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Home My WebLink About11-24-14 BUREAt4 OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX INHERITANCE TAX DIVISION APPRAISEMENTL ALLOWANCE OR DISALLOWANCE pennsyLvania `PO BOX 280601 OF DEDUCTIONS AND ASSESSMENT OF TAX ON DEPARTMENT OF REVENUE HARRISBURG, PA 17128-0601 RECORDED �SECURI�Y ACCOUNTS HELD IN BENEFICIARY FORM REV-1548A AFP 02-I31 REGISTER OF WILLS DATE 11-24-2014 NOS 2019 !qqU 2-9 FM 1 163 DATETOFODEATH 12502-2012 WAYNE E FILE NUMBER 21 12-1344 GLEE,;; OF COUNTY CUMBERLAND KATHLEEN N MUL1&RPHAWS' COURT SSN/DC ACN 13505707 585 SPRING LN CUMBERLt.';°;� f r - r,A+ APPEAL BY DATE: 01-23-2015 BOILING S P R G S PA 17007-9640 (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--1-548A - AFP Yl-2-- 3)- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - -- - - NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ON SECURITY ACCOUNTS HELD IN BENEFICIARY FORM DATE: 11-24-2014 ESTATE- OF: NOSS WAYNE E DATE OF DEATH: 12-02-2012 COUNTY: CUMBERLAND FILE NO. : 21 12-1344 S.S/D.C. NO. : 204-30-6998 ACN: 13505707 TAX RETURN WAS: (X) ACCEPTED AS FILED ( )CHANGED BENEFICIARY FORM OF ASSET INFORMATION NAME OF SECURITY: FIDELITY INVESTMENTS ACCOUNT NO. : 670146 TYPE OF ASSET: ( ) SECURITIES ( X SECURITY ACC ( ) STOCK C ) BONDS DOD Valuation 143,664. 10 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.200 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 28,732.82 UPPER PORTION OF THIS NOTICE Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 28,732.82 REGISTER OF WILLS AT THE Tax Rate X .045 ABOVE ADDRESS. MAKE CHECK Tax Due 1 ,292.98 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID INTEREST IS CHARGED THROUGH 12-02-2014* TOTAL TAX PAYMENT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 1,292.98 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 48.35 TOTAL DUE 1,341 .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. \b SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. �``�� BUREAO OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX • INHERITANCE TAX DIVISION APPRAISEMENT ALLOWANCE OR DISALLOWANCE -•- � pe n n SyLva rn a "PO BOX 280601 OF DEDUCTION AND ASSESSMENT OF TAX ON DEPARTMENT OF REVENUE HARRISBURG, PA I712 Q OFFICE O SECURI�'Y ACCOUNTS HELD IN li BENEFICIARY FORM REV-1548A AFP (12-13) REGISTER OF TILLS DATE 11-24-2014 2Q1� NOVJ G� ��+U ESTATE OF NOSS WAYNE E iU I DATE OF DEATH 12-02-2012 FILE NUMBER 21 12-1344 C4 ER;� OF COUNTY CUMBERLAND DONALD QA` AUDI S+S COURT SSN/DC ACN 13505708 110 HEMI£0�1��BJN�I AIs'n- C '., ��; APPEAL BY DATE: 01-23-2015 E T T E R S PA 17319-9494 (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: 11-24-2014 ESTATE OF:NOSS WAYNE E DATE OF DEATH: 12-02-2012 COUNTY: CUMBERLAND FILE NO. : 21 12-1344 S.S/D.C. NO. : 204-30-6998 ACN: 13505708 TAX RETURN WAS: (X) ACCEPTED AS FILED C )CHANGED BENEFICIARY FORM OF ASSET INFORMATION NAME OF SECURITY: FIDELITY INVESTMENTS ACCOUNT NO. : 670146 TYPE OF ASSET: C ) SECURITIES C X SECURITY ACC C ) STOCK C ) BONDS DOD Valuation 143,664. 10 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.200 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 28,732.82 UPPER PORTION OF THIS NOTICE Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 28,732.82 REGISTER OF WILLS AT THE Tax Rate X .045 ABOVE ADDRESS. MAKE CHECK Tax Due 1 ,292.98 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID INTEREST IS CHARGED THROUGH 12-02-2014* TOTAL TAX PAYMENT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 1,292.98 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 48.35 TOTAL DUE 1,341 .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. BUREAO OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX INHERITANCE TAX DIVISION APPRAISEMENT Zi ALLOWANCE OR DISALLOWANCEpe n n syLva rn a ,PO BX I6PA 171 0p OF DEDU ECURII"lYAND ACCOUNTSSHELD INMENT DEPARTMENT OF REVENUE REGISTER �� WILLS TAX ON HARRSBURG i��Li O R D E D OFFICE OF BENEFICIARY FORM aev•isceA AFP c12•15> DATE 11-24-2014 ZOIy NOU 29M 16 ESTATE OF NOSS DATE OFDEATH 12-02-2012WAYNE E FILE NUMBER 21 12-1344 �pCLERK OF COUNTY CUMBERLAND SALLIE HAQURT SSN/DC ACN 13505709 31 E T9&U'A9fiRIA1/ED Cn., PA APPEAL BY DATE: 01-23-2015 STRATHMERE NJ 08248 (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 2- 3) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ON SECURITY ACCOUNTS HELD IN BENEFICIARY FORM DATE: 11-24-2014 ESTATE OFAOSS WAYNE E DATE OF DEATH: 12-02-2012 COUNTY: CUMBERLAND FILE NO. : 21 12-1344 S.S/D.C. NO. : 204-30-6998 ACN: 13505709 TAX RETURN WAS: (X) ACCEPTED AS FILED C )CHANGED BENEFICIARY FORM OF ASSET INFORMATION NAME OF SECURITY: FIDELITY INVESTMENTS ACCOUNT NO. : 670146 TYPE OF ASSET: ( ) SECURITIES ( X SECURITY ACC ( ) STOCK C ) BONDS DOD Valuation 143,664. 10 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.200 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 28,732.82 UPPER PORTION OF THIS NOTICE Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 28,732.82 REGISTER OF WILLS AT THE Tax Rate X .045 ABOVE ADDRESS. MAKE CHECK Tax Due 1 ,292.98 OR MONEY ORDER PAYABLE TO: TAX CREDITS: "REGISTER OF WILLS, AGENT." PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID INTEREST IS CHARGED THROUGH 12-02-2014* TOTAL TAX PAYMENT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 1,292.98 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 48.35 TOTAL DUE 1,341 .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. V SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX INHERITANCE TAX DIVISION APPRAISEMENT ALLONANCE OR DISALLONANCE p e n n syLva rn a +PO BOX 280601 OF DEDUCTION AND ASSESSMENT OF TAX ON HARRISBURG, PA 17128-0601 SECURIrPY ACCOUNTS HELD IN DEPARTMENT OF REVENUE RECORDED OFFICE 0 F BENEFICIARY FORM —' REV-1548A AFP ciz-iso REGIvT"', i; IE(-$ DATE 11-24-2014 ESTATE OF NOSS WAYNE E ZPJ19 NOU Zai �� Ib DATE OF DEATH 12-02-2012 FILE NUMBER 21 12-1344 CLE OF COUNTY CUMBERLAND SSN/DC TIMOTHY W NOO!RPHA �,)UPT ACN 13505706 1821 FISHER 61�MRPPf ra •„ r s APPEAL BY DATE: 01-23-2015 MECHANICSBURG PA 17055-5117 " (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: 11-24-2014 ESTATE OF: NOSS WAYNE E DATE OF DEATH: 12-02-2012 COUNTY: CUMBERLAND FILE NO. : 21 12-1344 S.S/D.C. NO. : 204-30-6998 ACN: 13505706 TAX RETURN WAS: (X) ACCEPTED AS FILED ( )CHANGED BENEFICIARY FORM OF ASSET INFORMATION NAME OF SECURITY: FIDELITY INVESTMENTS ACCOUNT NO. : 670146 TYPE OF ASSET: C ) SECURITIES C X SECURITY ACC C ) STOCK C ) BONDS DOD Valuation 143,664.10 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.200 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 28,732.82 UPPER PORTION OF THIS NOTICE Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 28,732.82 REGISTER OF WILLS AT THE Tax Rate X .045 ABOVE ADDRESS. MAKE CHECK Tax Due 1 ,292.98 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID INTEREST IS CHARGED THROUGH 12-02-2014* TOTAL TAX PAYMENT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 1,292.98 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 48.35 TOTAL DUE 1,341 .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.