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HomeMy WebLinkAbout04-24-09COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 ,_,,,.IdpT,IGE DF .,~N,FIERITANCE TAX p,pP~/!I•SE1~~NT, AkLLQWANCE OR DISALLOWANCE gF;D£DU~TIONS,,AND ASSESSMENT OF TAX ON -- ".H)IN¢LY~HELD'OR TRUST ASSETS REV-1548 EX AFP CO1-09) DATE 04-27-2009 ~'QJ9 ~pR Z4 FBI IL= I 0 ESTATE OF FURRY L C DATE OF DEATH 01-21-2009 FILE NUMBER 21 09-0227 Ci_."~~\ ~.~ COUNTY CUMBERLAND ~`~'CI,--'`, („l!j~T SSN/DC 205-30-6310 LEONA FURRY vl~! ,~ ~- ~~, ~~ ACN 09108138 1925 CHATHAM DRIVE APPEAL DATE: 06-26-2009 CAMP H I L L PA 17 011 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE '--) RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV-1548 EX AFP (01-09)----------------------------------------------------- NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 04-27-2009 ESTATE OF FURRY L C DATE OF DEATH 01-21-2009 COUNTY CUMBERLAND FILE N0. 21 09-0227 S.S/D.C. N0. 205-30-6310 ACN 09108138 TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT N0. 250943-00 TYPE OF ACCOUNT: 4()SAVINGS C ) CHECKING C )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 09-13-2004 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 1,899.47 X 0.166 316.58 .00 316.58 X .00 .00 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 T0: "REGISTER OF WILLS, AGENT." PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID TOTAL TAX CREDIT .00 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 S1, 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 LEWIS C FURRY 110 WATSON LANE NEW BLOOMFIELD NOTICE OF INHERITANCE TAX _..ApplpA~I~sEMENth`,~,ALLOWANCE OR DISALLOWANCE OF IFEDUC7IONS, AND ASSESSMENT OF TAX ON ~- ~_'.lObMTl:Y HELD OR TRUST ASSETS REV-1548 EX AFP (01-09) DATE 04-27-2009 ~~~~ ~~~ 24 ~~~ `~' ~ a DATETOFODEATH O1R21-2009 L C FILE NUMBER 21 09-0227 CL~~K(`" COUNTY CUMBERLAND r~Q~~,~-j~ ~1 ~ ~;~ ~ SSN/DC 205-30-6310 "~ ~ ~ '~~ ACN 09108143 .,J'~. ~~ -,, `' ~- +,f~ APPEAL DATE: 06-26-2009 PA 17 0 68 (See reverse side under Objections) Amount Re~itted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ ------------------------------------------------------------------------------------------- REV-1548 EX AFP (01-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 04-27-2009 ESTATE OF FURRY L C DATE OF DEATH 01-21-2009 COUNTY CUMBERLAND FILE N0. 21 09-0227 S.S/D.C. N0. 205-30-6310 ACN 09108143 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT N0. 250943-05 TYPE OF ACCOUNT: 4()SAVINGS C ) CHECKING C )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 01-20-2006 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 2,871.58 NOTE: X 0.166 478.61 .00 478.61 X .45 21.54 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 T0: "REGISTER OF WILLS, AGENT." PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID C-) AMOUNT PAID 03-06-2009 CD010978 1.08 20.46 * IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDI ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" C CR), YOU MAY BE DU SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) TOTAL TAX CREDIT 21.54 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 TIONAL INTEREST. E A REFUND. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES -• ~QTx-CE O,F INHERITANCE TAX INHERITANCE TAX DIVISION =APP•RAI$~M~MT;; pL40WANCE OR DISALLOWANCE PO BOX 280601 QF D~Dt)CTION$, NAND ASSESSMENT OF TAX ON REV-1548 EX AFP CO1-09) HARRISBURG PA 17128-0601 JOINT+LY~ HELD OR TRUST ASSETS DATE 04-27-2009 L~~g APB; ~4 ~°E~ ~~: ~ ~ ESTATE OF FURRY L C DATE OF DEATH 01-21-2009 ~ ~ J r _ FILE NUMBER 21 09-0227 vLE+,., ~.;r COUNTY CUMBERLAND C~`I ~--",j` ~' ,{~T SSN/DC 205-30-6310 LEWIS C FURRY ~~ ~~ ~, ~_ ACN 09108139 110 WATSON LANE ~~ APPEAL DATE: 06-26-2009 NEW BLOOMFIELD PA 17068 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ ------------------------------------------------------------------------------------------- REV-1548 EX AFP CO1-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 04-27-2009 ESTATE OF FURRY L C DATE OF DEATH 01-21-2009 COUNTY CUMBERLAND FILE N0. 21 09-0227 S.S/D.C. N0. 205-30-6310 ACN 09108139 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT N0. 250943-00 TYPE OF ACCOUNT: 4()SAVINGS ( ) CHECKING C )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 09-13-2004 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due 1,899.47 X 0.166 _ 316.58 _ .00 316.58 X .45 14.25 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 T0: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID (-) AMOUNT PAID 03-06-2009 CD010978 .71 13.54 TOTAL TAX CREDIT 14.25 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ^ C IF TOTAL DUE IS LESS THAN 61, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" C 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 LEONA FURRY 1925 CHATHAM DRIVE CAMP HILL PA 17011 '~ ~~'NftTT~E'•• Of fiNHfRITANCE TAX APPRAI'Sf.1~ENT ALLOWANCE OR DISALLOWANCE OF DEAUCTIONS,iAND ASSESSMENT OF TAX ON JOINTLY HELD 0'R' TRUST ASSETS REV-1548 EX AFP (D1-09) ~~~~ ~`@~'~' ~~' ~i~, ~~ E~~ATE OF FURRY-2009 L C DATE OF DEATH 01-21-2009 ~- FILE NUMBER 21 09-0227 ~'~`~ '`` r~ COUNTY CUMBERLAND ~~~' ' >> ~~r~`_~~iTSSN/DC 205-30-6310 C(J[;";: _^ ~~~~'~,_; ~_'_;' ?~cN 09108140 APPEAL DATE: 06-26-2009 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE "'~ RETAIN LOWER PORTION FOR YOUR RECORDS H ------------------------------------------------------------------------------------------- REV-1548 EX AFP (01-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 04-27-2009 ESTATE OF FURRY L C DATE OF DEATH 01-21-2009 COUNTY CUMBERLAND FILE N0. 21 09-0227 S.S/D.C. N0. 205-30-6310 ACN 09108140 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT N0. 250943-11 TYPE OF ACCOUNT: ( )SAVINGS 4() CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 09-13-2004 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 5,512.15 X 0.166 918.71 .00 918.71 X .00 .00 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 T0: "REGISTER OF WILLS, AGENT." PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID (-) AMOUNT PAID IUiAL IAx GKELlI BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE * IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~ C IF TOTAL DUE IS LESS THAN S1, 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. ) .00 .00 .00 .00 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES "''d''~TIIC~ OF INHERITANCE TAX INHERITANCE TAX OIYISION APPRAISEMLNT~,~ALLOWANCE OR DISALLOWANCE "" PO BOX 280601 Of DB~UCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP CO1-09) HARRISBURG PA 17128-0601 ~',IOIN-T'LY HELD- OR TRUST ASSETS DATE 04-27-2009 ~'~~~ ~~~ ~~r ~j"~ ~~: ~ ~ ESTATE OF FURRY L C DATE OF DEATH 01-21-2009 FILE NUMBER 21 09-0227 r~ ~~r r.i~ COUNTY CUMBERLAND C/~~i i~F`~'' ~,~i! ~;~~' SSN/DC 205-30-6310 LEWIS C FURRY ~ "" `~`''~' CL~„" _ „;,, "~~; ~t~ ACN 09108141 110 WATSON LANE ~ "" APPEAL DATE: 06-26-2009 NEW BLOOMFIELD PA 17068 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE "'• RETAIN LOWER PORTION FOR YDUR RECORDS ~ ------------------------------------------------------------------------------------------- REV-1548 EX AFP CO1-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 04-27-2009 ESTATE OF FURRY L C DATE OF DEATH 01-21-2009 FILE N0. 21 09-0227 S.S/D.C. N0. 205-30-6310 COUNTY CUMBERLAND ACN 09108141 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT N0. 250943-11 TYPE OF ACCOUNT: C )SAVINGS 4() CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 09-13-2004 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 5,512.15 NOTE: X 0.166 918.71 .00 918.71 X .45 41.34 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 T0: "REGISTER OF WILLS, AGENT." PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID 03-06-2009 CD010978 2.07 39.27 TOTAL TAX CREDIT 41.34 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. C IF TOTAL DUE IS LESS THAN 61, 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 -~ ra~$gs QF~-INkiER,ITANCE TAX VI ~ INHERITANCE TAX DIVISION APPRAISEMENT, ~ALCOWgN;CE OR DISALLOWANCE PD Box 280681 OF DI;bU~"TIONSj AN~1 ASSESSMENT OF TAX ON HARRISBURG PA 17128-8601 JOINTLY HELD` OR-TRUST ASSETS REV-1548 EX AFP (01-89) t~~9 ~P~3 2~ ~~ (~: ~~E 04-27-2009 ATE OF FURRY L C DATE OF DEATH 01-21-2009 ~„ ~,,~~. FILE NUMBER 21 09-0227 v=~- ~~ ~~' COUNTY CUMBERLAND ~ ~~ ~ ~ lr ~ `~ ;~ „~T SSN/DC 205-30-6310 LEONA FURRY (;~~"~,";~~ ' ,;f' r•,~} J,~ACN 09108142 1925 CHATHAM DRIVE ~`~~~~~ APPEAL DATE: 06-26-2009 CAMP H I L L PA 17 011 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~"~ RETAIN LOWER PORTION FOR YOUR RECORDS H REV-1548 EX AFP (01-09)------------------------------------------------------ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 04-27-2009 ESTATE OF FURRY L C DATE OF DEATH 01-21-2009 COUNTY CUMBERLAND FILE N0. 21 09-0227 S.S/D.C. N0. 205-30-6310 ACN 09108142 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT N0. 250943-05 TYPE OF ACCOUNT: Q()SAVINGS C ) CHECKING C )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 01-20-2006 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 2,871.58 NOTE: X 0.166 478.61 .00 478.61 X .00 .00 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 T0: "REGISTER OF WILLS, AGENT." PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID C-) AMOUNT PAID TOTAL TAX CREDIT .00 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 81, 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. )