HomeMy WebLinkAbout03-18-05 (2)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
*'
....,..--_..-._.,-._ r_",c'-"._r-o,
BUREAU OF INDIVIDU~lir.XEi)
INHERITANCE TAX DIYISIDfIr'- ^ ---
PO BOX 280601 --.
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
APPRAISEMENT~ ALLONANCE OR DISALLONANCE
OF DEDUCTION~. AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REY-1548 EX AFP 112-041
ZOO5 I 8 Arill: 43
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
03-21-2005
CONSAGRA
09-18-2004
~S 4 ),,5 \
CUMBERLAND
159-24-7363
05104192
Allount Rellitted
JOHN
A
C' r'-"/"'"
__ Lcr.~t\ C.)t-
ORPH/\1~iS (~tJtJRT
G LOR I A ClJji\iaOUSAG~ AX) -.
414 KENT DR
MECHANICSBURG PA 17055
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
iifi=is41i-i)f-AFFi-foi-:oil------------------------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 03-21-2005
ESTATE OF CONSAGRA
JOHN
A DATE OF DEATH 09-18-2004
COUNTY
CUMBERLAND
FILE NO. S.S/D.C. NO. 159-24-7363
TAX RETURN WAS: (X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
05104192
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.
100854-05
TYPE OF ACCOUNT: ()() SAVINGS ( ) CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 03-17-1989
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
2.432.22
0.166
405.38
.00
405.38
.00
.00
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."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
TOTAL TAX CREDIT .00
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 LESS THAN $1. NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR). YOU HAY BE DUE A REFUND.
--- ftP........., .....no: no: TIoITlC: !'nUM !'OR YNSTRUCTIONS. )
~\l.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
*'
-~.. --~~-
BUREAU OF INDIVID(;Ati$A~S.J
INHERITANCE TAX DIYISI!II(" ,. ,." .
PO BOX 280601 ' .-
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
APPRAISEMENT~ ALLONANCE OR DISALLONANCE
OF DEDUCTION~, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REY-1548 EX AFP 112-041
.., r ",I" 'I 8 ,ri, '\'it'I' Ii: I. I..
Luti;) -, 'of '+
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
03-21-2005
CONSAGRA
09-18-2004
C)S - "l.S \
CUMBERLAND
159-24-7363
05105355
Allount Relli Ued
JOHN
A
CLEF~U{
OoOt-F,~..I'C: (""nIIPT
.1 t\-.;~r\i\ u ".j\...!"-:-l.l
GL OR I A CUJ1F'cONs~~lIAO"
414 KENT DR
MECHANICSBURG PA 17055
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
iE-i=is4-i-ix--AFFi-foi-:oil------------------------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 03-21-2005
ESTATE OF CONSAGRA
JOHN
A DATE OF DEATH 09-18-2004
COUNTY
CUMBERLAND
FILE NO. S.S/D.C. NO. 159-24-7363
TAX RETURN WAS: (X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
05105355
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.
100854-11
TYPE OF ACCOUNT:
DATE ESTABLISHED
( ) SAVINGS ()() CHECKING ( ) TRUST ( ) TIME CERTIFICATE
03-03-1989
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
2,026.34
0.166
337.73
.00
337.73
.00
.00
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."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
TOTAL TAX CREDIT .00
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 LESS THAN $1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU HAY BE DUE A REFUND.
..0:0: DO:UO:DlC:!' lC:Tn!' n!' THTS FORM FOR YNSTRUCTIONS. )
oS..J-