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HomeMy WebLinkAbout07-06-10BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO 60X 2d0601 HARRISltBt6 PA 17128-0601 ~r ? C:; !~-~ ;~ •OF INHERITANCE TAX _~ , -, ~ ~~ , : ~iALSE~ ALLOWANCErt OR DISALLOWANCE +`~~+.~~abEi'~E~U4T' ~ , AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS 20 i ~ JUL - ~ PM 2, 2 3 P LERK 4F T ~~~~ i CAROL A KUPCHIKC~~~~-~'~~ ~'~ • ~~ 1003 ALDEN WAY LEBANON PA 17042 pe~~lvan~a DEPARTMENT OF REVENUE REV-1548 EX AFP C12-09) DATE 06-28-2010 ESTATE OF ERIKSON MARY T DATE OF DEATH 03-28-2010 FILE NUMHER 21 10-0557 COUNTY CUMBERLAND SSN/DC 065-16-0492 ACN 10126682 APPEAL BY DATEs08-27-2010 (See reverse side under Ob, ject~to~es) A~ount Rutted 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 INNERITANCE TAX APPRAISENENT, ALLOWAtiCE 0R ''DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY MELD OR''T`NUST ASSETS 06-28-40_~ i. ESTATE OF:ERIKSON MARY T DATE OF DEATH:03-28-+2010 COUNTY:CU'MBERLAND FILE NO.: 21 i0-0'557 S.S/D.C. NO.: 065-16-0992 ACNs 10126 62 TAX RETURN WAS: tX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFOR ATION FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT NO.: 3531.060708 TYPE OF ACCOUNT: C )SAVINGS C~0 CHECKING C )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 06-26-2006 Account Balance Percent Taxable Amount Sub3ect to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 44,742.93 X 0.166 7,457.30 - .00 7,457.30 ~_ Y .045 335.58 NOTE:, TO ENSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO TH'~E 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 06-02-2010 CD012843 16.78 318.80 TOTAL TAX PAYMENT 335.58!.. BALANICE OF TAX DUE .00' INTEREST AND PEW. .00 TO AL DUE .00 ~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE. IS REFLECTED AS A '•CREDIT" CCR), YOU NAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORK FOR INSTRUCTIONS. I~,~~(1n -~,~ ~f~~,t `,~C`. ~'' ~}OF INHERITANCE TAX BUREAU OF INDIVIDUAL TAXES +~~!,~ti, ~~tA ALLOWANL"! ~R DISALLOWANCE INHERITANCE TAX DIVISION ~ ~,-w ~ ~~ Pp saac 28®fel ~~~~ ;~F~L~,E1~'~ H~~ AND ASSESSMENT OF TAX ON FMRRiseURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS CAROL A KUPCHIK 1003 ALDEN WAY LEBANON PA 2010 JUL -5 P~ 2~ 23 ~~.~.._ 17042 nsylvania DEPARTMENT OF REVENUE REV-1548 EX AFP C1~-49) DATE 06-28-2010 ESTATE OF ERIKSON MARY T DATE OF DEATH 03-28-2010 FILE NUMBER 21 10-0557 COUNTY CUMBERLAND SSN/DC 065-16-0992 ACN 1012.6683 APPEAL BY DATEs08-27-2010 (See re-~rse side Wnder Obieect~ons) A~oun# Ro~itt®d ~ +~ MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONC THIS LINE ~"B RETAIN LOWER PORTION FOR YOUR RECORDS ~"'~ - ./ - r - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - '- - ~ - - a - - - - - - - - - - - - - - - ~ - - - - - - - - - - REV-154a EX AFP C~2-09) NOTICE OF INHERITANCE TAX APPRAISENENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATES ~6-28-2010 ESTATE OF:ERIKSON MARY COUNTY:CUMBERLAND FILE NO.: 21 10-0557 S.SlD.C. NO.: 065-16-0992 ACN: 10126 63 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT NO.: 353106Ob94 ,~~ TYPE OF ACCOUNT: C )SAYINGS C b CHECKING C )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 03-26-2009 Account Balanc® Percont Taxable Aaount Sub3ect to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAY f`DCi1TTC. 1, 50 0-~,,,_ 36_ X O.lbb_ 250.07 - .00 250.07 x .045 11.25 NOTE: TO ENSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICES WITH YOUR TAX PAYMENT TO THIS 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 06-02-2010 CD012844 .56 10.69 T DATE OF DEATH:03-28-2010 TOTAL TAX PAYNEMT 11.25'' 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 nCREDIT" CCR), YOU MAY BE DUE A REFUND. II SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS. h~~~~r`° fl F ~I E OF INHERITANCE TAX BUREAU OF INDIVIDUAL TAXES ~~°,,., ~. ,~``~~.! 'w~~~~'~~~-~' ~ INHERITANCE TAX DIVISION ~»~... .wr °; PR ~#IENT,~ ALLOWANCE OR DISALLOWANCE PO 1GX 288iei ~~i..+s.:}~~,~"t QA~I~~~C7IONS, AND ASS~~SMENT OF TAX ON HARRiS8UR6 PA 17128-o6oi JOINTLY HELD OR TRUST ASSETS ?~I~ ,~Ut -6 PH 2~ ~~- CLARK COURT ORPHAN ~ C JOHN C ERIK~~~~~~-~~~% ~~ ~ P~' 92 LATERN LN SHIPPENSBURG PA` 17257 ~r~~ylvan~a DEPARTMENT OF REVENUE REV-1548 EX AFP C12-09) DATE 06-28-2010 ESTATE OF ERIKSON MARY T DATE OF DEATH 03-28-2010 FILE NUMBER 21 10-0557 COUNTY CUMBERLAND SSN/DC 065-16-0992 ' ACN 10129665 APPEAL BY DATE:08-27-2010 (See reverse side under Qb}ect~ons) Auount RoAitted, ~- !!-~ MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE ""'B RETAIN LOWER PORTION FOR YOUR... RECORDS ~"'~ REV-Ig4B EX AFP t1Y-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR .,DISALLOWANCE OF DEDUCTIONS, AND ASSESSlFENT OF TAX ON JOINTLY MELD OR TRUST ASSETS ~~„ DATE : O b - 28`201,~~ ESTATE OF:ERIKSON MARY T DATE OF DEATH:03-28-2010 COUNTY:CUMBERLAND FILE NO.: 21 10-0557 S.S/D.C. NO.: 065-16-0992 ACN: 10129665 TAX RETURN WASs CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORM~-TION FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT NO.: 3531060708 TYPE OF ACCOUNT: C )SAVINGS C)U CHECKING C )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 06-2b-2006 Account Balance Percent Taxable A~ount Subject to Tax Debts and Deductions Taxable Awtount Tax Rate Tax Due TAX CREDITS: 44,742.43 X 0.166 7,457.30 - .00 7,457.30 Y .00 .00 NOTE: TO ENSURE PROPER CREDIT TO YOUR ACCOUNT: SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TD 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 TOTAL TAX RAYMENT .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 REFLECTED AS A "CREDIT'• fCR), YOU MAY BE DUE A REFUND. ~~ SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. BUREAU Of INDIVIDUAL TAXES ~`~.~.~ ~~'-'~~~` ~h~t ~'~'~iU'ICE OF INHERITANCE TAX INHERITANCE TAX DIVISION ~-~ wR~l[ENT, ALLOWANCE OR DISALLOWANCE PO SODt 280601 ~±~'.:+1•~ 5 ~-~ ~0~'~ DL~CT~lONS, AND ASS~SS~NENT OF TAX ON HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS c~E~~ °~uRT £~~QRPNAhI ~ CU JOHN C ERIKS6+W;"~R~~i ~`j~~~ 4~'~ ' PA 92 LATERN LN SHIPPENSBURG PA 17257 MAKE CHECK'PAYASLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 per~nsylvaa DEPARTMENT OF REVENUE REV-1548 EX AFP C12-09) ~~~~ „~~~"' ~~ P!~ 2' ~4 DSTATE OF ERIKSONOIO MARY E DATE OF DEATH 03-28-2010 FILE NUMHER 21 10-0557 COUNTY CUMBERLAND SSN/DC 065-16-0992 ACN 10129666 APPEAL HY DATE:08-27-2010 (See reverse side under Ql~,~€ect~ons) Anount Reu~tted T CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS d"""' REV-154a EX AFP C12-09) NOTICE OF IN~iERITANCE TAX APPRAISEMENT, ALLOWANCE OR ,DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT bF TAX ON JOINTLY-HELD OR 'TRUST ASSETS .. DATE : 05 - 28 ,:2~ 0 ,.____;~ ,.~. ESTATE OF:ERIKSON MARY T DATE OF DEATH:03-26-2010 COUNTY:CUMBERLAND FILE NO.: 21 10-0557 S.S/D.C. NO.: 085-16-0992 ACN: 10129666 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET. INFORl~ATIOtN FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT NO.:_ 353,060694 TYPE OF ACCOUNT: C )SAVINGS C)0 CHECKING C )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 03-26-2009 Account Balance Percent Taxable Aasount Subject to Tax Debts and Deductions Taxabl® A:aount Tax Rate Tax Due TsY rRCnTT~. 1,500.36 X 0.166 250.07 - .00 250.07 y .00 .00 NOTE: TO ENSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER. PORTION 0f THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MDNEY ORDER PAYABLE T0: "REGISTER OF WILLS, AGENT." PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID TOTAL TAX PAYMENT .00 BALANCE OF TAX 1MtE .00 INTEREIST 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 PORN FOR INSTRUCTIONS.