Loading...
HomeMy WebLinkAbout03-12-10 BUREAU OF INDIVIDU ff{9 ,~, nC~'~^;~ ~` NOTICE OF INHERITANCE TAX INHERITANCE TAX DIYISIO~N~'~~ .-' - ~ ~ I "' ~APPRAISEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 -•~r j`~OF DEDUCTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-06 01 ~Le `k '~~ "" ' JOINTLY HELD OR TRUST ASSETS 2~E0 MAR 12 RM 4~ I d ~~~ aDU~~ ROBERT ~ ,`~R~„ QA 16511 WALN iFAIL RD CHESTERFIELD MO 63005 Pennsylvania ~ DEPARTMENT OF REVENUE REY-1548 EX AFP (12-09) DATE 03-08-2010 ESTATE OF RICKERT E B DATE OF DEATH 08-04-2009 FILE NUMBER 21 10-0121 COUNTY CUMBERLAND SSN/DC 201-18-4613 ACN 09154827 APPEAL BY DATE:05-07-2p10 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REM$T PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SgUARE CARLISLE PA 17013 CUT ALONG THIS LINE '~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ 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: 03-082010 ESTATE OF:RICKERT E B DATE OF DEATH:08-04-2009 FILE NO.: 21 10-0121 S.S/D.C. NO.: 201-18-4613 COUNTY:CUMBERLAND Ai:N: 09154827 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PSECU ACCOUNT NO.: 020118613-S1 TYPE OF ACCOUNT: (XJSAVINGS C ) CHECKING C )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 02-15-1977 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 24,810.38 X 0.166 4,135.15 - .00 4,135.15 x .45 186.08 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 ORDEIk PAYABLE T0: "REGISTER OF WILLS, AGENT." PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID C-) AMOUNT PAID 02-05-2010 CD012331 .00 186.08 TOTAL TAX PAYMENT 186.08 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. ~'~.,~n Pennsylvania ~;~ HERITANCE TAX DEPARTMENT OF REVENUE ^ ~` '~-'~ ~T'I ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION . , I APP~AISEMENT, A_Ct~ANCE OR DISALLOWANCE REV-1548 EX AFP (12-09) PO BOX 280601 ~~H~~CTYONS,,:AN ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS z0~a MA~ ( 2 ~~"~ ~ ~ ODATE 03-08-2010 ESTATE OF RICKERT E B DATE OF DEATH 08-04-2009 UMBER C~~~K ~~ L AND CUMBER COUNTY R~ ' ~~ ~ U~ SSN/DC 201-18-4613 ~ ROBERT W RICKERT JR rvUtf~r_~~~.~-v~i~~ v.~., ~ ACN 09154829 16511 WALNUT RAIL RD APPEAL BY DATE:05-07-2010 CHESTERFIELD MO 63005 (See reverse side under Objections) A~ount Renitted MAKE CHECK PAYABLE AND REMIT PAYMENT T 0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE '--! RETAIN LOWER PORTION FOR YOUR RECORDS ~ ------------------------------------------------------------------------------------------- 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: 03-08-'2010 ESTATE OF:RICKERT E B DATE OF DEATH:08-04-2009 COUNtY:CUMBERLAND FILE NO.: 21 10-0121 S.S/D.C. NO.: 201-18-4613 ACN: 09154829 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PSECU ACCOUNT NO.: 0201184613-S4 TYPE OF ACCOUNT: ( )SAVINGS (1U CHECKING C )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 02-15-1977 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due 2,378.76 X 0.166 396.47 - .00 396.47 Y .45 17.84 NOTE: TO ENSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTIONIOF 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." reY roFnrrc. PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID C-) AMDUNT PAID 02-05-2010 CD012331 .00 17.84 TOTAL TAX PAYMENT 17.84 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. /'1~(~{ SEE REVERSE SIDE DF THIS FORM FOR INSTRUCTIONS. ~~/ BUREAU OF INDIVIDUAL TAXES,- -,r~, ~ "!~ (?r'"I^~. (,'NICE OF INHERITANCE TAX INHERITANCE Tax DIVISION - ! ~_;!.-,.' `-.~V~F~&Y4I MENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 I: ; ,;~; :`~~4F;.`;D~DUCTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-Ob01 i •; ~„ej,_: ~..5`~ `ten + ~'~ `JOINTLY HELD OR TRUST ASSETS ~o~a nA~ ~ 2 ~r~ ~~ ~ o c~~Rx o~ P~d,~a~!'S C4l}RT ROBERT W RIC~~~,i'°~~ ~~y~ ^(''}„ 16511 WALNUT RA ~ CHESTERFIELD MO 63005 Pennsylvania ~ DEPARTMENT OF REVENUE REY-1548 EX AFP C12-09) DATE 03-OS-2010 ESTATE OF RICKERT E B DATE OF DEATH 08-04-2009 FILE NUMBER 21 10-0121 COUNTY CUMBERLAND SSN/DC 201-18-4613 ACN 09154831 APPEAL BY DATE:05-07-21010 (See reverse side under Objections) Amount Reeitted 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 ~"~ ------------------------------------------------------------------------------------------- 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-OS-'2010 ESTATE OF:RICKERT E B DATE OF DEATH:08-04-2009 FILE NO.: 21 10-0121 S, TAX RETURN WAS: CX) FINANCIAL INSTITUTION: PSECU TYPE OF ACCOUNT: C )SAVINGS DATE ESTABLISHED 11-28-2003 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: COUNtY:CUMBERLAND S/D.C. NO.: 201-18-4613 ACN: 09154831 ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION ACCOUNT NO.: 0201184,613-C51 C ) CHECKING C )TRUST C ~ TIME CERTIFICATE 10,171.34 X 0.166 1,695.26 - .00 1,695.26 Y .45 76.29 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 ORDERI PAYABLE T0: "REGISTER OF WALLS, AGENT." PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID 02-05-2010 CD012331 .00 76.29 TOTAL TAX PAYMENT 76.29 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 ~ LF 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. 1Li ~y T f1 ? ~r'~ ?tk NOTICE OF INHERITANCE TAX BUREAU OF INDIVIDUAL TAX'S ' '-, i,~~ (~^i~ J~ INHERITANCE TAX DIVISIDN rAP~I~I~iSEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 ~ •, `.v; tlF iDEDUCTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 ' ~''~ JOINTLY HELD OR TRUST ASSETS Pennsylvania ~ DEPARTMENT OF REVENUE REY-1548 IX AFP C12-09) Zo1~ M~~ ~ 2 ~~ {;~. ~ Q DATE 03-08-2010 ESTATE OF RICKERT E c~E~K o~ ~pNArJ S ~ QURT ROBERT W RIO}~',~~~,r'~G.~ l.~'..~ . 16511 WALNUT RAIL RD CHESTERFIELD MO 63005 DATE OF DEATH 08-04-2009 FILE NUMBER 21 10-0121 COUNTY CUMBERLAND SSN/DC 201-18-4613 ACN 09154833 APPEAL BY DATE:05-07-2p10 (See reverse side under Objectio~hs) Amount Reaitted MAKE CHECK PAYABLE AND REMYT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 B CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ ---------------------------------------------------------- --------------------------------- 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: 03-08-2010 ESTATE OF:RICKERT E B DATE OF DEATH:08-04-2009 COUNI~Y:CUMBERLAND FILE NO.: 21 10-0121 S.S/D.C. NO.: 201-18-4613 ACN: 09154833 TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PSECU ACCOUNT NO.: 0201184j613-C52 TYPE OF ACCOUNT: ( )SAVINGS ( ) CHECKING ( )TRUST (X)TIME CERTIFICATE DATE ESTABLISHED 11-07-2007 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 13,250.21 X 0.166 2 208.41 - .00 2,208.41 x .45 99.38 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 02-05-2010 CD012331 .00 99.38 TOTAL TAX PAYMENT 99.38 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)r YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. i 'V i -%~" `~.zi- N9TICE OF INHERITANCE TAX BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION ., ~ ~1pP(tAISEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 i'4. _,,~, QF D6nUCTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS Pennsylvania ~ DEPARTMENT OF REVENUE REV-1548 EX AFP C12-09) ~Q~Q~~R,2 ~~ ~~ ~~ DATE 03-08-2010 GIERK Qs ~i~N~"~;~, ~~ ~~=PA ROBERT W RICKEI~P,~,~~~~--'~~~ `'` 16511 WALNUT RAIL RD CHESTERFIELD MO 63005 ESTATE OF RICKERT E DATE OF DEATH 08-04-2009 FILE NUMBER 21 10-0121 COUNTY CUMBERLAND SSNJDC 201-18-4613 ACN 09154835 APPEAL BY DATE:05-07-2'010 (See reverse side under Objections) Amount Refitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 B CUT ALONG THIS LINE '~' RETAIN LOWER PORTION FOR YOUR RECORDS ~"~ ------------------------------------------------------------------------------------------- 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: 03-08-2010 ESTATE OF:RICKERT E COUNTY:CUMBERLAND FILE NO.: 21 10-0121 S.S/D.C. NO.: 201-18-4613 ACN: 09154835 TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PSECU ACCOUNT NO.: 0201184613-C57 TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING C )TRUST CX)TIME CERTIFICATE DATE ESTABLISHED 07-27-2007 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TOY f_RFiIiTS: 28,948.82 X 0.166 4,833.23 - .00 4,833.23 Y .45 217.50 NOTE: TD 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 (+) INTEREST/PEN PAID C-) AMOUNT PAID 02-05-2010 CD012331 .00 217.50 B DATE OF DEATH:08-04-2009 TOTAL TAX PAYMENT 217.50 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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. -- ,~ ~., ,-.}-~ ~~ u~~ Pennsylvania ~ BUREAU OF INDIVIDUAL TAXES ~ ~_ N0T3CE, Q~,INHERITANCE TAX DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION ~~A`P'RRA~SEMffNt• .ALLOWANCE OR DISALLOWANCE PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP C12-09) HARRISBURG PA 17128-0601 ~~~~ ~~~ ~ ~OINTL~Y _HEL~ o0R TRUST ASSETS CLERK QF ORP~lAN'S ~'OURT ROBERT W RICKERT JR 16511 WALNUT RAIL RD CHESTERFIELD MO 63005 DATE 03-08-2010 ESTATE OF RICKERT E B DATE OF DEATH 08-04-2009 FILE NUMBER 21 10-0121 COUNTY CUMBERLAND SSN/DC 201-18-4613 ACN 09154837 APPEAL BY DATE:05-07-2010 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SgUARE CARLISLE PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ 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: 03-082010 ESTATE OF:RICKERT E B DATE OF DEATH:08-04-2009 FILE NO.: 21 10-0121 S.S/D.C. NO.: 201-18-4613 COUNfiY:CUMBERLAND ANN: 09154837 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET FINANCIAL INSTITUTION: PSECU TYPE OF ACCOUNT: C )SAVINGS ( ) CHECKING ( )TRUST DATE ESTABLISHED 07-25-2008 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 22,330.41 X 0.166 3,721.81 - .00 3,721.81 x .45 167.48 INFORMATION ACCOUNT NO.: 020118613-C59 CX)TIME CERTIFICATE NOTE: TO ENSURE PROVER 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 02-05-2010 CD012331 .00 167.48 TOTAL TAX PAYMENT 167.48 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" CCR), YOU MAY BE DUE A REFUND. 1 ,~;~ SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. r(~JIVV T BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 • ~ . ~_, ~,n~~,~E~F INHERITANCE TAX ~~'~Y,~ ~~DUCT~~bNSAANDNASSESSMENTSOFLTAXNON JOINTLY HELD OR TRUST ASSETS 2ata K~~ ~ 2 ~~ ~: ~ o ('~(~pG~L/;ERK OF Vllf i V'U~f~ GVtJIl! ROBERT W RICKERT JR 16511 WALNUT RAIL RD CHESTERFIELD MO 63005 Pennsylvania ~ DEPARTMENT OF REVENUE REV-1548 IX AFP (12-09) DATE 03-08-2010 ESTATE OF RICKERT E B DATE OF DEATH 08-04-2009 FILE NUMBER 21 10-0121 COUNTY CUMBERLAND SSN/DC 201-18-4613 ACN 09154839 APPEAL BY DATE:05-07-2p10 (See reverse side under Objectio>ris) Amount Rewitted MAKE CHECK PAYABLE AND REMYT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ ---------------------------------------------------------------------------------- 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: 03-08-12010 ESTATE OF:RICKERT E B DATE OF DEATH:08-04-2009 COUNtY:CUMBERLAND FILE NO.: 21 10-0121 S.S/D.C. NO.: 201-18-4613 ACN: 09154839 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET FINANCIAL INSTITUTION: PSECU TYPE OF ACCOUNT: C )SAVINGS ( ) CHECKING ( )TRUST DATE ESTABLISHED 01-28-2008 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 13,479.06 X 0.166 2,246.55 - .00 2,246.55 x .45 101.09 INFORMATION ACCOUNT NO.: 0201184613-C64 C)OTIME 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 ORDEF2 PAYABLE T0: "REGISTER OF WILLS, AGENT." PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID 02-05-2010 CD012331 .00 101.09 TOTAL TAX PAYMENT 101.09 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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ,~, . ,,~:~;,~~ {~i`r `~%~' k tIr101~TCE OF INHERITANCE TAX ~'' pennsy van~a ~ BUREAU OF INDIVIDUAL TAXES _• ~PPRAI~EME`~lT ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION PO BOX 280601 , ~, I, ~"`` ~-~'~'`~-O~~E1311~IONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP c12-o9) HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS Z~~~~~jR ~ 2 ~~ ~• ~ ~ DATE 03-08-2010 CLERK Qi ~ ~p~RH~n1~S Cc~URT ROBERT W RICKER~'-IJ~R'`~~`"~y~~`' ~~ ~ P~ 16511 WALNUT RAIL RD CHESTERFIELD MO 63005 ESTATE OF RICKERT E B DATE OF DEATH 08-04-2009 FILE NUMBER 21 10-0121 COUNTY CUMBERLAND SSN/DC 201-18-4613 ACN 09154841 APPEAL BY DATE:05-07-2010 (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 ~ -------------------------------------------------------------------------------- ----------- 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: 03-08 2010 ESTATE OF:RICKERT E B DATE OF DEATH:08-04-2009 COUNTY:CUMBERLAND FILE NO.: 21 10-0121 S.S/D.C. NO.: 201-18-4613 ACN: 09154841 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED FINANCIAL INSTITUTION: PSECU TYPE OF ACCOUNT: C )SAVINGS DATE ESTABLISHED 11-28-2007 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: JOINT OR TRUST ASSET INFORMATION ACCOUNT NO.: 0201184613-065 ( ) CHECKING ( )TRUST CX)TIME CERTIFICATE 21,025.17 X 0.166 3,504.27 - .00 3,504.27 Y .45 157.69 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 02-05-2010 CD012331 .00 157.69 TOTAL TAX PAYMENT 157.69 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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.