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. )