HomeMy WebLinkAbout10-01-10BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
_ pennsylvania ~
^~r„.,,;1+LDT~I,,GE.;,Q, ~ERITANCE TAX DEP~-RTMENT OF REVENUE
~~~PP~R0`i~~.SEI"IE~4~'` ~,P~ LANCE OR DISALLOWANCE
REV-1548 EX AFP C12-09)
F ~~ITtIC'~LONS; ~pNfl ASSESSMENT OF TAX ON
~` `-'9BINT~I'Y ~HEL~D-' OR TRUST ASSETS
DATE 10-04-2010
~~ ~ ~ ~~~ -' ~ ~~'j ~~~ ~ ESTATE OF FLUEVOG JANET
DATE OF DEATH 05-29-2010
FILE NUMBER 21 10-0837
~ ~" ~`~ ~ ,'f C OUNTY CUMBERLAND
~^ '~~%,`~`;!~`~; ,~ ~,_~'.,r`i! SSN/DC 206-24-8892
JEAN FLUEVOG ;'~~ ; `~ '' ~' ` t , - ;~~~ ACN 10133424
125 PARKVIEW APPEAL BY DATE:12-03-2010
LANSING K S 6 6 0 4 3 (See reverse side under Objecti~~ns)
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: 10-04-2010
ESTATE OF:FLUEVOG JANET DATE OF DEATH:05-29-2010 COUNTY:CUMBERLAND
FILE NO.: 21 10-0837 S.S/D.C. NO.: 206-24-8892 A,CN: 10133424
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 73373-00
TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 08-17-1978
Account Balance 2,854.85 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.166 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 475.82 UPPER PORTION OF THIS NOTICE
Debts and Deductions - •00 WITH YOUR TAB: PAYMENT TO THE
Taxable Amount 475.82 REGISTER OF MILLS AT THE
Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 21.41 OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-)
AMDUNT PAID
08-12-2010 CD013208 1.07 20.34
TOTAL TAX PAYMENT 21.41
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,~l!L-.~C~~ OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ~~ Imo' rj .~,A,PP'8ri~1ISE' I~VI;, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION
PO BOX 280601 ~ ~ ~ -0.~ rtlEirU;{~~f~O~NS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 ~ - ' ~ •' ' '~~' j~T't~°fiY HELD OR TRUST ASSETS
JEAN FLUEVOU~' I' ~ `!' ; ~~ ~''~
125 PARKVIEW
LANSING KS 66043
Pennsylvania
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-09)
DATE 10-04-2010
ESTATE OF FLUEVOG JANET
DATE OF DEATH 05-29-2010
FILE NUMBER 21 10-0837
COUNTY CUMBERLAND
SSN/DC 206-24-8892
ACN 10133426
APPEAL BY DATE:12-03-;?010
(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: 10-04-2010
ESTATE OF:FLUEVOG JANET DATE OF DEATH:05-29-2010
COUNTY:CUMBERLAND
FILE NO.: 21 10-0837 S.S/D.C. NO.: 206-24-8892 A-CN: 10133426
TAX RETURN WAS: CX) ACCEPTED AS FILED t ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 73373-11
TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 08-19-1987
Account Balance 560.54 NOTE: TO ENSURE PRCiPER CREDIT TO
Percent Taxable X 0.166 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 93.43 UPPER PORTION OF THIS NOTICE
Debts and Deductions - •00 WITH YOUR TAB; PAYMENT TO THE
Taxable Amount 93.43 REGISTER OF MILLS AT THE
Tax Rate X .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 4.20 OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
08-12-2010 CD013208 .21 3.99
TOTAL TAX PAYMENT 4.20
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 TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
JEAN FLUEVOG
125 PARKVIEW
Or, _~.,_,, a ~/'~.:!~.,~ ~
~i I, ,~-.. ,.-.,.,t s n ,~.., i-, r., r
LANSING KS 66043
pennsylvania ~ ~ ?~,
DEPARTMENT OF REVENUE
7
REV ••1548 EX AFP (12-09)
DATE 10-04-2010
ESTATE OF FLUEVOG JANET
DATE OF DEATH 05-29-2010
FILE NUMBER 21 10-0837
COUNTY CUMBERLAND
SSN/DC 206-24-8892
ACN 10133428
APPEAL BY DATE:12-03-2010
(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 01=
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 10-04-2010
ESTATE OF:FLUEVOG JANET DATE OF DEATH:05-29-2010 COUNTY:CUMBERLAND
FILE NO.: 21 10-0837 S.S/D.C. NO.: 206-24-8892
ACN: 10133428
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 73374-00
TYPE OF ACCOUNT: C ~ SAVINGS C ) CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 08-17-1987
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
,~~: (~° ` ~(`';~ -N~f'~I;GE~O~,`:INHERITANCE TAX
F ~l4QPY~IITSEME-N T','~-ALLOWANCE OR DISALLOWANCE
~~t1~F;~~~'IIi~CT€-0'N5', J4ND ASSESSMENT OF TAX ON
JOINTLY~FIELD OR TRUST ASSETS
~~ ~ ~ ACT - I ~'~~~ (`~: ~~~;
41,051.22
X 0.166
6,842.01
- .00
6,842.01
Y .045
307.89
NOTE: TO ENSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTIOIJ OF THIS NOTICE
WITH YOUR TA)( PAYMENT TO THE
REGISTER OF tidILLS 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
08-12-2010 CD013208 15.39 292.50
TOTAL TAX PAYMENT 307.89
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 ~ ~ ~ --~:~~-- EJ„- Pennsylvania ~ z
BUREAU OF INDIVIDUAL TAXES`" -- ,` NOTICE OF INHERITANCE TAX DEPNRTMENT OF REVENUE `
~,
INHERITANCE TAX DIVISION ~. ,, ~ ~ ~ ~; APF~RQ~-ISEMENT, ALLOWANCE OR DISALLOWANCE
.
PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 IX AFP (12-09)
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
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~ _ ~
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'
' DATE 10 - 04 - 2010
JEAN FLUEVOG
125 PARKVIEW
LANSING KS b6043
ESTATE OF FLUEVOG JANET
DATE OF DEATH 05-29-2010
FILE NUMBER 21 10-0837
COUNTY CUMBERLAND
SSN/DC 206-24-8892
ACN 10133430
APPEAL BY DATE:12-03-2010
(See reverse side under Objecti~~ns)
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 C12-091
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF'
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 10-04-2010
ESTATE OF:FLUEVOG JANET
COUNTY:CUMBERLAND
FILE NO.: 21 10-0837 S.S/D.C. NO.: 206-24-8892 A,CN: 10133430
TAX RETURN WAS: CX~ ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 73374-11
TYPE OF ACCOUNT: ( )SAVINGS CX) CHECKING t )TRUST C TIME CERTIFICATE
DATE ESTABLISHED 08-18-1987
Account Balance 478.44 NOTE: TO ENSURE PROiPER CREDIT TO
Percent Taxable X 0.166 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 79.74 UPPER PORTIONI OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX: PAYMENT TO THE
Taxable Amount 79.74 REGISTER OF 4~IILLS AT THE
Tax Rate x .045 ABOVE ADDRESS;. MAKE CHECK
Tax Due 3.59 OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMOUNT PAID
08-12-2010 CD013208 .18 3.41
TOTAL TAX PAYMENT 3.59
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.
DATE OF DEATH:05-29-2010
~~~..,, .~ ., ~,~. ^,_ Pennsylvania ~ ~~
"f ~ N~~-I~~~• OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ~~ '' i% -- •- DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ~' ~ APPRAESE~M;EMT„ ALLOWANCE OR DISALLOWANCE _........?
~'--~.~ ~.-'OFD^'DEDU~'~~IUN.S, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-09)
PO BOX 280601
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
C; gip:! r,r
t ` _
_~,~ ~,
JEAN FLUEVOG
125 PARKVIEW
LANSING KS 66043
DATE 10-04-2010
ESTATE OF FLUEVOG JANET
DATE OF DEATH 05-29-2010
FILE NUMBER 21 10-0837
COUNTY CUMBERLAND
SSN/DC 20b-24-8892
ACN 10133432
APPEAL BY DATE:12-03-2010
(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: 10-04-2010
ESTATE OF:FLUEVOG
JANET DATE OF DEATH:05-29-2010
COUNITY:CUMBERLAND
FILE NO.: 21 10-0837 S.S/D.C. NO.: 206-24-8892 A,CN: 10133432
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 73374-42
TYPE OF ACCOUNT: ( )SAVINGS C ) CHECKING ( )TRUST ( ~ TIME CERTIFICATE
DATE ESTABLISHED OS-17-1987
Account Balance 5,089.86 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.166 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 848.33 UPPER PORTIONI OF THIS NOTICE
Debts and Deductions - •00 WITH YOUR TAX: PAYMENT TO THE
Taxable Amount 848.33 REGISTER OF WiILLS AT THE
Tax Rate Y .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 38.17 OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-)
AMOUNT PAID
08-12-2010 CD013208 1.91 36.26
TOTAL TAX PAYMENT 38.17
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_` 1/
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
JEAN FLUEVOG
125 PARKVIEW
?'` ~ `rY~-`^~ A~},C1-T-IC~ ,6~F- INHERITANCE TAX
_ AP'~3~S'E'ME~T~,- 14LLOWANCE OR DISALLOWANCE
,' d~ {~~DllOTI',Qf~'S,^AND ASSESSMENT OF TAX ON
J~fN7LY'HELD OR TRUST ASSETS
~~ ~ ~ OrT - I ~f~~ E~~ ~.~
,._._t ~."` it
7n~F 'P~ ;~~ f'.r~1,t r~Y
OI ll i~ t V 1 ~'t.J t
'i. ~ ul i~~~l
LANSING KS 66043
Pennsylvania ~
DEPP,RTMENT OF REVENUE
REV-1548 EX AFP C12-09)
DATE 10-04-2010
ESTATE OF FLUEVOG JANET
DATE OF DEATH 05-29-2010
FILE NUMBER 21 10-0837
COUNTY CUMBERLAND
SSN/DC 206-24-8892
ACN 10133434
APPEAL BY DATE:12-03-2010
(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 (12-09)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 10-04-2010
ESTATE OF:FLUEVOG JANET DATE OF DEATH:05-29-2010
FILE NO.: 21 10-0837 S.S/D.C. NO.: 20b-24-8892
COUNTY:CUMBERLAND
ACN: 10133434
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 73374-~47
TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING ( )TRUST C ~ TIME CERTIFICATE
DATE ESTABLISHED 08-17-1987
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
20,082.98
X 0.166
3,347.23
- .00
3,347.23
Y .045
150.63
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
08-12-2010 CD013208 7.53 143.10
TOTAL TAX PAYMENT 150.63
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.