HomeMy WebLinkAbout04-0245BUREAU OF /NDZVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. Z80601
HARRISBURG, PA 171ZB-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEHENT. ALLONANCE OR DISALLOHANCE
OF DEDUCTION~, AND ASSESSHENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
IDRIS
16 CONWAY DR
HECHANICSBURG
Recor z;s
J ROBERTS JR '0~
FILE NUMBER
COUNTY
I~R-5 P3:43 SSN/DC ACN
DATE 05-08-2004
ESTATE OF ROBERTS SR IDRIS
DATE OF DEATH 01-27-2003
CUHBERLAND
196-05-3969
03114487
Amoun~ Remi~ed
HAKE CHECK PAYABLE AND REMIT PAYHENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LXNE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
~-: ~ ~ - ~- -~ P~- - ~ ~-6~- ...................................................................................
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSHENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 03-08-Z004
ESTATE OF ROBERTS SR
IDRIS J DATE OF DEATH 01-27-2003 COUNTY CUMBERLAND
FILE NO. S.S/D.C. NO. 196-03-3969 ACN 03114487
TAX RETURN WAS: eX) ACCEPTED AS FILED ¢ ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. 191278-11
TYPE OF ACCOUNT: ¢ ) SAVINGS ¢ ~ CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 02-22-2000
Accoun~ Balance 720.99
Percen~ Taxable ~ 0.166
Amoun~ Sub~ec~ ~o Tax 1Z0.17
Debts and Deductions .00
Taxable Amoun~ 120.17
Tax Ra~e X .45
Tax Due 5.41
TAX CREDITS:
NOTE:
TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBHIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. HAKE CHECK
OR HONEY ORDER PAYABLE TO=
"REGISTER OF WILLS, AGENT."
PAYHENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AHOUNT PAID
INTEREST IS CHARGED THROUGH 05-16-Z004 TOTAL TAX CREDIT
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUEl
I
REVERSE SIDE OF THIS FORN INTEREST AND PEN.
TOTAL DUE
~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS RE~UIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" { CR), YOU NAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
.00
5.41
.09
5.50
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVTSTON
DEPT. 280601
HARRTSBURG, PA 171ZS-O601
EVELYN L ROBERTS
APT 110
$Z5 WESLEY DR
MECHANICSBURG
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISENENT. ALLO#ANCE OR DISALLONANCE
OF DEDUCTIONS, AND ASSESSHENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-i$ii8 EX AFP (01-03)
FILE NUMBER
COUNTY
SSN/DC
ACN
;; ,.~f DATE 03-08-2004
-' ESTATE OF ROBERTS SR IDRIS
~iiS DATE OF DEATH O1-ZT-ZO0$
CUMBERLAND
196-05-$969
05114486
Amoun~ Rem/~ed
HAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1548 EX AFP (01-03)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 05-08-2004
ESTATE OF ROBERTS SR IDRIS
J DATE OF DEATH 01-27-2005 COUNTY CUHBERLAND
FILE NO. S.S/D.C. NO. 196-05-$969 ACN 05114486
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEHBERS 1ST FCU ACCOUNT NO. 191278-11
TYPE OF ACCOUNT: ( ) SAVINGS (~ CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 02-22-2000
Account Balance
Percent Taxable X 0.166
Amount Subject to Tax 120.17
Debts and Deductions - .00
Taxable Amount 1ZO.17
Tax Rate ~ .00
Tax Due .00
TAX CRED'rTS:
720.99 NOTE:
TO INSURE 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. HAKE CHECK
OR HONEY ORDER PAYABLE TO=
ffREGISTER OF WILLS, AGENT."
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
ZF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
( ZF TOTAL DUE IS LESS THAN $1, NO PAYMENT 1S REQUIRED.
ZF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR}, YOU NAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
TOTAL TAX CREDIT
BALANCE OF TAX DUEI
INTEREST AND PEN.
TOTAL DUE
.00
.00
.00
.0O
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DTVTSZDN
DEPT. Z80601
HARR/SBURG., PA 171Z8-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTHENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLOHANCE OR DISALLOHANCE
OF DEDUCTIONS, AND ASSESSHENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-ISiS8 EX AFP COl-D3)
IDRIS
16 CONWAY DR
HECHANICSBURG
J ROBERTS JR
~,~;~!; ~ ..~_. ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
'04 MAR -5 P3:42 SSN/DC
ACN
05-08-2004
ROBERTS SR IDRIS
01-27-2003
CUMBERLAND
196-03-3969
03114485
Amount Remitted
HAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUHBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1548 EX AFP (01-03)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 03-08-2004
ESTATE OF ROBERTS SR IDRIS J DATE OF DEATH 01-27-2003 COUNTY CUMBERLAND
FILE NO. S.S/D.C. NO. 196-03-3969 ACN 0311~485
TAX RETURN WAS: iX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. 191278-05
TYPE OF ACCOUNT: (~ SAVINGS ( ) CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 02-22-2000
Account Balance 167,901.22
Percent Taxable X 0.166
Amount Subject to Tax 27,98~.10
Debts and Deductions - .00
Taxable Amount 27,98~.10
Tax Rate X .~5
Tax Due 1,259.28
TAX CREDITS:
NOTE:
TO INSURE 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. HAKE CHECK
OR HONEY ORDER PAYABLE TO:
"'REGISTER OF WILLS, ASENT."
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
INTEREST TS CHARGED THROUGH 03-16-Z00~ TOTAL TAX CREDIT
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE]
REVERSE SIDE OF THIS FORH INTEREST AND PEN.
TOTAL DUE
~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~
( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS RE{iUIRED.
IF TOTAL DUE TS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
.00
1,259.28
Z1.7R
1,281.02
BUREAU OF TNDZVTDUAL TAXES
TNHERTTANCE TAX DTVTSTON
DEPT. 280601
HARRISBURG, PA 171Z8-0601
EVELYN L ROBERTS
APT 110
525 WESLEY DR
HECHANICSBURG
COHHON#EALTH OF PENNSYLVANIA
DEPARTHENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEHENT. ALLO#ANCE OR DZSALLO#ANCE
OF DEDUCTIONS, AND ASSESSRENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-I~48 EX AFP (Ol-OS)
COUNTY
'C~ ~IAR -5 P-~ :42 SSN/DC
ACN
PA I , .~
DATE O$-08-ZOOq
ESTATE OF ROBERTS SR IDRIS
DATE OF DEATH 01-27-2005
FILE NUMBER ~/. ~¢ X~._~O
CUMBERLAND
196-05-3969
0311q~8~
Amount
HAKE CHECK PAYABLE AND REHZT PAYHENT TO:
REGISTER OF gILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~'* RETAIN LOWER PORTION FOR YOUR RECORDS *~
REV-X548 EX AFP (01-03)
NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSHENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 03-08-200~
ESTATE OF ROBERTS SR IDRIS J DATE OF DEATH 01-27-2003 COUNTY CUMBERLAND
FILE NO. S.S/D.C. NO. 196-03-3969 ACN 0311~q8~
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET ZNFORHATZON
FINANCIAL INSTITUTION: HEMBERS 1ST FCU ACCOUNT NO. 191278-05
TYPE OF ACCOUNT: (~ SAVINGS ( ) CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 02-22-2000
Account Balance 167,901.22
Percent Taxable X 0.166
Amount Subject to Tax Z7,98~.10
Debts and Deductions - .00
Taxable Amount 27,98~.10
Tax Rate X .00
Tax Due .00
TAX CREDITS:
NOTE:
TO INSURE 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 TO:
"REGISTER OF WILLS, AGENT."
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
ZF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
( ZF TOTAL DUE ZS LESS THAN $1, NO PAYHENT ZS REQUIRED.
ZF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. )
TOTAL TAX CREDIT
BALANCE OF TAX DUEI
INTEREST AND PEN.
TOTAL DUE
.00
.00
.00
.00