HomeMy WebLinkAbout07-05-11BUREAU OF INDIVIDUAL~~T~_~.1~f.J~.~.. '-FACE Q NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION ~ '-~~ ' ~- ~~~~~~ ~ ~PpRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 { ~'~~`'' ~ `'~ i ~ "~OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
4~~ I ,;UL -~ ~~~ i ~ ~~
CLERK 4F
t;',{}QRPHAN'S COURT
JEFFREY S`FA~RLA`~'C~ ~'~,' PQ'
18 COLD SPRINGS ROAD
DILLSBURG PA 17019
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 IX AFP (12-10)
DATE 06-27-2011
ESTATE OF VANDERBERG MARJORIE W
DATE OF DEATH 07-20-2010
FILE NUMBER
COUNTY CUMBERLAND
SSN/DC 357-05-9971
ACN 10143438
APPEAL BY DATE:08-26-2011
(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 OR TRUST ASSETS
DATE: 06-27-2011
ESTATE OF:VANDERBERG MARJORIE W DATE OF DEATH:07-20-2010 COUWTY:CUMBERLAND
FILE NO.: S.S/D.C. NO.: 357-05-9971
ACN: 10143438
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 280704-11
TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 02-27-2006
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
PAYMENT RECEIPT
DATE NUMBER
3,668.06
X 0.166
611.36
- .00
611.36
Y 045
27.51
DISCOUNT C+)
INTEREST/PEN PAID C-)
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."
AMOUNT PAID
INTEREST IS CHARGED THROUGH 07-05-2011
AT THE RATES APPLICABLE AS OUTLINED ON THE TOTAL TAX PAYMENT .00
REVERSE SIDE OF THIS FORM BALANCE OF TAX DUE 27.51
INTEREST AND PEN. .17
TOTAL DUE 27.68
* 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.
r ^~C;j`=ry `~~F+CE ~~
BUREAU OF INDIVIDUAL ~~' ~" ~ NOTICE OF INHERITANCE TAX
~.~
INHERITANCE TAX DIVISION ~,i`~Yrrt7 ~~"- `~r~I/~~RAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 '-~`~"-~~ `~ t'~-~
HARRISBURG PA 17128-0601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
-C~! JUL -; ~~ E: ,,
~,
CLERK Or
~'()O~R(PHANS COURT
SHARON V PARK ~~~^~~ ~~ ~ PA
18 COLD SPRINGS ROAD
DILLSBURG PA 17019
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-10)
DATE 06-27-2011
ESTATE OF VANDERBERG MARJORIE W
DATE OF DEATH 07-20-2010
FILE NUMBER
COUNTY CUMBERLAND
SSN/DC 357-05-9971
ACN 10143437
APPEAL BY DATE:08-26-2011
(See reverse side under Objections)
Amount Resitted
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 C12-10) ----------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 06-27-2011
ESTATE OF: VANDERBERG MARJORIE W DATE OF DEATH:07-20-2010
COUNTY:CUMBERLAND
FILE NO.: S.S/D.C. NO.: 357-05-9971
ACN: 10143437
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.: 280704-11
TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 02-27-2006
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
3,668.06
X 0.166
611.36
.00
611.36
Y 045
27.51
PAYMENT I RECEIPT I DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID (-)
INTEREST IS CHARGED THROUGH 07-05-2011
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
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."
AMOUNT PAID
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 27.51
INTEREST AND PEN. .17
TOTAL DUE 27.68
~ 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~~~{~'~~~r' ~`~~ + ~ NICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION ~"' + ~^~ lpp~PtT
PO BOX 280601 W n;(:•*.~'~•, ~ ~ {jj~, ENT, ALLOWANCE OR DISALLOWANCE
HARRISBURG PA 1 7128-0601 ' ,~~~'siJ ~ L:~! t~ G ~ TIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
CLERK OF
JEFFREY S PAR~',~O aE V~~~()~ ~{!•
18 COLD SPRINGS ROAD
DILLSBURG PA 17019
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-10)
DATE 06-27-2011
ESTATE OF VANDERBERG MARJORIE W
DATE OF DEATH 07-20- 010
FILE NUMBER ~+_) I _ f O~ S
COUNTY CUMBERLAND
SSN/DC 357-05-9971
ACN 10143436
APPEAL BY DATE:08-26-2011
(See reverse side under Objections)
Amount Re~aitted
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 OR TRUST ASSETS
DATE: 06-27-2011
ESTATE OF: VANDERBERG MARJORIE W DATE OF DEATH:07-20-2010
COUNTY:CUMBERLAND
FILE NO.: S.S/D.C. NO.:
357-05-9971 ACN:
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED 10143436
FINANCIAL INSTITUTION: MEMBERS 1ST FCU OR TRUST ASSET INFORMATION
TYPE OF ACCOUNT: [X)SAVINGS C ) CHECKING ( )TRUST A( )O IME CERTIFICATE4-00
DATE ESTABLISHED 02-27-2006
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
PAYMENT RECEIPT
DATE NUMBER
2,771.15
X 0.166
461.87
.00
461.87
Y n' j
20.78
DISCOUNT [+)
INTEREST/PEN PAID [-)
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."
AMOUNT PAID
INTEREST IS CHARGED THROUGH 07-05-2011
AT THE RATES APPLICABLE AS OUTLINED ON THE TOTAL TAX PAYMENT
REVERSE SIDE OF THIS FORM BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
* 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.
.00
20.78
.13
20.91
BUREAU OF INDIVIDUAL TAXES ~h `~ "[~LL"~N~~T~~~NHERITANCE TAX Pennsylvania ~
INHERITANCE TAX DIVISION ` `'~Y~&EN WANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
PO BOX 280601 ~ ~ - C~f"~D
HARRISBURG PA 1 7128-0601 ~t=L+~~ g„ L~~ DD RS TRU TE ASSETS AX ON RE~-1548 EX AFP (12-10)
~~~~ ~~~' ~ ~~~ (: ~~ ESTATE OF VANDERBERG MARJORIE W
DATE OF DEATH 07-20-2010
C~~k ~F FILE NUMBER /~ _' /h~~'
ORPf-~qN'~ ~~uRT SSN/DC CUMBERLAND p?VI) V
SHARON V PARK Cl1M~~R~~~~,r~ CO., Pq ACN 357-05-9971
18 COLD SPRINGS ROAD 10143435
DILLSBURG APPEAL BY DATE:08-26-2011
PA 17 019 (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 y RETAIN LOWER PORTION FOR YOUR RECORDS E'er
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: 06-27-2011
ESTATE OF:VANDERBERG MARJORIE W DATE OF DEATH:07-20-2010
COUNTY:CUMBERLAND
FILE NO.: S.S/D.C. NO.: 357-05-9971
ACN: 10143435
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.: 280704-00
TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 02-27-2006
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
PAYMENT RECEIPT
DATE NUMBER
2,771.15
X 0.166
4b1.87
.00
461.87
~ 045
20.78
DISCOUNT (+)
INTEREST/PEN PAID (-)
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."
AMOUNT PAID
INTEREST IS CHARGED THROUGH 07-05-2011
AT THE RATES APPLICABLE AS OUTLINED ON THE TOTAL TAX PAYMENT .00
REVERSE SIDE OF THIS FORM BALANCE OF TAX DUE 20,78
INTEREST AND PEN. .13
TOTAL DUE 20.91
~ 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.