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HomeMy WebLinkAbout10-15-14 BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX pennsylvaniaDEPARTMENT OF REVENUE INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-13) HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS DATE 10-13-2014 ESTATE OF SOBOLEWSKI ELOISE D DATE OF DEATH 08-01-2014 FILE NUMBER 21 14-0792 COUNTY CUMBERLAND SSN/DC W G SOBOLEWSKI ACN 14145486 186 LONGSTREET DR APPEAL BY DATE:12-12-2014 GETTYSBURG PA 17325-8929 (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-- REV-1548'EX AFP C12-13)-------------------------------------------------------------------- NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 10-13-2014 ESTATE OF:SOBOLEWSKI ELOISE D DATE OF DEATH:08-01-2014 COUNTY:CUMBERLAND FILE NO. : 21 14-0792 S.S/D.C. NO. : ACN: 14145486 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. : 33167-00 TYPE OF ACCOUNT: ( X)SAVINGS ( ) CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 04-11-1983 Account Balance 1, 135. 17 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 567.59 UPPER PORTION OF THIS NOTICE Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 567.59 REGISTER (OF WILLS'�f T4,4E Mrri ' Tax Rate x .045 ABOVE ADD*El. MW C OQ t Tax Due 25.54 OR MONEY TR ijR PAi4LEvTg "REGISTER)oOi�, QLL�, AGfNf::1" TAX CREDITS: tst cn PAYMENT RECEIPT DISCOUNT C+) v 7C CJ DATE NUMBERINTEREST/PEN PAID (-) AMOUNT PAID 08-21-2014 CDO19595 1.28 24.26, C7 3 n }-• r— t rI r— S fU Cn O: TOTAL TAX PAYMENT 25.54 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. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX Pennsylvania INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-13) HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS DATE 10-13-2014 ESTATE OF SOBOLEWSKI ELOISE D DATE OF DEATH 08-01-2014 FILE NUMBER 21 14-0792 COUNTY CUMBERLAND SSN/DC W G SOBOLEWSKI ACN 14145487 186 LONGSTREET DR APPEAL BY DATE:12-12-2014 GETTYSBURG PA 17325-8929 (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-- REV-1548 EX AFP (12-13)-------------------------------------------------------------------- NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 10-13-2014 ESTATE OF:SOBOLEWSKI ELOISE D DATE OF DEATH:08-01-2014 COUNTY:CUMBERLAND FILE NO. : 21 14-0792 S.S/D.C. NO. : ACN: 14145487 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS IST FCU ACCOUNT NO. : 33167-05 TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 05-24-2013 Account Balance 7,005.57 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 3,502.79 UPPER PORTION OF THIS NOTICE Debts and Deductions .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 3,502.79 REGISTER OF WILLS AT THE Tax Rate Y .045 ABOVE ADDRESS. MAKE CHECK Tax Due 157.63 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS-S,,AGENT." TAX CREDITS: n PAYMENT RECEIPT DISCOUNT C+) - CAS M (:,> DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID co C73 G? 08-21-2014 CDO19594 7.88 149.74'j' 10-06-2014 SBADJUST .00 .01 ;. :z M un rri DD CD ti rn = �, v) o TOTAL TAX PAYMENT 157.63 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. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX pennsylvaniaDEPARTMENT OF REVENUE INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-13) HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS DATE 10-13-2014 ESTATE OF SOBOLEWSKI ELOISE D DATE OF DEATH 08-01-2014 FILE NUMBER 21 14-0792 COUNTY CUMBERLAND SSN/DC W G SOBOLEWSKI ACN 14145488 186 LONGSTREET DR APPEAL BY DATE:12-12-2014 GETTYSBURG PA 17325-8929 (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-- REV-1548 EX AFP (12-13�-------------------------------------------------------------------- NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 10-13-2014 ESTATE OF:SOBOLEWSKI ELOISE D DATE OF DEATH:08-01-2014 COUNTY:CUMBERLAND FILE NO. : 21 14-0792 S.S/D.C. NO. : ACN: 14145488 TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. : 33167-11 TYPE OF ACCOUNT: ( )SAVINGS ( X) CHECKING ( )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 04-09-1986 Account Balance 1 ,660.92 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 830.46 UPPER PORTION OF THIS NOTICE Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 830.46 REGISTER OF WILLS AT THE Tax Rate x .045 ABOVE ADDRESS. MA CHECK Tax Due 37.37 OR MONEY 2RDER PA'OLE-,rT(- "REGISTER3_0iP WILLSt;., AGIF?" TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) rn DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID �- Z r-n C-rl 08-21-2014 CDO19593 1.87 35.50= = C:� C) C') ►-` r rn Cn O 0 TOTAL TAX PAYMENT 37.37 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. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. pennsylvania BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-13) HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS DATE 10-13-2014 ESTATE OF SOBOLEWSKI ELOISE D DATE OF DEATH 08-01-2014 FILE NUMBER 21 14-0792 COUNTY CUMBERLAND SSN/DC W G SOBOLEWSKI ACN 14145489 186 LONGSTREET DR APPEAL BY DATE:12-12-2014 GETTYSBURG PA 17325-8929 (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-- REV-1548 EX AFP C12-13)-------------------------------------------------------------------- NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 10-13-2014 ESTATE OF:SOBOLEWSKI ELOISE D DATE OF DEATH:08-01-2014 COUNTY:CUMBERLAND FILE NO. : 21 14-0792 S.S/D.C. NO. : ACN: 14145489 TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. : 33167-45 TYPE OF ACCOUNT: ( )SAVINGS C ) CHECKING ( )TRUST CX)TIME CERTIFICATE DATE ESTABLISHED 06-22-2011 Account Balance 1,518.48 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 759.24 UPPER PORTION OF THIS NOTICE Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 759.24 REGISTER OF WILLS AT THE Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK Tax Due 34.17 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: ry PAYMENT RECEIPT DISCOUNT (+) C= DATENUMBER INTEREST/PEN PAID (-) AMOUNT PAID Q C C-1 7 C.-a ? CD 08-21-2014 CDO19592 1 .71 32.46 r` ^1 i n cri Ca CJ TOTAL TAX PAYMENT~ E-' 34. 171 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" CCR), YOU MAY BE DUE A REFUND. \n SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. (v�N pennsylvania BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-13) HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS DATE 10-13-2014 ESTATE OF SOBOLEWSKI ELOISE D DATE OF DEATH 08-01-2014 FILE NUMBER 21 14-0792 COUNTY CUMBERLAND SSN/DC W G SOBOLEWSKI ACN 14145490 186 LONGSTREET DR APPEAL BY DATE:12-12-2014 GETTYSBURG PA 17325-8929 (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-- ----------------------------I---------------------------------------- NOTICE ---------------------------------------------------------------------- NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 10-13-2014 ESTATE OF: SOBOLEWSKI ELOISE D DATE OF DEATH:08-01-2014 COUNTY:CUMBERLAND FILE NO. : 21 14-0792 S.S/D.C. NO. : ACN: 14145490 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS IST FCU ACCOUNT NO. : 33167-46 TYPE OF ACCOUNT: ( )SAVINGS C ) CHECKING ( )TRUST CX)TIME CERTIFICATE DATE ESTABLISHED 02-25-2011 Account Balance 20, 145.32 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 10,072.66 UPPER PORTION OF THIS NOTICE Debts and Deductions .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 10,072.66 REGISTER OF WILLS AT THE Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK Tax Due 453.27 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: r1-1.J 0 PAYMENT RECEIPT DISCOUNT (+) C= AMOUNT PAID 7t C:3 I11 DATE NUMBER INTEREST/PEN PAID C—) a* -71 08-21-2014 CDO19591 22.66 430.61rn -i o ( C_) rl r1 C) © - rn TOTAL TAX PAYMENT f-' 453.'27 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. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. � BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX Pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-13) HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS DATE 10-13-2014 ESTATE OF SOBOLEWSKI ELOISE D DATE OF DEATH 08-01-2014 FILE NUMBER 21 14-0792 COUNTY CUMBERLAND SSN/DC W G SOBOLEWSKI ACN 14145491 186 LONGSTREET DR APPEAL BY DATE:12-12-2014 GETTYSBURG PA 17325-8929 (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-- REV-1548 EX AFP C12-13)-------------------------------------------------------------------- NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 10-13-2014 ESTATE OF:SOBOLEWSKI ELOISE D DATE OF DEATH:08-01-2014 COUNTY:CUMBERLAND FILE NO. : 21 14-0792 S.S/D.C. NO. : ACN: 14145491 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. : 33167-48 TYPE OF ACCOUNT: C )SAVINGS ( ) CHECKING C )TRUST ( ))TIME CERTIFICATE DATE ESTABLISHED 10-04-2010 Account Balance 3,942.65 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 1,971 .33 UPPER PORTION OF THIS NOTICE Debts and Deductions .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 1,971 .33 REGISTER OF WILLS AT THE Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK Tax Due 88.71 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT C+) DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID ry 08-21-2014 CDO19590 4.44 84.2 ' © rT1 r�1 c)� .D ca . -u N crir�i rrn 7� :7) TOTAL TAX PAYMENT-,:) ti, --88;71 BALANCE OF TAX,--DUE 00 INTEREST AND PEN. E-+ `r1 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. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX • 7pennsyLvania INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE -. DEPARTMENT OF REVENUE PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-13) HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS DATE 10-13-2014 ESTATE OF SOBOLEWSKI ELOISE D DATE OF DEATH 08-01-2014 FILE NUMBER 21 14-0792 COUNTY CUMBERLAND SSN/DC W G SOBOLEWSKI ACN 14145492 186 LONGSTREET DR APPEAL BY DATE:12-12-2014 GETTYSBURG PA 17325-8929 (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-1548 EX AFP C12-13)-------------------------------------------------------------------- NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 10-13-2014 ESTATE OF:SOBOLEWSKI ELOISE D DATE OF DEATH:08-01-2014 COUNTY:CUMBERLAND FILE NO. : 21 14-0792 S.S/D.C. NO. : ACN: 14145492 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. : 33167-54 TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING C )TRUST CX)TIME CERTIFICATE DATE ESTABLISHED 11-25-2011 Account Balance 3,400.88 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 1,700.44 UPPER PORTION OF THIS NOTICE Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 1,700.44 REGISTER OF WILLS AT THE Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK Tax Due 76.52 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID n 08-21-2014 CDO19589 3.83 72.69 X « rn h G.7 2 O FTt t–+ art 71 - r n TOTAL TAX PAYMENT 6 2 BALANCE OF TAX DUE F–► :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. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ��� pennsylvania BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE We-..0 PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-13) HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS DATE 10-13-2014 ESTATE OF SOBOLEWSKI ELOISE D DATE OF DEATH 08-01-2014 FILE NUMBER 21 14-0792 COUNTY CUMBERLAND SSN/DC W G SOBOLEWSKI ACN 14145493 186 LONGSTREET DR APPEAL BY DATE:12-12-2014 GETTYSBURG PA 17325-8929 (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-- ------------------------------------------------------------------------------------------- REV-1548 EX AFP C12-13) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 10-13-2014 ESTATE OF:SOBOLEWSKI ELOISE D DATE OF DEATH:08-01-2014 COUNTY:CUMBERLAND FILE NO. : 21 14-0792 S.S/D.C. NO. : ACN: 14145493 TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS IST FCU ACCOUNT NO. : 33167-55 TYPE OF ACCOUNT: ( )SAVINGS C ) CHECKING ( )TRUST CX?TIME CERTIFICATE DATE ESTABLISHED 09-09-2009 Account Balance 25,486.39 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 12,743.20 UPPER PORTION OF THIS NOTICE Debts and Deductions .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 12,743.20 REGISTER OF WILLS AT THE Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK Tax Due 573.44 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT C+) u DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID 08-21-2014 CDO19588 28.67 544.77 -C � O -=) C C7 71i LZI U TOTAL TAX PAYMENT —,j 573E-44 BALANCE OF TAX DUE 710 2n 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. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. NOTICE OF INHERITANCE TAX • pe1111S�/LVat11a BUREAU OF INDIVIDUAL TAXES DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE -_. PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-13) HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS DATE 10-13-2014 ESTATE OF SOBOLEWSKI ELOISE D DATE OF DEATH 08-01-2014 FILE NUMBER 21 14-0792 COUNTY CUMBERLAND SSN/DC W G SOBOLEWSKI ACN 14145494 186 LONGSTREET DR APPEAL BY DATE:12-12-2014 GETTYSBURG PA 17325-8929 (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-- REV-1548 EX AFP C12-13)-------------------------------------------------------------------- NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 10-13-2014 ESTATE OF:SOBOLEWSKI ELOISE D DATE OF DEATH:08-01-2014 COUNTY:CUMBERLAND FILE NO. : 21 14-0792 S.S/D.C. NO. : ACN: 14145494 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. : 33167-56 TYPE OF ACCOUNT: ( )SAVINGS C ) CHECKING ( )TRUST ( )OTIME CERTIFICATE DATE ESTABLISHED 04-11-2011 Account Balance 22,610.80 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 11,305.40 UPPER PORTION OF THIS NOTICE Debts and Deductions .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 11 ,305.40 REGISTER OF WILLS AT THE Tax Rate Y .045 ABOVE ADDRESS. PRXE CHW Tax Due 508.74 OR MONEYC)ORDER P/MBLE3_1g: 11REGISTEf (AFP WILLf AGEN�D." TAX CREDITS: CD � (_n 70 PAYMENT RECEIPT DISCOUNT C+) - DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAIDr- ni C~n p 08-21-2014 CDO19587 25.44 483.31 ' r, C) _ c� TOTAL TAX PAYMENT 508.75 BALANCE OF TAX DUE .01CR INTEREST AND PEN. .00 TOTAL DUE .01CR * 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. pennsylvania BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX ,� i INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-13) HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS DATE 10-13-2014 ESTATE OF SOBOLEWSKI ELOISE D DATE OF DEATH 08-01-2014 FILE NUMBER 21 14-0792 COUNTY CUMBERLAND SSN/DC W G SOBOLEWSKI ACN 14145495 186 LONGSTREET DR APPEAL BY DATE:12-12-2014 GETTYSBURG PA 17325-8929 (See reverse side under Objections) Amount Remitted r 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 F' REV-1548 EX AFP C12-13)-------------------------------------------------------------------- NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 10-13-2014 ESTATE OF:SOBOLEWSKI ELOISE D DATE OF DEATH:08-01-2014 COUNTY:CUMBERLAND FILE NO. : 21 14-0792 S.S/D.C. NO. : ACN: 14145495 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. : 33167-58 TYPE OF ACCOUNT: ( )SAVINGS C ) CHECKING C )TRUST ( )OTIME CERTIFICATE DATE ESTABLISHED 12-29-2010 Account Balance 3,812.89 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 1,906.45 UPPER PORTION OF THIS NOTICE Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 1,906.45 REGISTER OF WILLS AT THE ,v Tax Rate x .045 ABOVE ADDIZESS. MAKE CHECII�C Tax Due 85.79 OR MONEY -!�RIMER PAYA$LE,,'-Um. "REGISTER--JOWILL$ AGfp TAX CREDITS: PAYMENT RECEIPT DISCOUNT U1 mDATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID ,tea Gr 08-21-2014 CDO19586 4.29 81 .50-" c , VtJ C� 5_t k� n) TOTAL TAX PAYMENT 85.79 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. (\\Ivy) SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. NOTICE OF INHERITANCE TAX pennsylvania BUREAU OF INDIVIDUAL TAXES DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE -- PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-13) HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS DATE 10-13-2014 ESTATE OF SOBOLEWSKI ELOISE D DATE OF DEATH 08-01-2014 FILE NUMBER 21 14-0792 COUNTY CUMBERLAND SSN/DC W G SOBOLEWSKI ACN 14145496 186 LONGSTREET DR APPEAL BY DATE:12-12-2014 GETTYSBURG PA 17325-8929 (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-- REV-1548 EX AFP C12-13)-------------------------------------------------------------------- NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 10-13-2014 ESTATE OF:SOBOLEWSKI ELOISE D DATE OF DEATH:08-01-2014 COUNTY:CUMBERLAND FILE NO. : 21 14-0792 S.S/D.C. NO. : ACN: 14145496 TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. : 33167-63 TYPE OF ACCOUNT: C )SAVINGS ( ) CHECKING ( )TRUST ( )OTIME CERTIFICATE DATE ESTABLISHED 10-14-2010 Account Balance 7,293.74 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 3,646.87 UPPER PORTION OF THIS NOTICE Debts and Deductions .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 3,646.87 REGISTER OF WILLS AT THE Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK Tax Due 164. 11 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: ry PAYMENT RECEIPT DISCOUNT C+) C' DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID C rn 08-21-2014 CDO19585 8.21 155.90x7 _ C.-I C) c� -� cn x rn rrt rn to cn Z:7 C.) -,Jj M TOTAL TAX PAYMENT !-+ 164-Ml 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. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.