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Home My WebLink About08-05-14 (2) BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX INHERITANCE T OF AX DIVISION PDEDUCTINT AANDRASSESOR DISALLOWANCE pennsylvania IN ERI ANCE° HARRISBURG, PA 17128-0601 SECURI+Y ACCOUNTS HELD IN DEPARTMENT OF REVENUE BENEFICIARY FORM - xsvasaee♦ry uzan DATE 08-04-2014 ESTATE OF DERSIN DORIS L DATE OF DEATH 10-22-2013 FILE NUMBER 21 13-1248 COUNTY CUMBERLAND SSN/DC ERIC JOSEPH ACN 14505149 2062 SOUTHPOINT DR APPEAL BY DATE: 10-03-2014 HUMMELSTOWN PA 17036-8935 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS 4— " " - " - " " " " ij)7 " " " " " " " " - - - - - - - " ' - " " " " " " " " " " REV-1548A AFP (12-13) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ON SECURITY ACCOUNTS HELD IN BENEFICIARY FORM DATE: 08-04-2014 ESTATE OF: DERSIN DORIS L DATE OF DEATH: 10-22-2013 COUNTY: CUMBERLAND FILE NO. : 21 13-1248 S.S/D.C. NO. : ACN: 14505149 TAX RETURN WAS: (X) ACCEPTED AS FILED ( )CHANGED BENEFICIARY FORM OF ASSET INFORMATION NAME OF SECURITY: VANGUARD ACCOUNT NO. : 007709949088605 TYPE OF ASSET: C ) SECURITIES C X SECURITY ACC ( ) STOCK C ) BONDS DOD Valuation 7,010.26 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0 .333 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 2,336.73 UPPER PORTION OF THIS NOTICE Debts and Deductions .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 2,336.73 REGISTER OF WILLS AT THE Tax Rate X .045 ABOVE ADDRESS. MAKE CHECK Tax Due 105. 15 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID y DATE NUMBER INTEREST/PEN PAID (-) .� p r -''7 l INTEREST IS CHARGED THROUGH 08-12-2014* TOTAL TAX PAYMENT C17 .del AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 105. 15 REVERSE SIDE OF THIS FORM INTEREST AND PEN. . 18 TOTAL DUE 105.33 * 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 NOTICE OF INHERITANCE TAX INHERITANCE TAX DIVISION APPRAISEMENT ALLONANCE OR DISALLORANCE pennsylvania PO BOX 280601 OF DEDUCTION AND ASSESSMENT OF TAX ON Iff HARRISBURG, PA 17128-0601 SECURITY ACCOUNTS HELD IN DEPARTMENT of REV ENUE BENEFICIARY FORM REV-1548,AFP (12-13) DATE 08-04-2014 ESTATE OF DERSIN DORIS L DATE OF DEATH 10-22-2013 FILE NUMBER 21 13-1248 COUNTY CUMBERLAND SSN/DC JESSICA DERSIN ACN 14505150 2703 LOCH HAVEN DR APPEAL BY DATE: 10-03-2014 IJAMSVILLE MD 21754-8815 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS r - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - REV-1548A AFP C12-13) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ON SECURITY ACCOUNTS HELD IN BENEFICIARY FORM DATE: 08-04-2014 ESTATE OF:DERSIN DORIS L DATE OF DEATH: 10-22-2013 COUNTY: CUMBERLAND FILE NO. : 21 13-1248 S.S/D.C. NO. : ACN: 14505150 TAX RETURN WAS: (X) ACCEPTED AS FILED ( )CHANGED BENEFICIARY FORM OF ASSET INFORMATION NAME OF SECURITY: VANGUARD ACCOUNT NO. : 007709949088605 TYPE OF ASSET: ( ) SECURITIES ( M SECURITY ACC ( ) STOCK ( ) BONDS DOD Valuation 7,010.26 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.333 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 2,336.73 UPPER PORTION OF THIS NOTICE Debts and Deductions .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 2,336.73 REGISTER OF WILLS AT THE Tax Rate X . 045 ABOVE ADDRESS. MAKE CHECK Tax Due 105. 15 OR MONEY ORQECR PAYABLE; TO: TAX CREDITS: "REGISTER 0�WDLLS, AGENT 717)oo_v C-• PAYMENT RECEIPT DISCOUNT C+) 'LC"-. G'•c,._, DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID ^. Cri C31 r'7 Q c C-'7 Tt INTEREST IS CHARGED THROUGH 08-12-2014K TOTAL TAX PAYMENT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 105. 15 REVERSE SIDE OF THIS FORM JINTEREST AND PEN. . 18 TOTAL DUE 105.33 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. `\c SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. (V1L, BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX INHERITANCE TAX DIVISION APPRAISEMENT ALLONANCE OR DISALLONANCE pen nSyLVarna PO BOX 280601 OF DEDUCTION AND ASSESSMENT OF TAX ON DEPARTMENT OF REVENUE HARRISBURG, PA 17128-0601 SECURI�'Y ACCOUNTS HELD IN BENEFICIARY FORM '- xzrasna,,rP nzan DATE 08-04-2014 ESTATE OF DERSIN DORIS L DATE OF DEATH 10-22-2013 FILE NUMBER 21 13-1248 COUNTY CUMBERLAND SSN/DC LANCE JOSEPH ACN 14505148 2062 SOUTHPOINT DR APPEAL BY DATE: 10-03-2014 HUMMELSTOWN PA 17036-8935 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS REV-1548A AFP C12-13) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ON SECURITY ACCOUNTS HELD IN BENEFICIARY FORM DATE: 08-04-2014 ESTATE OF:DERSIN DORIS L DATE OF DEATH: 10-22-2013 COUNTY: CUMBERLAND FILE NO. : 21 13-1248 S.S/D.C. NO. : ACN: 14505148 TAX RETURN WAS: (X) ACCEPTED AS FILED ( )CHANGED BENEFICIARY FORM OF ASSET INFORMATION NAME OF SECURITY: VANGUARD ACCOUNT NO. : 007709949088605 TYPE OF ASSET: C ) SECURITIES C X SECURITY ACC C ) STOCK ( I BONDS DOD Valuation 7,010.26 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.333 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 2,336.73 UPPER PORTION OF THIS NOTICE Debts and Deductions . 00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 2,336.73 REGISTER OF WILLS AT THE Tax Rate X .045 ABOVE ADDRESS. MAKE CHECK Tax Due 105. 15 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, , ENT." TAX CREDITS: C7 (D z PAYMENT RECEIPT DISCOUNT (+) 7) C AMOUNT PAID r CD - C G-i DATE NUMBER INTEREST/PEN PAID (-) -t�' C!. Ln - DD =` N ��o c.� INTEREST IS CHARGED THROUGH 08-12-2014■ TOTAL TAX PAYMENT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 105. 15 REVERSE SIDE OF THIS FORM INTEREST AND PEN. . 18 TOTAL DUE 105.33 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. (v�- BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX INHERITANCE T OF AX DIVISION PDEDUCTINT AANDRASSESOR DISALLOWANCE pennsylvania IN ERI ANCE° HARRISBURG, PA 17128-0601 SECURI+Y ACCOUNTS HELD IN DEPARTMENT OF REVENUE BENEFICIARY FORM - xsvasaee♦ry uzan DATE 08-04-2014 ESTATE OF DERSIN DORIS L DATE OF DEATH 10-22-2013 FILE NUMBER 21 13-1248 COUNTY CUMBERLAND SSN/DC ERIC JOSEPH ACN 14505149 2062 SOUTHPOINT DR APPEAL BY DATE: 10-03-2014 HUMMELSTOWN PA 17036-8935 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS 4— " " - " - " " " " ij)7 " " " " " " " " - - - - - - - " ' - " " " " " " " " " " REV-1548A AFP (12-13) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ON SECURITY ACCOUNTS HELD IN BENEFICIARY FORM DATE: 08-04-2014 ESTATE OF: DERSIN DORIS L DATE OF DEATH: 10-22-2013 COUNTY: CUMBERLAND FILE NO. : 21 13-1248 S.S/D.C. NO. : ACN: 14505149 TAX RETURN WAS: (X) ACCEPTED AS FILED ( )CHANGED BENEFICIARY FORM OF ASSET INFORMATION NAME OF SECURITY: VANGUARD ACCOUNT NO. : 007709949088605 TYPE OF ASSET: C ) SECURITIES C X SECURITY ACC ( ) STOCK C ) BONDS DOD Valuation 7,010.26 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0 .333 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 2,336.73 UPPER PORTION OF THIS NOTICE Debts and Deductions .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 2,336.73 REGISTER OF WILLS AT THE Tax Rate X .045 ABOVE ADDRESS. MAKE CHECK Tax Due 105. 15 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID y DATE NUMBER INTEREST/PEN PAID (-) .� p r -''7 l INTEREST IS CHARGED THROUGH 08-12-2014* TOTAL TAX PAYMENT C17 .del AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 105. 15 REVERSE SIDE OF THIS FORM INTEREST AND PEN. . 18 TOTAL DUE 105.33 * 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 NOTICE OF INHERITANCE TAX INHERITANCE TAX DIVISION APPRAISEMENT ALLONANCE OR DISALLORANCE pennsylvania PO BOX 280601 OF DEDUCTION AND ASSESSMENT OF TAX ON Iff HARRISBURG, PA 17128-0601 SECURITY ACCOUNTS HELD IN DEPARTMENT of REV ENUE BENEFICIARY FORM REV-1548,AFP (12-13) DATE 08-04-2014 ESTATE OF DERSIN DORIS L DATE OF DEATH 10-22-2013 FILE NUMBER 21 13-1248 COUNTY CUMBERLAND SSN/DC JESSICA DERSIN ACN 14505150 2703 LOCH HAVEN DR APPEAL BY DATE: 10-03-2014 IJAMSVILLE MD 21754-8815 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS r - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - REV-1548A AFP C12-13) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ON SECURITY ACCOUNTS HELD IN BENEFICIARY FORM DATE: 08-04-2014 ESTATE OF:DERSIN DORIS L DATE OF DEATH: 10-22-2013 COUNTY: CUMBERLAND FILE NO. : 21 13-1248 S.S/D.C. NO. : ACN: 14505150 TAX RETURN WAS: (X) ACCEPTED AS FILED ( )CHANGED BENEFICIARY FORM OF ASSET INFORMATION NAME OF SECURITY: VANGUARD ACCOUNT NO. : 007709949088605 TYPE OF ASSET: ( ) SECURITIES ( M SECURITY ACC ( ) STOCK ( ) BONDS DOD Valuation 7,010.26 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.333 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 2,336.73 UPPER PORTION OF THIS NOTICE Debts and Deductions .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 2,336.73 REGISTER OF WILLS AT THE Tax Rate X . 045 ABOVE ADDRESS. MAKE CHECK Tax Due 105. 15 OR MONEY ORQECR PAYABLE; TO: TAX CREDITS: "REGISTER 0�WDLLS, AGENT 717)oo_v C-• PAYMENT RECEIPT DISCOUNT C+) 'LC"-. G'•c,._, DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID ^. Cri C31 r'7 Q c C-'7 Tt INTEREST IS CHARGED THROUGH 08-12-2014K TOTAL TAX PAYMENT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 105. 15 REVERSE SIDE OF THIS FORM JINTEREST AND PEN. . 18 TOTAL DUE 105.33 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. `\c SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. (V1L,