.flr.. r.gardle.. 0' the v.lue of
the ICCOunt or the nuabar of Iccount~ hlld.
If. doubll utarhk (1111) epPUrt bafor. your flrat nell In thl l!Iddre.. portion of this notlu, the u,aoo nclu.lon
alr..dy hll bun dlducted frel tho ICCOU"t blhnc. IG reportld by th. financial In.tltutlon.
2. Enter the total b.hnel of the Icceunt Including Inter..t Iccru.d to tht datI of duth.
3. The parclnt of th'lccount that I. talllbh for 18ch lurylvor It d.tar.ln.d .. folloWl1
A. Th. parcent \lMlbh for JoInt au.tt ..teblhhtd .ore thIn anI yur prior to the dQudtnt', dlllthl
1 DIVIDt!D IIV TOTAL NU"BER Of
JOINT OWNERS
EMMPIII A Jotnt ....t reghtlnd
DIVIDED BV "UHAl NVt1BER OF lC lOa . PERCENT UIlABLE
SURVIVINO JOINT OWNERS
In the n~e. of thl d.c.d.nt and two oth.r p.rlen'.
I DIVIDED BV 3 (JOINT OWNERSl DIVIDED 8V Z ISURVIVDRS) . .161 )( 100 . 16.1;( (U)(UI.E FDA EACH SURVIVOR)
8. Th. plrelnt teMlbl1 for .....t. eruhd wlthln on. ytar of the d.e.d.nt'. d.ath or account. ownld by the dtc.dlnt but held
In trust for another Indlyldulll.1 (trult b.ntf1ollllrhl)1
l DIVIDED IV TOUL NUHBER OF SURVIVING JOINT
OWMfRS O~ TRUST BEHEFlCtARIES
)( 100 . PERCENT TAXABlE
EMlItPIII Joint account regllllred In thl na.. of the d,cldlnt and two othar Plrlen, and ..tablllhld within onl Yllr of d..th by
thl dlc.d.nt.
I DivIDED BV Z (SURYIVORS) . .50 X 100 . SO:.: lTAXABlf FOR EACtl SURVIIJOAI
4. Th. IICunt .ubt.r.lt to hw flln. 4l It dlhr.ln.d bY .ultlclYlM thl accollnt h'lIMt't ClInl :!) by the olrr.lnt hubll fllrlt 31.
I. Entar tht tot.1 of the dlbt. and d.ductlon. lilted !n Part 3.
6. Th. alount tlxabll I1lnt 6) Is d.tlr.tn.d by lubtractlng th.. d.bt. Ilnd doductlon. (lln. 5) frQ' thl a.ount lubJlot to tllC (Un. 4).
7. Enter thl Ipproprhto \Ix rat. Illnl 7l u dltlrlln.d b.low.
A. Tranlfar. to llnnl d..c.nd.ntl Ineludlng hither, loth.r, hUlblnd, wife, lon, dllughhr, grandChlld"n, ,on.ln"hw,
dluthtlr.ln-hlol, It.pchlld and th.lr hlue II"" \llCablt .t Ihl perc.nt 16%),
B. Tranlflr. to IU oth.rs Including broth.r, Ihter, uncll, lunt, n,phlw and nl,cI I" tlllabll at f1ftlln plrcJnt (lS;().
C. If ~ou ching. thl tall ...h, pl.... IPlclfy your ralltlonlhlp to the dteedlnt In th. ar.. proylded.
B, The leount of till dut Ulna 8) 11 dttaralnld by IIIJltlplylng thl lIount tlllabl. IIlnl 61 by thl tlM rlt. (ling 7),
CLAIMED DEDUCTIONS - PART 3
DEBTS ANO OEDUCTIONS CLAIMED
AlloWlblt dlbt. and dlductlun. arl dlt.ralnld I' follow'l
A. Vou legllly l!IrI r..ponllble for flay..nt, or thl ..tatl ,ubj.ot to ad.lnhtratlon b~ I perlo"al rlp"..ntatlvl II Inlufficllnt
to PlY the dtductlbll I h...
B. You IctlJ.lh plld thl debt. aftlr duth of thl d.ctdlnt and c.n furnhh proof of PIVllnt.
C. D.b" btlng chl..d au.t be It..lud fully In Part]. If additional .pac. I. nUdld, UII plain PIP'" 8 1/2" lc 11". Proo' of
Plv..nt alY bl rlqu..t.d by th. PA D.p.rta.nt of R.v.nut.
TAXPAVER ASSISTANCE
IF YOU NEED FURTHER INFORMATION OR ASSISTANCE, CONTACT ANV
REGISTER OF WILLS. PA DEPARTMENT OF REVENUE DISTRICT OFFICE
OR CALL THE IUREAU OF INDIVIDUAL TAXES. TAXPAVER INQUIRY UNIT IN
HARRISBURG AT (111) 181-0327.
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\ RIV-1541 IX AFP (10-93*
C_ALTH Of PEHHSVLYANIA
MPAAlHt:NT Of' Il[I'[IAJE
.l>>rAU Of IND1YlliUAl TAXU
MPl, ZlO6Ol
HARRlllUAO, PA 1711'-3601
HOT ICE OF IHHERITAHCE TAX
APPRAISENENT, ALLONAHCE OR DIIALLONANCE
OF DEDUCTION , AND ASSESSNENT OF TAX ON
JOINTLY HELD OR. TRUST ASBETS
DATI 04-1-1-94
ESTATE OF COOKER
HENRIETTA E DAT~ OF DEATH 11-04-93
COUNTY
CUMBERLAND
FILE NO. 21 94-0050
S.S/D.C. NO, 195-32-0717
ACN
94101522
SEIDLE SR GEORGE E
422 APPLETREE RD
CAMP HILL PA 17011
RIMEr PAYMENT TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
AlOOUI1t R..lttlld
CUT ALONG THZS LINE ~ RETAIN LOWIR PORTION FOR YOUR RICORDS ...
iiiv:ii4-i-ix..AFp..Cio.:93i...........................-.............-...-.........-.-.....--........-....-..---
NOTlCI OF INHIRITANCI TAX APPRAISIMINT, ALLOWANCI OR DZSALLOWANCI OF
DEDUCTZONS, AND ASSISSMENT OF TAX ON JOINTLY HILD OR TRUST ASSETS
DATI 04-11-94
ESTATE OF COOKER
HENRIETTA E DATE OF DEATH 11-04-93
COUNTY CUMBERLAND
FILE NO. 21 94-0050
T AX RETURN WAS,
S.S/D.C. NO, 195-32-0717
(X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATZON
ACN
94101522
FINANCIAL INSTITUTION, DAUPHIN DEPOSIT BK a TR CD
ACCOUNT NO.
0023936428
TYPE OF ACCOUNT, () SAVINGS (Xl CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 04'09-84
Aooount Bahnce
Parcent Taxable X
Amount Subject to Tex
D.bta and Daduction.
T8x.bla Amount
T8x Rat. X
Tax Dua
2,204.76
50.000
1,102.38
.00
1,102.38
.06
66.14
NOTE. TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO TIlE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE TO,
"REGISTER OF WILLS, AGENT. n
TAX CREDITS I
PAYMENT
DATE
01-24-94
DISCOUNT (+)
INTEREST (-)
3.31
RECEIPT
NUMBER
855847
AMOUNT PAID
66.14
TOTAL TAX CRIDIT
BALANCE OF TAX DUE
INTERIOT
TOTAL DUI
. IF PAID AFTER THII DATE, SEE REVERSE FOR CALCULATION OF ADOITIONAL INTEREST, .
( IF TOTAL DUE lS LEIS THAN n, NO PAYNENT 11 REQUIRED.
lP TOTAL DUE lS REFUCTED AI A "CREDIT" ( CRI, YDU "AY BE DUE A REFUND.
liE REVERSE SIDE OF TillS FOR" FOR INSTIlUCTIONS, I
69.4~
3.31CR
.00
3.31CR
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1Il\1ICl.
10 fulfill tho roqulr_tI of &.aU... Z140 of tho I"""rll_o oncI Eltoto lox Act. lot U of 1991. (71 P...
!toll... lUG).
PII'IlllIT,
DltHh the tOP portJon of thh Not'c. end tlAMllt with your Ply...,t to the Regllt.r of W11l1 pr'ntlel on the
rlVlrM .IcHI.
-. .... check or IIOMY order Plyabll tOI REO'UTEA Of WILLS, AGENT,
All PIWMntl rlullled ,hill flnt be IPplhcJ to InY Int.r..t which 'IV 1M due, with any r...loder eppllld to the tlX,
RUUHD ICRI,
A rlf~ of . tllC oredlt, which "" not requettld on the tllC r.turn, ..y 1M rlqullltlCJ by cOIIfII,Un" an "ApplJo,Uon
for Rofund of Penn,vlll."l, InhlrJtancl Ind E,t,t, fl." OtEY-UU1, Application' In avaUabl1 It the OfficI of
tN A....t.' of WIU., MY of the U Rlveou. Dhtrlot OfficII or by 01111ng the 11tH1.t 24-'*'r In~rlng .."viOl
nu.ber. for forll ordlrlngl tn PlMlvlv."l, 1-800-562-2:050, ouhldt PennsVlvanla IOd within 10011
Hlrrtaburg .r.. (717) ,.,-aOM, TDOI (717) 71Z-ZZSZ (Helrlng hp.lrtd Only).
OIJECUONII Anv p.rtv In Int.r..t not ..thfled with the epprll.......t, ,UC*lnclor dl..llowlncl of deduction. or .....lHnt
of tl. (Including dlsoOW'lt or Intlr..U .. shown on thll Notle, "Y object within .IMb (60) Glv, of rlo..pt of
thlt Hotlae bYI
--written protnt to tI'M PA Dttputltnt of R.VInUl, 80lrd of Appell., Dept. zatol1. H.rrhbYrg, PA 17121-1021, OR
--.llCItlng to hlvl tht ..tt.r dtt.r.lned It the .udlt of thl leeN'lt of the Plr.enl! rtpr,..nt.Uv., OR
--.,..1 to the Orphw1lt Court
AIlIIlM"
IITRlTlW
C_CTlIlHI.
FlCltUl1 errort dltcov.rld on thll ........"t .hould be eddr.ned In wrlUng tOI Pi O.PtrtHnt of RIVInUI,
Jur.., of Jndlvldull TIMII, ATTNI Po.t A......."t R...,.... Unit, DEP" l10601, Htrrhburg, PA 17121.0601
Phont (717) 717-65OS. SH PI8I 3 of the book lit "In.trucUon. for InhtritlOCle TIM A.turn for. A..hMnt
Dtaldltlt" (R!Y-UOl) for., ..pltn.Uon of tdllnlltrtU"lh correcttbl. "rOrt.
IlIlClUlI ,
If MV tax duff II plld within thr.. (5) a.llnder IIOnthl ,ft" the dt<:tdtnt'l dt.th, I flve Plrelent (IX)
dlloN'lt of thl tlM peld II .Ilowtd.
INTERnl'
Interllt .t chIrpd begl""l", \-l1th flret dev of ulllnquenov, or nine (9) IIOr1thl and one (1) dew
fr", thfl d.te of eIIlth, to the dlt, of P'YNnt. TIMII whloh bto.. delinquent befon Januarv I, 1912
beIIr Jnter..t .t the rtt. of lhe (6:<) perolnt Plr ~ allculltld It I dllh rat. of .000164.
All tlMII wt'l1oh bto... d,Unquent on or efter Jenuerv I, 1911 wll1 b..r Inter..t It . r.te which wUI vlrv frOll
o.l"'r ye.r to clllnder nar with th.t rite announced bv thl PA Olfllrt''''t of RlvtnuIi. ThI .pplllltbll
Int.rllt ratll fcr 1912 throuth 19M ""
'We Intll'." Rita D.llw Intll'..' F.otar 'We I"tll'a.t Alt. O.llv Intlni.t FaotDr
\911 ZOX .0ao~1 1986 lGl .000174
\911 lax ,000411 1917 IX .000147
\914 IU ,000301 1111-1991 11~ .000101
1911 UX .00n1A I99Z IX .000147
19n -1994 7X .ODOl91
--Int.rllt .. ollculeted II followlI
IICTBIUT . IALANCE OF TAX UNPAID X NUHIER OF DAYI DELINQUENT X DAILY INTERElT FACTOR
-"MV MoUo. IlIutd .fter Uti tllC beoOllI delinquent NI11 reflect WI Inter lit o.lcullUon to flftl'" (II) din
blvond the dah of thl IInllltlf\t. If PIV.."t II Mde .fhr thl lnt.rllt OOllPUtlUon dltl .hewn on thti
HoUel, tddltlonel Inter..t ..,.t be celoulettd.