HomeMy WebLinkAbout07-22-11 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
LEE JAMES
1 194 I RW I N CT
WINTER SPRINGS, FL 32708
REV-1162 EX(11-96)
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 014753
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
-------- fold
ESTATE INFORMATION: SSN: 172-18-1751
FILE NUMBER: 2110-0872
DECEDENT NAME: LEE GUST ROBERT
DATE OF PAYMENT: 07/ 22/ 201 1
POSTMARK DATE: 07/ 19/201 1
COUNTY: CUMBERLAND
DATE OF DEATH: 08/05/2010
10145345 ~ 5474.67
10145347 ~ $337.33
10145349 ~ 5232.91
10145352 ~ $6.28
10145357 ~ 515.29
TOTAL AMOUNT PAID:
REMARKS:
SEAL
CHECK# 1 148
51,066.48
INITIALS: HMW
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
~.FC_'~'~~~~~ ~ , ~~;r~Fl(,E ~ p~nnsyEvan~a ~ ~ ~
BUREAU OF INDIVIDUAL TAXE ~ OTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE '
INHERITANCE TAX DIVISION ~'~~ ~ ~AF~~~dI~EMENT, ALLOWANCE OR DISALLOWANCE
PO $OX 280601 ~~~~~`~"~ ~ `' '''r ~' "~' REV-1548 IX AFP CI2-I 0)
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
'~~'~ ~ .~~L 2~ ~~i`6 ! I' ~`~ DATE 07-18-20iI
CLERK ~JF
QRPHAN'S CDURT
JAMES LEEC~,~~RER~ ~:N~ nn . PA
1194 IRWIN CDURT
WINTER SPRINGS FL 32708
ESTATE OF LEE GUST R
DATE OF DEATH 08-05-2010
FILE NUMBER 21 10-0872
COUNTY CUMBERLAND
SSN/DC 172-18-1751
ACN 10145345
APPEAL BY AATE:09-16-2011
(See reverse side under- Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~~ RETAIN LOWER PORTION FOR YOUR RECORDS ~'
REV-1548 EX AFP C12-1Q~--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 07-18-2011
ESTATE OF:LEE
GUST R DATE OF DEATH:O$-05-2010
FILE NO.: 21 10-0872 S.S/D.C. NO.: 172-18-1751
ACN: 10145345
TAX RETURN WAS: tX} ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATIQN
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.:
50195-40
TYPE OF ACCOUNT: C )SAVINGS [ ) CHECKING C )TRUST CX)TIME CERTIFICATE
DATE ESTABLISHED 07-29-2002
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
62,865;40 NOTE:
X 0.166
10,477.78
- .00
10,477.78
x .045
471.50
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
r -, ~-r r~rr.r ...... ~___ ___
-•••~••~-+~ i.~ ~.~1,1,\VGL iflrtuuUM U/-L6-LUlI
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 471.50
INTEREST AND PEN. 3.17
TOTAL DUE 474.67
COUNTY:CUMBERLAND
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED A5 A "CREDIT" tCR), YOU MAY BE DUE A REFUND.
SFF REVERSE SIDE OF THLS FORM FOR INSTRUCTIONS.
BUREAU OF INDIVIDUAL TAXE~~``;`-~Rt~~-~1 '~~~~~~~!~ V~'OTICE OF INHERITANCE: TAX
INHERITANCE TAX DIVISION ~y ^ ~ "'t` •,ARPi~gT~£EMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 ice' 7',,~ ~ r +~.'~OF ' CTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
~i
~'({' ° JUL 22 h~ { I i • G
PHA R' iS OF
o~ s ~ouR~
JAMES LEECt~I~E~~F;I.t~i~{C~ 1~~.~ , PA
1194 IRWIN CLIURT
WINTER SPRINGS FL 32708
pennsyLvan~a ., , -
DEPARTMENT OF REVENUE '.
REY-1548 EX AFP C12-10)
DATE 07-18-2011
ESTATE OF LEE GUST R
DATE OF DEATH 08-D5-2010
FILE NUMBER 21 10-0872
COUNTY CUMBERLAND
SSN/DC 172-I8-1751
ACN 10145347
APPEAL BY DATE:09-16-20ii
(See rererse 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 '~"1 RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1548 EX AFP C12-10)--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOMtANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 07-18-2011
ESTATE OF:LEE
GUST R DATE OF DEATH:O8-05-2010
FILE NO.: 21 10-0872 S.S/D.C. NO.: 172-18-1751
ACN: 10145347
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 50195-4I
TYPE OF ACCOUNT: C )SAVINGS ( ) CHECKING C )TRUST (X)TIME CERTIFICATE
DATE ESTABLISHED 03-26-2004
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
44,676.08 NOTE:
X 0.166
7,446.16
.00
___-_-
7,446.16
x .045
335.08
TO ENSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT 70 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
~~.lL,~LJI t~ ~.nHrC~~U 1t"1K000ii"I U/-16-ZU11
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX PAYMENT ,00
BALANCE OF TAX DUE 335.08
INTEREST AND PEN. 2.25
TOTAL DUE 337.33
COUNTY:CUMBERLAND
* 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 DF THIS FORM FOR INSTRUCTIONS.
BUREAU OF INDIVIDUAL TAXES-~~C° %t`'~ I~ ~ , 'C-~~~~~~1l TICS OF INHERITANCE: TAX
INHERITANCE TAX DIVISION ~, ('~~, .> A~PtR~ ENT, ALLOWANCE OR DISALLOWANCE
PO 80X 280601 1 +~' J ! ; ,_„' '. , .QF TIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
~`_~.
0RP JERK ~ ~
_~`+ # FAN'S ~~OUR1'
J A M E S L E E"tJ~IBER~i~.~~~7 ~;(~ . PA
1194 IRWIN COURT
WINTER SPRINGS FL 3270$
pennsyLvania
DEPARTMENT OF REVENUE ;
REV-1548 EX AFP C12-1U)
DATE 07-18-2011
ESTATE OF LEE GUST R
DATE OF DEATH 08-05-2010
FILE NUMBER 21 10-0872
COUNTY CUMBERLAND
SSN/DC I72-I8-I753
ACN 10145349
APPEAL 8Y DATE:09-16-2011
(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 C12-10)--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD 0R TRUST ASSETS
DATE: 07-18-2011
ESTATE OF:LEE
GUST R DATE OF DEATH:O$-05-2010
FILE NO.: 2i 10-0872 S.S/D.C, NO.: 172-18-1751
ACN: 10145349
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 50195-42
TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING C }TRUST CX7TIME CERTIFICATE
DATE ESTABLISHED 12-31-2002
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
30,845.56 NOTE:
X 0.166
5,141.05
- .00
5,141.05
x .045
231.35
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
BATE RECEIPT
NUMBER DISCOUNT C+)
IN7EREST/PEN PAID C-)
AMOUNT PAID
i~~,~n~~~ iJ L. flHl[bGL 11'1KUUb1'i Ul-1b-ZU11
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 231.35
INTEREST AND PEN. 1.56
TOTAL DUE 232.91
COUNTY:CUMBERLAND
* 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.
' 'i-`~-~I ~~r. ~f I ' ~,, ~ ~ +~,,~ t~TICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES r~..- ;gPPRt~I MENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION F~~~._~;.~ ;,.; ~~ .,d~ ~~D~~TIONS, AND ASSESSMENT OF TAX ON
PO BOX 280601
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
~'~~ n ~
,~
ORPHA RR' K ~F T
S SOUR
CtJ~F3F~E-A"j~ ~;~ . PA
JAMES LEE
1194 IRWIN COURT
WINTER SPRINGS FL 32708
pennsylvanla ~ ~ `~
DEPARTMENT OF REVENUE
REV-1548 IX AFP C12-10)
DATE 07-18-2011
ESTATE OF LEE GUST R
DATE OF DEATH OS-05-2010
FILE NUMBER 21 10-0872
COUNTY CUMBERLAND
SSN/DC 172-18-1751
ACN 10145352
APPEAL BY DATE:09-16-2011
(See ~•everse side under Objectioizs)
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 C12-10~ ---------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 07-18-2011
ESTATE OF:LEE
GusT
R DATE OF DEATH:OS-05-2010 COUNTY:CUMBERLAND
--
FILE NO.: 21 10-0872 S.S/D.C. NO.: 172-18-1751
ACN: 10145352
TAX RETURN WAS: CX) ACCEPTED AS FILED C ? CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 156573-00
TYPE OF ACCOUNT: CX)SAVINGS C ~ CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 02-Ob-199b
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
831.54
X _ 0.166
138.59
_ ,00
138.59
X . 0 ~+5
6.24
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."
I M l~ V 1\ L L 1 I V
PAYMENT
DATE
RECEIPT
NUMBER
DISCOUNT C+)
INTEREST/PEN PAID C-)
AMOUNT PAID
INTEREST IS CHARGED THROUGH 07-26-2011
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 6.24
INTEREST AND PEN. •04
TOTAL DUE 6.28
(,
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. * ~ ~ /_ ~,
IF TOTAL DUE IS REFLECTED AS A "CREDFT" tCR), YOU MAY BE DUE A REFUND. IS (J(
...-~ ..~...-'...~ nrnr nr_ -tore CADM Cf1R 7hICTRIIf'TTf)NS.
BUREAU OF INDIVIDUAL TAXES r._ ''~j~a~ ~OTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION ~:.! ~»;~' ~ A~!R(z~SEMENT, ALLOWANCE OR DISALLOWANCE
Po BoX 280601 + ILt' ~ `'"' "' OF' "~E'nUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
i -i ~
__ ~' p L;
C~PCLERK qF
~'~ S CQURT
JAMES LEE
1144 IRWIN COURT
WINTER SPRINGS FL 32708
Pennsylvania` ~ T`
QEPARTMENT OF REVENUE
REV-2548 EX AFP t12-1D)
DATE 07-18-2011
ESTATE OF LEE GUST R
DATE OF DEATH 08-05-201D
FILE NUMBER 21 10-0872
COUNTY CUMBERLAND
SSNfDC 172-I8-1751
ACN 10145357
APPEAL BY DATE:D9-16-2011
(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 '~'~ P.ETAIN LOWER PORTION FOR YOUR RECORDS ~""'
REV-1548 EX AFP t12-10?
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 07-18-2011
ESTATE OF:LEE
GUST
COUNTY:CUMBERLAND
FILE NO.: 21 10-0872 S.SfD.C. NO.: 172-18-1751 ACN: 10145357
TAX RETURN WAS: CX3 ACCEPTED AS FILED C ) CHANGED
JDINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 240709-00
TYPE OF ACCOUNT: CX}SAVINGS t ) CHECKING t )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 02-05-2004
Account Balance 2,024.99 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.166 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 337.51 UPPER PORTION OF THIS NOTICE
Debts and Deductions - •00 WITH YOUR TAX PAYMENT TD THE
Taxable Amount 337.51 REGISTER OF WILLS AT THE
Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 15.19 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
T4X t'RFTITTS
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-)
AMOUNT PAID
INTEREST IS CHARGED THROUGH 07-26-2011
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
R DATE OF DEATH:08-05-2010
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 15.19
INTEREST AND PEN. .10
TOTAL DUE 15.29
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST .• ~'
IF TOTAL L~UE IS REFLECTED AS A "CREDIT" SCR), YOU MAY BE DUE A REFUND.
.. .-r ..r..rncr cTnr nc T/JTC Cf1DM GAD TNCTRIIt'TTnNC.