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HomeMy WebLinkAbout07-23-10"T f ~ v.~. r _ ,- ,^ _ pennsylvan~a , ~~~ ;. BUREAU OF INDIVIDUAL TAXES;'"" ,,NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION ~ '~ ~ ~ ~~°APPR~,I_SEMENT, ALLOWANCE OR DISALLOWANCE PO BoX 280bo1 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP C12-09) HARRISBURG PA 17128-0601 .)P e ~ ~~ ~~ ,~ ~., ~ JOINTLY HELD OR TRUST ASSETS `v. ~ ,' - ._ „ r, ~ , ~~ , T 07-26-2010 (~~ ,-r.,,, r,~r_ ~,r~'.1~~ _ ~~ ~;_, ,"~` ',; . ROBERT W RICKERT SR 141 MESSIAH CIR MECHANICSBURG PA 17055-8609 DA E ESTATE OF RICKERT E B DATE OF DEATH 08-04-2009 FILE NUMBER 21 10-0121 COUNTY CUMBERLAND SSN/DC 201-18-4613 ACN 09154826 APPEAL BY DATE:09-24-2010 (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 C12-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE Oi= DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 07-2b-2010 ESTATE OF:RICKERT E B DATE OF DEATH:08-04-2009 COUNTY:CUMBERLAND FILE NO.: 21 10-0121 S.S/D.C. NO.: 2D1-18-4613 ACN: 09154826 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED FINANCIAL INSTITUTION: PSECU JOINT OR TRUST ASSET INFORMATION ACCOUNT NO.: 0201184613-S1 TYPE OF ACCOUNT: C ~ SAVINGS 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 •00 .00 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 (+) INTEREST/PEN PAID (-) AMDUNT PAID TOTAL TAX PAYMENT .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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ~;~~ ~-~~ -~, ^. -. ~~. ,^~ pennsylvan~a BUREAU OF INDIVIDUAL TAXES ~ V ~~NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE , INHERITANCE TAX DIVISION i ,~ _ ,~_ : _, ~APPRAIS~~EMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 OF ~DEDIfCTIONS, AND ASSESSMENT OF TAX ON REV-8548 EX AFP C12-o9) HARRISBURG PA 171za-0601 JOINTLY HELD OR TRUST ASSETS rf jl(f! i~*( h~'l n ~ t ~ h,.. ~',., ~~~`~ _.,:~ ,... ~ ~ ~ :~ DATE 07-26-2010 of '`(~'/ ~.- ~,.. , r, .: ~., _ - ~- .~ , ROBERT W RICKERT SR 141 MESSIAH CIR MECHANICSBURG PA 17055-8609 ESTATE OF RICKERT E B DATE OF DEATH 08-04-2009 FILE NUMBER 21 10-0121 COUNTY CUMBERLAND SSN/DC 201-18-4613 ACN 09154828 APPEAL BY DATE:09-24-2010 (See reverse side under Objectr'ons) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE --M- RETAIN LOWER PORTION FOR YOUR RECORDS f"~ 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: 07-26-2010 ESTATE OF:RICKERT E COUNTY:CUMBERLAND FILE NO.: 21 10-0121 S.S/D.C. NO.: 201-18-4613 ACN: 09154828 TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED FINANCIAL INSTITUTION: PSECU B DATE OF DEATH:08-04-2009 JOINT OR TRUST ASSET INFORMATION ACCOUNT NO.: 0201184613-S4 TYPE OF ACCOUNT: ( SAVINGS CX) CHECKING t TRUST C TIME CERTIFICATE DATE ESTABLISHED 02-15-1977 Account Balance 2,378.76 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.166 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 396.47 UPPER PORTION OF THIS NOTICE Debts and Deductions - •00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 396.47 REGISTER OF WILLS AT THE Tax Rate ~ •00 ABOVE ADDRESS. MAKE CHECK Tax Due •00 OR MONEY ORDER PAYABLE T0: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID (-) AMOUNT PAID TOTAL TAX PAYMENT .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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. `~ BUREAU OF INDIVIDUAL tAX~€S ~; ~~ 1,,;:` NOTICE OF INHERITANCE TAX INHERITANCE TAX DIVISION APRRAISEMENT, ALLOWANCE OR DISALLOWANCE ,_ PO BOX 280601 ~ - ~- - ~ -~,':L1F:DEDUCTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS ' i ~ 1 ,_ - (~~;r~ ~ ,, ~~ ~-- ~- ~~~ ~~ ROBERT W`~~I~ICK~ERT ~SR~ ~ ~~ 141 MESSIAH CIR MECHANICSBURG PA 17055-8609 .;. Pennsylvania t,~~ ~ DEPARTMENT OF REVENUE REV-1548 EX AFP C12-09) DATE 07-26-2010 ESTATE OF RICKERT E B DATE OF DEATH 08-04-2009 FILE NUMBER 21 10-0121 COUNTY CUMBERLAND SSN/DC 201-18-4613 ACN 09154830 APPEAL BY DATE:09-24-2010 (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 C12-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 07-26-2010 ESTATE OF:RICKERT E FILE NO.: 21 10-0121 S.S/D.C. NO.: 201-18-4613 COUNTY:CUMBERLAND ACN: 09154830 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED FINANCIAL INSTITUTION: PSECU JOINT OR TRUST ASSET INFORMATION ACCOUNT NO.: 0201184613-C51 C ) CHECKING C TRUST (X)TIME CERTIFICATE TYPE OF ACCOUNT: ( )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: 10,171.34 X 0.166 1,695.26 - .00 1,b95.2b x .00 .00 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 (+) INTEREST/PEN PAID (-) AMOUNT PAID B DATE OF DEATH:08-04-2009 TOTAL TAX PAYMENT .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" tCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. -~.~, q ,,_.y_._ BUREAU OF INDIVIDUAL TAXES`'' ~' ~'~rl~''bTICE OF INHERITANCE TAX INHERITANCE TAX DIVISION - ! A~P.RAI~MENT, ALLOWANCE OR DISALLOWANCE PO BOX 280b01 i":_ ~ ',,_QF','DE_~U~TIONS, AND ASSESSMENT OF TAX ON IiARRISBURG PA 17128-Ob01 JOINTLY HELD OR TRUST ASSETS ~ ,~ (~, -n,, ,,.-- ,,, , _ ROBERT W RICYf~E~tT SR !-- -, ~ , 141 MESSIAH CIR MECHANICSBURG PA 17055-8609 Pennsylvania `E. i DEPARTMENT OF REVENUE REV-L548 IX AFP C12-09) DATE 07-26-2010 ESTATE OF RICKERT E B DATE OF DEATH 08-04-2009 FILE NUMBER 21 10-0121 COUNTY CUMBERLAND SSN/DC 201-18-4613 ACN 09154832 APPEAL BY DATE:09-24-2010 (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 E-- 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: 07-26-2010 ESTATE OF:RICKERT E B DATE OF DEATH:08-04-2009 FILE NO.: 21 10-0121 S.S/D.C. NO.: 201-18-4613 A.CN: 09154832 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED FINANCIAL INSTITUTION: PSECU JOINT OR TRUST ASSET INFORMATION ACCOUNT NO.: 0201184613-C52 TYPE OF ACCOUNT: ( SAVINGS ( 3 CHECKING C )TRUST (XI 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 ~ .00 .00 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 70: "REGISTER OF TWILLS, AGENT." PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 COUNTY:CUMBERLAND ~ 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. ~~ ^ -~. -. r.._.~ . r ~~ , _ ~ _ pennsylvan~a .~ ~ ~~ ~ ~ BUREAU OF INDIVIDUAL TAXES _ ~,. NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION AFPR~iSEMENT, ALLOWANCE OR DISALLOWANCE REV-1.548 EX AFP c12-09) PO BoX 280601 ~ ~ - `" ` dF ~ DEDUCTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS ~'~~''~~ `~~~ ~~' "~~~ '~ l '~' DATE 07-2b-2010 • ~~~ `: ~~'~ ROBERT W RICKERT SR ~ • 141 MESSIAH CIR MECHANICSBURG PA 17055-8609 ESTATE OF RICKERT E B DATE OF DEATH 08-04-2009 FILE NUMBER 21 10-0121 COUNTY CUMBERLAND SSN/DC 201-18-4613 ACN 09154834 APPEAL BY DATE:09-24-2010 (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 C12-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF" DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 07-26-2010 ESTATE OF:RICKERT E FILE NO.: 21 10-0121 S.S/D.C. NO.: 201-18-4613 COUNTY:CUMBERLAND A.CN: 09154834 TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED FINANCIAL INSTITUTION: PSECU TYPE OF ACCOUNT: C )SAVINGS C 3 CHECKING C )TRUST DATE ESTABLISHED 07-27-2007 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due 28,998.82 X 0.166 4,833.23 - .00 4,833.23 x .00 .00 TAX ('RFTITTS~ 0201184613-C57 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 (+) INTEREST/PEN PAID (-) AMOUNT PAID B DATE OF DEATH:08-04-2009 JOINT OR TRUST ASSET INFORMATION ACCOUNT ND.: TOTAL TAX PAYMENT .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" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. .[~r„'" ~ ~-NOTICE OF INHERITANCE TAX BUREAU OF INDIVIDUAL TAXES.` INHERITANCE TAX DIVISION - _ APPRAISEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 ~ ` ~ - - ~ O~F._D~DUCTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS d~ . ,-. ~. ~ i ~ ~~ n- -- ,,, •. ROBERT W RICKERT SR 141 MESSIAH CIR MECHANICSBURG PA 17055-8609 ,<_. Pennsylvania r r~~` DEPARTMENT OF REVENUE _ REV'-1548 IX AFP C12-09) DATE 07-26-2010 ESTATE OF RICKERT E B DATE OF DEATH 08-04-2009 FILE NUMBER 21 10-0121 COUNTY CUMBERLAND SSN/DC 201-18-4613 ACN 09154836 APPEAL BY DATE:09-24-2010 (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 C12-09] NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE Of= DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 07-2b-2010 ESTATE OF:RICKERT E FILE NO.: 21 10-0121 S.S/D.C. NO.: 201-18-4613 COUNTY:CUMBERLAND ACN: 09154836 TAX RETURN WAS: CX] ACCEPTED AS FILED C 3 CHANGED FINANCIAL INSTITUTION: PSECU B DATE OF DEATH:08-D4-2009 JOINT OR TRUST ASSET INFORMATION ACCOUNT NO.: 0201184613-C59 ( ] CHECKING C ]TRUST CXITIME CERTIFICATE TYPE OF ACCOUNT: ( ]SAVINGS 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 y .00 .00 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 (+) INTEREST/PEN PAID C-) AMOUNT PAID TOTAL TAX PAYMENT .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" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ll__-~ s,71" ~_ - _ Pennsylvania . ,~ `~ BUREAU OF INDIVIDUAL TAXES •'" NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE ~ INHERITANCE TAX DIVISION - _ . APRIZAISEMENT, ALLOWANCE OR DISALLOWANCE , PO BOX 280601 _, OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP c12-09) HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS ((77 ,~ t ~ j tf i~ ~ ! d ~ ~ } ~ ' ~ . ,E, - DATE 07-26-2010 ~^, r. r- - ! I i-1" ROBERT W RICKERT SR 141 MESSIAH CIR MECHANICSBURG PA 17055-8609 ESTATE OF RICKERT E B DATE OF DEATH 08-04-2009 FILE NUMBER 21 10-0121 COUNTY CUMBERLAND SSN/DC 201-18-4613 ACN 09154838 APPEAL BY DATE:09-24-2010 {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 F"" 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: 07-26-2010 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 ACN: 09154838 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED FINANCIAL INSTITUTION: PSECU TYPE OF ACCOUNT: C )SAVINGS DATE ESTABLISHED D1-28-2008 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-C64 ( ) CHECKING ( )TRUST CX?TIME CERTIFICATE 13,479.06 NOTE: X 0.166 2,246.55 - .00 2,246.55 y .00 .00 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 1~IILLS, AGENT." PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID C-) AMOUNT PAID TOTAL TAX PAYMENT .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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ~ -,..-.-__ _T _, ~_ BUREAU OF INDIVIDUkL TkXES -~.~ NOTICE OF INHERITANCE TAX INHERITANCE TAX DIVISION __. ,APPRAISEMENT, ALLOWANCE OR DISALLOWANCE PD BOX 280601 - ~- - - - ~ ~ - ~OF DEDUCTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS r, -r.- f~ ROBERT ,`~ RICKERT' SR ' 141 MESSIAH CIR MECHANICSBURG PA 17055-8609 -~~' , pennsylvan~a ~ DEPARTMENT OF REVENUE REV-1.548 EX AFP (12-09) DATE 07-26-2010 ESTATE OF RICKERT E B DATE OF DEATH 08-04-2009 FILE NUMBER 21 10-0121 COUNTY CUMBERLAND SSN/DC 201-18-4613 ACN 09154840 APPEAL BY DATE:09-24-2010 (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: 07-26-2010 ESTATE OF:RICKERT E B DATE OF DEATH:OS-04-2009 FILE NO.: 21 10-0121 S.S/D.C. NO.: 201-18-4613 ACN: 09154840 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PSECU ACCOUNT NO.: 0201184613-C65 TYPE OF ACCOUNT: ( )SAVINGS ( ) CHECKING ( )TRUST CX)TIME CERTIFICATE DATE ESTABLISHED 11-28-2007 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 21,025.17 X 0.166 3,504.27 - .00 3,504.27 x .00 .00 NOTE: TO ENSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF W:[LLS 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 PAYMENT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 COUNTY:CUMBERLAND ~ 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. /~''~~