HomeMy WebLinkAbout04-15-05
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
'*
BUREAU OF INDIVIDUAl' l'A)(E~
INHERITANCE TAX DIVISlOl{. .
PO BOX Z80601
HARRISBURG PA 171Z8-0601
NOTICE OF INHERITANCE TAX
APPRAISEMENT3 ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS3 AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REY-1548 EX AFP (03-05)
: :~ J
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSNI'DC
ACN
04-18-2005
CONSAGRA
09-18-2004
21 05-0251
CUMBERLAND
159-24-7363
05104193
Allount Rellitted
JOHN
A
JEANETTE M NADOLNY
164 LEANN CT
ENOLA PA 17025
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE3 PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
A~-~~1ri!!:~~..r~~~'....................................................................................
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 04-18-2005
ESTATE OF CONSAGRA
JOHN
A DATE OF DEATH 09-18-2004
COUNTY
CUMBERLAND
FILE NO. 21 05-0251
TAX RETURN WAS:
S.S/D.C. NO. 159-24-7363
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
05104193
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
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
x
23432.22
0.166
405.38
.00
405.38
.45
18.24
NOTE: TO INSURE PROPER CREDIT TO
YOUR ACCOUNT3 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 WILLS3 AGENT."
X
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
03-10-2005 CD005076 .00 18.24
TOTAL TAX CREDIT 18.24
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
· IF PAID AFTER THIS DATE3 SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL DUE IS LESS THAN $13 NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR)3 YOU MAY BE DUE A REFUND.
S!';!'; R!,;U!,;RS!,; SYDF OF THT~ FORM !'OR TN~TRllrTTONC:: 1
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