HomeMy WebLinkAbout03-12-10BUREAU OF INDIVIDUAL TAXES E•~ ~~' = ,^'r~'!N'Otj3CE OF INHERITANCE TAX
INHERITANCE TAX DIYISION : _; ,. -, i-PPRA'F'~€€h~IT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 ' "-~''J' ~bF'~DED~1Cx-IONS, AND ASSESSMENT OF TAX ON
HARRisBURC PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
ZOf~ PSAR f 2 ~~ 4~ 09
CLERK OF
((++~~ORPHA~1`S COURT
JEANNE SOUDER'S'~~~'~~`~'`~ ~~" PA
619 WEST MAIN STREET
MECHANICSBURG PA 17055
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 EX AFP C12-09)
DATE 03-01-2010
ESTATE OF FERNBAUGH ANNA M
DATE OF DEATH 12-10-2009
FILE NUMBER 21 09-1183
COUNTY CUMBERLAND
SSN/DC 101-24-4375
ACN 10102329
APPEAL BY DATE:04-30-2010
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~"~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
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REV-1548 EX AFP C12-09)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 03-01-2010
ESTATE OF:FERNBAUGH
ANNA
M DATE OF DEATH:12-10-2009
COUNTY:CUMBERLAND
FILE NO.: 21 09-1183 S•'
TAX RETURN WAS: CX)
FINANCIAL INSTITUTION: MEMBERS
TYPE OF ACCOUNT: CX)SAVINGS
DATE ESTABLISHED 10-09-1956
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
reY rQ~nrrc.
3/D.C. NO.: 101-24-4375 ACN: 10102329
ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
1ST FCU ACCOUNT NO.: 3950-00
( ) CHECKING ( )TRUST ( )TIME CERTIFICATE
3,901.26
X 0.500
1,950.63
- .00
1,950.63
Y .45
87.78
NOTE: TO ENSURE 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 C-)
AMOUNT PAID
01-26-2010 CD012280 4.39 83.39
TOTAL TAX PAYMENT 87.78
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
r IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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NOTICE OF INHERITANCE TAX Pennsylvania
DEPARTMENT OF REVENUE ~
BUREAU OF INDIVIDUAL TA
~ - __~
INHERITANCE TAX DIVISION ~ 11 ~ ', ~•~ i~~- ~ ~1P~I2AISEMENT, ALLOWANCE OR DISALLOWANCE REV-1548 EX AFP C12-89)
PO 80X 288681 b~ DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-8681 JOINTLY HELD OR TRUST ASSETS
z~~~ ~AR ~ Z i^'~ ~~ ~~ DATE 03-01-2010
CLERK ~~
}ORPHAN`S COURT
JEANNE ~O~~ERS ~~~~! G~" PA
619 WEST MAIN STREET
MECHANICSBURG PA 17055
ESTATE OF FERNBAUGH ANNA M
DATE OF DEATH 12-10-2009
FILE NUMBER 21 09-1183
COUNTY CUMBERLAND
SSN/DC 101-24-4375
ACN 10102330
APPEAL BY DATE:04-30-2010
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS 4-
-------------------------------------------------------------------------------------------
REV-1548 EX AFP (12-09)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 03-01-2010
ESTATE OF:FERNBAUGH
ANNA
M DATE OF DEATH:12-10-2009 COUNTY:CUMBERLAND
FILE NO.: 21 09-1183 S.S/D.C. NO.: 101-24-4375 ACN: 10102330
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
TYPE OF ACCOUNT: CX)SAVINGS ( ) CHECKING C )TRUST
DATE ESTABLISHED 06-05-2003
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
2,988.93
X 0.500
1,494.47
- .00
1,494.47
Y .45
67.25
TAX CREDITS:
INFORMATION
ACCOUNT NO.: 3950-0~
C )TIME CERTIFICATE
NOTE: TO ENSURE 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
01-26-2010 CD012280 3.36 63.89
TOTAL TAX PAYMENT 67.25
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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