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HomeMy WebLinkAbout10-26-12Pennsylvania ~ BUREAU OF INDIVIDUAL T ~~ ~~ r[ ~ NOTICE OF INHERITANCE TAX ~~,~~; r~~ ~~f F~ DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION [ AISEME NT, ALLOWANCE OR DISALLOWANCE PO BOX 288601 ~~CL,-~~y: ~r`'~, ~~ ~~I~~ Cj1E DU CTIONS, AND ASSESSMENT OF TAX ON REV-1548 IX AFP U2-ll) HARRISBURG PA 17128-8681 JOINTLY HELD OR TRUST ASSETS 2~l20CT 26 AH~I~ 37 DATE 10-29-2012 ESTATE OF BYERS EVELYN L DATE OF DEATH 07-27-2012 FILE NUMBER 21 12-1043 ' , COUNTY CUMBERLAND .~~~T ~ l, Ow~~ SSN/DC 202-20-4618 JOHN E ~I(RUaNG CO.. PA ACN 12144219 15 LYNN AVE APPEAL BY DATE:12-28-2012 NEWBURG PA 17240-9229 (See reverse side underObjecrions) Amount Renitted 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 (12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 10-29-2012 ESTATE OF: BYERS EVELYN L DATE OF DEATH:07-27-2012 COUNTY:CUMBERLAND FILE NO.: 21 12-1043 S.S/D.C. NO .: 202-20-4618 ACN: 12144219 TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 13170-00 TYPE OF ACCOUNT: CX)SAVINGS ( ) CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 04-10-1972 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due 4,023.90 X 0.166 - .00 670.66 30.18 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." TAX CREDITS: PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID 09-20-2012 CD016550 1.51 28.66 10-22-2012 SBADJUST .00 .O1 TOTAL TAX PAYMENT 30.18 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 , IF PAID AFTER THIS GATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. , IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. A SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. BUREAU OF INDIVIDUAL TAXES ~`-lll~~~~';-!?'•~'r~`1@JgT' CE OF INHERITANCE TAX INHERITANCE TAX DIY IS ION f;C(}}.'_y""_~R P;R F,4 ~M~NT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 f'L.l. 'L.~OF~~DE~ONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 11128-060) JOINTLY HELD OR TRUST ASSETS 2?!2 OCT 26 AFi I I ~ 37 (: ORPH;;N J (;UUFif JOHN E BYERSCUMBERIAND CO.. PA 15 LYNN AVE N EWBURG PA 17240-9229 pennsylvania ~ DEPARTMENT OF REVENUE REV-1548 EX AFP (12-1ll DATE 10-29-2012 ESTATE OF BYERS EVELYN L DATE OF DEATH 07-27-2012 FILE NUMBER 21 12-1043 COUNTY CUMBERLAND SSN/DC 202-20-4618 ACN 12144221 APPEAL BY DATE:12-28-2012 (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 1 RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV-1548 EX AFP (12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 10-29-2012 ESTATE OF: BYERS EVELYN L DATE OF DEATH:07-27-2012 FILE NO.: 21 12-1043 S.S/D.C. NO.: 202-20-4618 COUNTY:CUMBERLAND ACN: 12144221 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 13170-04 TYPE OF ACCOUNT: CX)SAVINGS ( ) CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 04-10-1972 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 4,000.71 NOTE: X 0.166 666.80 - .00 X .045 30.01 TO ENSURE PROPER CREDIT TO YDUR 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 09-20-2012 CD016550 1.50 28.51 TOTAL TAX PAYMENT 30.01 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 ~ IF PAID AFTER THIS GATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. . ~; IF TOTAL DUE IS REFLECTED AS A °CREDIT^ (CR), VOU MAY BE DUE A REFUND. .{` SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. '~ (~nr~~r r~~~'r r~ BUREAU OF INDIVIDUAL TAXES ~`COrU "~~']'r "~"" CE OF INHERITANCE TAX INHERITANCE TAX DIVISION I ~~'';..~APPY?AI~~~(E NT. ALLOWANCE OR DISALLOWANCE PO BOX 280601 ~~~"''-~ '- bh-'DE'I~D04d bN5. AND ASSESSMENT OF TAX ON HARRISBURG PA 1]128 -a6B1 JOINTLY HELD OR TRUST ASSETS ~~12 0CT 26 dM I i, 37 ORPNJ~Iv S Cu!!~r JOHN E BYERS~~g~a~D CO.. PA 15 LYNN AVE NEWBURG PA 17240-9229 Pennsylvania ~ DEPARTMENT OF REVENUE REV-1548 E% AFP (12-11) DATE 10-29-2012 ESTATE OF BYERS EVELYN L DATE OF DEATH 07-27-2012 FILE NUMBER 21 12-1043 COUNTY CUMBERLAND SSN/DC 202-20-4618 ACN 12144223 _ APPEAL BY DATE:12-28-2012 (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 RECDROS ~ REV-1548 EX AFP (12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 10-29-2012 ESTATE OF: BYERS EVELYN L DATE OF DEATH:07-27-2012 COUNTY:CUMBERLAND FILE NO.: 21 12-1043 S.S/D.C. NO.: 202-20-4618 ACN: 12144223 TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 13170-05 TYPE OF ACCOUNT: (X)SAVINGS ( ) CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED OS-05-1993 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: X 0.166 202.83 202.83 y .045 9.13 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 09-20-2012 CD016550 .46 8.67 TOTAL TAX PAYMENT 9.13 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 ~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. • `a `~ IF TOTAL DUE IS REFLECTED AS A "CREDIT" CC R). YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. BUREAU OF INDIVIDUAL TAXE~E~QRULU /fl 'IJC. I.'P OTICE OF INHERITANCE TAX INHERITANCE TAX DIVISION [ v(---'_~,^~rARP{jq EMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 REG'.~~~~~:''JiOF~ CTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 1]128-o 681 JOINTLY HELD OR TRUST ASSETS i~12 0CT 26 AM 11 ~ 37 OHP}-~ti'~ GuUP JOHN E avER~BERLAND CO.. PA 15 LYNN AVE N EWBURG PA 17240-9229 pennsylvania DEPARTMENT OF REVENUE REV-1548 IX AFP (12-IU DATE 10-29-2012 ESTATE OF BYERS EVELYN L DATE OF DEATH 07-27-2D12 FILE NUMBER 21 12-1043 COUNTY CUMBERLAND SSN/DC 202-20-4618 ACN 12144225 APPEAL BY DATE:12-28-2012 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMEN7 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 (12-11J NOTICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS. AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 10-29-2012 ESTATE OF:BYERS EVELYN L DATE OF DEATH:07-27-2012 FILE NO.: 21 12-1043 S.S/D.C. NO.: 202-20-4618 COUNTY:CUMBERLAND ACN: 12144225 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUS7 ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 13170-41 TYPE OF ACCOUNT: ( )SAVINGS ( ) CHECKING ( )TRUST (X)TIME CERTIFICATE DATE ESTABLISHED 04-08-2011 Account Balance Percent Taxable Amount Sub]ect to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 32,890.89 NOTE: X 0.166 5,481.92 - .00 5,481.92 246.69 TO ENSURE PROPER CREDIT TO VOUR 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 GATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID 09-20-2012 CD016550 12.33 234.36 TOTAL TAX PAYMENT 246.69 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), VOU MAY BE DUE A REFUND. ~~.~ SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. - Pennsylvania [(' (~ O ~~ 'L I T C ~ BUREAU OF INDIVIDUAL TAXES HERITANCE TAX DIVISION I 1'~ .C I~ II ~ y QiRA'I ~~~ALL DISALLOWANCE DEPARTMENT OF REVENUE OWANCE OR N ~[ din-!}, FE REV-1548 IX AFP (12-11) PO BOX 280601 J~J ?~-iDEpU~~bRS, AND ASSESSMENT OF TAX ON HARRISBURG PA n128-0601 JOI NfI:f HELD OR TRUST ASSETS 2012 OCT 26 AFf 11= 3] 2012 ESTATE OF BYERS EVELYN L DATE OF DEATH 07-27-2012 ;, ~., FILE NUMBER 21 12-1043 ORPHAN~j C~;iUPi~ COUNTY CUMBERLAND CUMBERLAND SSN/DC 202-20-4618 JOHN E BYERS CO.,PA ACN 12144227 15 LYNN AVE APPEAL BY DATE:12-28-2012 NEWBURG PA 17240-9229 (See reverse side under Objections) Amount Resitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SpUARE CARLISLE PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS F REV-1548 EX AFP C12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 10-29-2012 ESTATE OF:BYERS EVELYN L DATE OF DEATH:07-27-2012 FILE NO.: 21 12-1043 S.S/D.C. NO.: 202-20-4618 COUNTY:CUMBERLAND ACN: 12144227 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 8472-00 TYPE OF ACCOUNT: ( b SAVINGS ( ) CHECKING C )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 04-14-1966 Account Balance Percent Taxable Amount Subject to Tax Debts and ^eductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 938.77 X 0.166 156.46 - .00 156.46 X .045 7.04 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 09-20-2012 CD016550 .35 6.69 TOTAL TAX PAYMENT 7.04 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 IF PAID AFTER THIS DATE, SEE REVERSE FDR CALCULATION OF ADDITIONAL INTEREST. x ~~ IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ((``~~[[JJ~~//~~r,n'((, r,~-C~(~++[[ NOTICE OF INHERITANCE TAX BUREAU OF INDIVIDUAL TARESOJr1v ~L'~J~~IIA. INHERITANCE TAX DIVISION (~ ~~i~',rL P~NAISEME NT, ALLOWANCE OR DISALLOWANCE Po BOX 28B6a1 REa'.~~-~'~-'~ '~~~I7EDUCTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-a 6o1 JOINTLY HELD OR TRUST ASSETS 2u120CT26 AM11~37 ORPI-1~Jv'S ~ JUhT JOHN E aG{~&~ERLAtJD CO., PA 15 LYNN AVE NEWBURG PA 17240-9229 Pennsylvania ~ DEPARTMENT OF REVEN UE REV-1548 IX AFP Q2-lll DATE 10-29-2012 ESTATE OF BVERS EVELYN L DATE OF DEATH 07-27-2012 FILE NUMBER 21 12-1043 COUNTY CUMBERLAND SSN/DC 202-20-4618 ACN 12144229 APPEAL BY DATE:12-28-2012 (See reverse side under Objecteons) 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 (12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: LO-29-2012 ESTATE OF: BYERS EVELYN L DATE OF DEATH:07-27-2012 FILE NO.: 21 12-1043 S.S/D.C. NO.: 202-20-4618 ACN: 12144229 TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET FINANCIAL INSTITUTION: MEMBERS 1ST FCU TYPE OF ACCOUNT: CX)SAVINGS ( ) CHECKING ( )TRUST DATE ESTABLISHED 04-14-1966 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due X 0.166 666.80 - nn 666.80 r .045 TAX CREDITS: COUNTY:CUMBERLAND INFORMATION ACCOUNT NO.: 8472-04 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 09-2D-2012 CD016550 1.50 28.51 TOTAL TAX PAYMENT 30.01 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .DO , 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. BUREAU OF INDIVIDUAL TAXES }iy~!P 'iL C~j1~~~E flf t /ul T C INHERITANCE TAX DiVIS ION , . G WkAIM6MGNT ALLOWANCE DR DISALLOWANCE PD BDX 288601 [,j ,,rr RLi, 11v ~I1~~ ,ONSr iAE11UV~.~•Q AND ASSESSMENT OF TAX DN HARRISBURG PA Pl2H-0601 , ~ ')b jTl'ILY HELD OR TRUST ASSETS ~Oi2OCT26 AMII137 ORFHA~V'S CU~Rr JOHN E BYERS(,' JMBERLAND CCJ., PA 15 LYNN AVE NEWBURG PA 17240-9229 pennsylvania ~ DEPARTMENT OF REVENUE REV-1548 EX AFP Cl2-lll DATE 10-29-2012 ESTATE OF BYERS EVELYN L DATE OF DEATH 07-27-2012 FILE NUMBER 21 12-1043 COUNTY CUMBERLAND SSN/OC 202-20-4618 ACN 12144231 APPEAL BY DATE:12-28-2012 (See reverse side under Objections) Amount Renitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SpUARE CARLISLE PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV-1548 EX AFP C12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS. AND ASSESSMENT OF TAX ON JOINTLY HELD DR TRUST ASSETS DATE: 10-99-9019 ESTATE OF: BYERS EVELVN L DATE OF DEATH:07-27-2012 COUNTY: CUMBERLAND FILE NO.: 21 12-1043 S.S/D.C. NO .: 202-20-4618 ACN: 12144231 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 8472-11 TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED O6-OL-1998 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 4,371.34 728.57 - .00 728.57 y .045 32.79 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 C+) INTEREST/PEN PAID (-) AMOUNT PAID 09-20-2012 CD016550 1.64 31.15 TOTAL TAX PAYMENT 32.79 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. . y~j. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (C R), VOU MAY BE DUE A REFUND. ~ SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. BUREAU OF INDIVIDUAL TA,~~-{fo ~~-~j l ~;`~G' NOTICE OF INHERITANCE TAX Pennsylvania ~ INHERITANCE TAX DIVISION '"'-~~~~ ~~- ~,. ~p~R~I SEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE PD BOX 280601 ~~`-~ j'I L:-. !`;~~ ~1{jI-~ DUCTIONS. AND ASSESSMENT OF TAX ON REV-1558 IX AFP a2-11) HARRISBURG PA 1T12B-0601 JOINTLY HELD OR TRUST ASSETS 1012 OCT 26 AM 11= 37 nArE lo-z9-zolz ESTATE OF BYERS EVELYN L DATE OF DEATH 07-27-2012 FILE NUMBER 21 12-1043 ORPrW(~~S vLiJRT COUNTY CUMBERLAND JOHN E BIg~~p,Np gyp., PA SSN/DC 202-20-4618 ACN 12144233 15 LYNN AVE APPEAL BY DATE:12-28-2012 NEWBURG PA 1 7240-9229 (See reverse side under Objections) Amount Renitted MAKE CHECK PAYABLE AND REMIT PAYMENT r0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE ~"~ RETAIN LOWER PORTION FOR YOUR RECORDS F REV-1548 EX AFP C12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS. AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 10-29-2012 ESTATE OF: BYERS EVELYN L DATE OF DEATH:07-27-2012 COUNTY:CUMBERLAND FILE NO.: 21 12-1043 S.S/D.C. NO.: 202-20-4618 ACN: 12144233 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 8472-05 TYPE OF ACCOUNT: (X)SAVINGS C ) CHECKING ( )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 08-05-1993 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 28,679.97 X 0.166 4,780.09 - .00 4,780.09 x .045 215.10 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 09-20-2012 CD016550 10.76 204.35 TOTAL TAX PAYMENT 215.11 BALANCE OF TAX DUE .O1CR INTEREST AND PEN. .00 TOTAL DUE .O1CR ~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. + IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YDU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. BUREAU OF INDIVIDUAL ~ ,~-r;,-,r~'~,~r^ ~~'~~!' ~' ~"" ~ NOTICE Pennsylvania OF INHERITANCE TAX DEPARTME ~ INHERITANCE TAX OIV ISION PCj"""'`-' ~--i ~Ir1pQRAISEMENT, - L '~~' ~~ ~ NT OF REVENUE ALLOWANCE OR DISALLOWANCE PO BO% 280601 I ~J~ ~ ~~ LL ~ "Dk DEDUCTIONS REV-1548 EX AFP (12-1ll , AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS 28120[726 AM11~37 DATE 10-29-2012 ESTATE OF BYERS EVELYN L DATE OF DEATH 07-27-2012 -' FILE NUMBER 21 12-1043 D}~~ 5 ;,UUrir COUNTY CUMBERLAND PA ERIAND CO S /DC 618 JOHN E .. ACN 12144235 15 LYNN AVE APPEAL BY DATE:12-28-2012 NEWBURG PA 17240-9229 (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 1 RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV-1548 EX AFP (12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF 7AX ON JOINTLY HELD OR TRUST ASSETS DATE• 10-29-2012 ESTATE OF: BYERS EVELYN L DATE OF DEATH:07-27-2012 COUNTY:CUMBERLAND FILE NO.: 21 12-1043 S.S/D.C. NO.: 202-20-4618 ACN: 12144235 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 8472-40 TYPE OF ACCOUNT: ( )SAVINGS ( ) CHECKING ( )TRUST (X)TIME CERTIFICATE DATE ESTABLISHED 04-08-2011 Account Balance Percent Taxable Amount SubJect to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 167,362.10 X 0.166 27,894.24 - .00 27,894.24 x .045 1,255.24 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." PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID 09-20-2012 CD016550 62.76 1,192.48 70TAL TAX PAYMENT 1,255.24 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. ~I., SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.