HomeMy WebLinkAbout01-22-07
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
*'
!:",~.:~, (~,(~:, pr-',r--0
BUREAU OF INDIVIDUAL TAXES:' ,,,'!
INHERITANCE TAX DIVISION ,-; r'/
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
'-" O~DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-1548 EX AFP (06-05)
2nD7 JA~J 22 At1": 56
DATE 01-23-2007
ESTATE OF BURKETT JANE F
DATE OF DEATH 09-16-2006
FILE NUMBER 21 06-1063
COUNTY CUMBERLAND
SSN/DC 194-24-2208
ACN 06159508
APPEAL DATE: 03-24-2007
(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
CI FR-r:'\' n:
...._. VI
ORPH!\h!'S COIJRT
SUELLEN K wk~~r' ..'-'r'i,
612 LYMAN AVE
WOMELSDORF PA 19567
CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
REY=is4i-EX-AFP-C03=Os5--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 01-23-2007
ESTATE OF BURKETT
JANE
F DATE OF DEATH 09-16-2006
COUNTY
CUMBERLAND
FILE NO. 21 06-1063
TAX RETURN WAS:
S.S/D.C. NO. 194-24-2208
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
06159508
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.
203464-45
TYPE OF ACCOUNT:
DATE ESTABLISHED
()SAVINGS () CHECKING (HRUST OC HIME CERTIFICATE
08-31-2005
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
31,271.15
0.166
5,211.96
.00
5,211.96
.45
234.54
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 (-)
PAYMENT MUST BE MADE BY 06-17-2007*. TOTAL TAX CREDIT .00
BALANCE OF TAX DUE 234.54
INTEREST AND PEN. .00
TOTAL DUE 234.54
* 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. )
0b
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
('.r::~(\C (,l'~~
} ':"NOti:1:E;;OF INHERITANCE TAX
,. (~ A~PRA((SEItl;:Nr; ALLOWANCE OR DISALLOWANCE
"'OF"DEDUCTiciNS. AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
2001 JAN 22 A~i II: 56
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280&01
HARRIS8URG PA 17128-0&01
SUELLEN K HAHN
612 LYMAN AVE
WOMELSDORF
CLERt\
Orlr',;\ I ft ~. 1;('\ r\r\l \PT
(" ,\7rp:~i~ )~A)U "nh,
"A)':I ' ,
PA 19567
.
REV-1548 EX AFP (0&-05)
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
01-23-2007
BURKETT
09-16-2006
21 06-1063
CUMBERLAND
194-24-2208
06159506
APPEAL DATE: 03-24-2007
(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
JANE
F
TO:
CUT ALONG THIS LINE ..... RETAIN LOWER PORTION FOR YOUR RECORDS +-
REY=is4S-EX-AFP-C03=Os5--------------------------------------------________________________
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 01-23-2007
ESTATE OF BURKETT
JANE
COUNTY
F DATE OF DEATH 09-16-2006
FILE NO. 21 06-1063
TAX RETURN WAS:
CUMBERLAND
S.S/D.C. NO. 194-24-2208
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
TYPE OF ACCOUNT:
DATE ESTABLISHED
ACN
06159506
ACCOUNT NO.
203464-40
()SAVINGS () CHECKING (HRUST ex )TIME CERTIFICATE
08-31-2005
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
x
33,578.89
0.166
5,596.59
.00
5,596.59
.45
251.85
x
TAX CREDITS:
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."
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
12-14-2006 CD007571 12.59 239.26
TOTAL TAX CREDIT 251.85
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER THIS DATE. SEE REVERSE FOR CALCULATION DF ADDITIONAL INTEREST. * 0b
( 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 OIVISION
PO BOX 2B0601
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)
SUELLEN K HAHN
612 LYMAN AVE
WOMELSDORF PA 19567
01-23-2007
BURKETT
09-16-2006
21 06-1063
CUMBERLAND
194-24-2208 ~
0615951f~ ~
APPEAL DATE: 03C;~2007 ~
(See reverse side under Oli~e&ns ~
Amount Re.1tted ~ ~
MAKE CHECK PAYABLE AND R~.::.PA ENT
REGISTER OF WILLS -, ;)9, ~
CUMBERLAND CO COURT-fl~SE F3
CARLISLE, PA 17013.~ ~
~
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
JANE
F
CUT ALONG THIS LINE ..... RETAIN LOWER PORTION FOR YOUR RECORDS +-
REY=is4S-EX-AFP-C03=OSj------------------------------------________________________________
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 01-23-2007
ESTATE OF BURKETT
JANE
F DATE OF DEATH 09-16-2006
COUNTY
CUMBERLAND
FILE NO. 21 06-1063
TAX RETURN WAS:
S.S/D.C. NO. 194-24-2208
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
06159512
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.
203464-47
TYPE OF ACCOUNT:
DATE ESTABLISHED
()SAVINGS () CHECKING (HRUST 0< )TIME CERTIFICATE
08-31-2005
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
10,337.60
0.166
1,722.97
.00
1,722.97
.45
77.53
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 (-)
12-14-2006 CD007568 3.88 73.65
TOTAL TAX CREDIT 77.53
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .OO~
* 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 INDIV~~~)41A,"~~)OFF1CE
INHERITANCE TAX DIVISJUtt ",' _',
PO BOX 2B0601 '+(:i: ;: I
HARRISBURG PA 1712B- o6b{" "
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-15~B EX AFP (06-05)
Z001 JAN 22 PH 12: 02
DATE 01-23-2007
ESTATE OF BURKETT JANE F
DATE OF DEATH 09-16-2006
FILE NUMBER 21 06-1063
COUNTY CUMBERLAND
SSN/DC 194-24-2208
ACN 06159510
APPEAL DATE: 03-24-2007
(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~nll r,-
LtHI\ ul-
ORpl-j ',....1'..' ("("IIRT
r h' G u"')~' "
SUELLE~Ui.~,'HAflN' ,--: F\\
612 LYMAN AVE
WOMELSDORF PA 19567
CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS +-
REY=is48-EX-AFP-coi=osj--------------------------------------------------------____________
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 01-23-2007
ESTATE OF BURKETT
JANE
F DATE OF DEATH 09-16-2006
COUNTY
CUMBERLAND
FILE NO. 21 06-1063
TAX RETURN WAS:
S.S/D.C. NO. 194-24-2208
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
06159510
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.
203464-41
TYPE OF ACCOUNT:
DATE ESTABLISHED
()SAVINGS () CHECKING ()TRUST ex )TIME CERTIFICATE
08-31-2005
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
x
20,041.01
0.166
3,340.24
.00
3,340.24
.45
150.31
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 (-)
PAYMENT MUST BE MADE BY 06-17-2007*. TOTAL TAX CREDIT .00
BALANCE OF TAX DUE 150.31
INTEREST AND PEN. .00
TOTAL DUE 15 0 ~ 1..
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. * LD
( 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. )