HomeMy WebLinkAbout04-29-05
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BUREAU OF IIIJIllUUM.,1JIllIE!>P::'-::::
INHERITANCE TAX DIVIUuN-, ./".c'n.l '-.' , : :l",,,...
PO lOX 2806Dl""':,,'_'~--- --, ,.,
HARRISIURG PA 171ZS;"aHl.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAll
APPRAISEIIEHT, ALl.DHANCE DR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSIIEHT OF TAll DH
.JDIHTLY HELD DR TRUST ASSETS
*'
REY-IN EX AFP (05-051
e.;, ng
-j ~ tJ
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN'DC
ACN
05-02-2005
THIEME
11-10-2004
21 05-0264
CUMBERLAND
180-01-4596
05106584
_t _ltt...
HARlE
A
HERBERT" C THIEIltJR.-
15 HANOR DR "
MECHANICSBURG PA 17055
I:
MAKE CHECK PAYABLE AND REMIT PAY,ENT TO:
REGISTER OF WIllS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ___
."'-~1ri!Jr~~~""'....................................................................................
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DA E 05-02- 5
ESTATE OF THIEME
MARIE
A DATE OF DEATH 11-10-2004
COUNTY
FILE NO. 21 05-0264
TAX RETURN liAS:
S.S/D.C. NO. 180-01-4596
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
b5106584
FINANCIAL INSTITUTION. PSECU
ACCOUNT NO.
0180014596-54
i
TYPE OF ACCOUNT. () SAVINGS (Xl CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 12-09-2000
Account Belence
Percent Texeble
Amount Subject to Tex
Debts end Deductions
Taxable Allount
Tex Rete
Tex Dua
x
8,192.74
0.166
1,365.48
.00
1,365.48
.45
61.45
NOTE.
:
TO INSURE PROPER C~EDIT TO
YOUR ACCOUNT, SUBM~T THE
UPPER PORTION OF T~IS NOTICE
IIITH YOUR TAX PA~NT TO THE
REGISTER OF IIIllS ~T THE
ABOVE ADDRESS. H4KE CHECK
DR MONEY ORDER PAVABlE TO.
-REGISTER OF WIllS) AGENT.n
x
TAX CREDITS:
~
PAVMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
03-21-2005 CDD05105 .00 61. 45 ,
,
!
.
TOTAL TAX CREDIT I 61. 45
BALANCE OF TAX DUE I .00
INTEREST AND PEN. .00
TOTAL DUE : .00
. IF PAID AFTER THIS DAT~LSEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
I IF TOTAL DUE IS l.ESS TIUlII fl, NO PAYHEHT IS REIlUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" I CRI, YOU HAY BE DUE A REFlNJ.
SEE REVERSE' SIDE OF THIS FDRII FOR INSTRUCTIONS. J
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
*'
BUREAU OF IHDIVIDUAL.-T~S.~,-" ""_,,,~ NOTICE OF IHHERITANCE TAll
IMERIT-': TAX DlVISl"" ;')':! '.; H ' ! H-i! _ ""'I'RAISEHEHT, ALLOWANCE DR DISALLOWANCE
PO lOX 280601 ,- _.n ...,__.J .,,! '."-'~qf' DEDUCTIONS" AND ASSESSMENT OF TAX ON
HARRIS..... PA 1712'1-0'.1 . _. ': .JDIHTL Y HELD DR TRUST ASSETS
REV-l54I EX AFP (03-05)
~'. .-, 'I (*.-' '
09
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN'DC
ACN
05-02-2005
THIEME
11-10-2004
21 05-0264
CUMBERLAND
180-01-4596
05106587
_t _lttlOd
MARIE
A
JANE AlTHIEME
15 MANOR DR
MECHANICSBURG PA 17055
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WIllS
CUMBERLAND CD COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ___
.~-~'1r~~~~~""'....................................................................................
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 05-0 -2 05
ESTATE OF THIEME
MARIE
A DATE OF DEATH 11-10-2004
COUNTY
CUM ERLAND
FILE NO. 21 05-0264
TAX RETURN liAS.
S.S/D.C. NO. 180-01-4596
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACH
05106587
FINANCIAL INSTITUTION. PSECU
ACCOUNT NO.
0180014596-551
TVPE OF ACCOUNT. () SAVINGS ( ) CHECKING ( ) TRUST (Xl TIME CERTIFICATE
DATE ESTABLISHED 12-09-2000
Account Be lance
Percent Taxable X
A.ount Subject to Tax
Debts and Deductions
Taxeble Allount
Tax Rete X
Tex Due
101,943.16
0.166
16,990.87
.00
16,990.87
.45
764.59
I
NOTE, TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMiT THE
UPPER PORTION OF T~IS NOTICE
WITH YOUR TAX PAVM~NT TO THE
REGISTER OF WIllS AT THE
ABOVE ADDRESS. MAKE CHECK
DR MONEV ORDER PAv4BlE TO.
-REGISTER OF WIllS! AGENT.-
TAX CREDITS:
~
PAVMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-) ,
,
03-21-2005 CD005106 .00 764.59 i
,
I
TOTAL TAX CREDIT ! 764.59
BALANCE OF TAX DUE i .00
INTEREST AND PEM. ! .00
TOTAL DUE .00
. IF PAID AFTER THIS DATE SEE REVERSE FOR CALCULATION OF ADDITIONAL --nlFEREST. .
I IF TOTAL DUE IS LESS TiWI 11, NO PAYIIEHT IS RElIUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT'" I CRJ, YDU HAY BE DUE A REFUHD.
SEE REVERSE SIDE OF THIS FDRII FOR INSTRUCTIONS. J
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
'*
~,~n0,'''::---'-n
BUREAU OF INDIVmll.M\;~AlIJ.s
INlERITANCE TAX DIVISttj('.~- T~----'
PO lOX 281601 ;
HARRISIUAS PA 171Z1-0601
NOTICE DF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE DR DISALLOWANCE
DF DEDUCTIDNS, AIlII ASSESSIlENT DF TAll ON
JOINTLY HELD DR TRUST ASSETS
REY-I54a EX AFP (03-05)
F.,.'.'"
"9
." u
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN'DC
ACN
JANE A THIEME
15 MANOR DR
MECHANICSBURG PA 17055
I:
MAKE CHECK PAYABLE AND REMIT PA~MENT TO:
,
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
05-02-2005
THIEME
11-10-200'1
21 05-026'1
CUMBERLAND
180-01-'1596
05106583
_t _sttlOd
MARIE
A
r,'
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
."'-~'1r"!:~Jr~~1II'....................................................................................
NOTICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS. AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS I
DAT 05-02- 005
ESTATE OF THIEME
MARIE
A DATE OF DEATH 11-10-200'1
COUNTY
CU BERLAND
FILE NO. 21 05-026'1
TAX RETURN WAS:
S.S/D.C. NO. 180-01-'1596
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
05106583
FINANCIAL INSTITUTION: PSECU
ACCOUNT NO.
018001'1596-51
I
TYPE OF ACCOUNT: (XI SAVINGS ( ) CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 12-09-2000
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxeble AlRount
Tax Rate X
Tax Due
'11, 102.69
0.166
6,850.59
.00
6,850.59
.'15
308.28
NOTE: TO INSURE PROPER C.EDIT TO
YOUR ACCOUNT, SUBM.T THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMlNT TO THE
REGISTER OF WILLS 4T THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAY4BLE TO:
nREGISTER OF WILLS) AGENT.n
TAX CREDITS:
~
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-) I
03-21-2005 CD005107 .00 308.28 I
I
,
TOTAL TAX CREDIT 308.28
BALANCE OF TAX DUE I .00
INTEREST AND PEN. i .00
TOTAL DUE i .00
. IF PAID AFTER THIS DATE, SEE REVERSE FDR CALCULATION OF ADDITIONAL INTEREST. .
I IF TOTAL DUE IS LESS THAN tl, lID PAYIIEMT IS RElIUIRED.
IF TOTAl DUE IS REflECTED AS A "'CREDIT'" I CR), YOU HAY BE DUE A REFIIID.
SEE REVERSE SIDE OF THIS FDRII FOR INSTRUCTIDNS. )
BUREAU OF INDIV~C~)
INHERITANCE TAX DIVISl~-(-"..
PO lOX 280601 :\:-; -:'
HARRISlURC PA 17128-0601'--'
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
nFP"F (':c NOTICE OF INHERITANCE TAX
.~. . ~ - ~, APPRAISEMENT. ALLOWANCE OR OISALLOWANCE
OF DEDUCTIONS. AND ASSESSMENT OF TAX ON
JOINTLY HELO OR TRUST ASSETS
'*
AEV-l~ EX AFP (03-05)
JANE CJ~THIEME
15 MANOR DR
MECHANICSBURG PA 17055
Ii
MAKE CHECK PAYABLE AND REMIT PAvrENT TO:
REGISTER OF WILLS I
CUMBERLAND CO COURT HOUSE '
CARLISLE. PA 17013
05-02-2005
THIEME
11-10-2004
21 05-0264
CUMBERLAND
180-01-4596
05106585
Mount _lttecl
MARIE
A
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
2nns I,D!) ')0 Pll I?: 09
'-.,)\..i,i;, ......)
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
1~-~'1ril!r~~~I~""'.......................................................................~............
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 05-02- 005
ESTATE OF THIEME
MARIE
A DATE OF DEATH 11-10-2004
COUNTY
CU BERLAND
FILE NO. 21 05-0264
TAX RETURN WAS,
S.S/D.C. NO. 180-01-4596
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
05106585
FINANCIAL INSTITUTION, PSECU
ACCOUNT NO.
0180014596-54
I
I
TYPE OF ACCOUNT:
DATE ESTABLISHED
( ) SAVINGS (lO CHECKING ( ) TRUST ( ) TIME CERTIFICATE
12-09-2000
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Allount
Tax Rate X
Tax Due
8.192.74
0.166
1,365.48
.00
1.365.48
.45
61. 45
,
NOTE, TO INSURE PROPER C~EDIT TO
YOUR ACCOUNT. SUBMIT THE
UPPER PORTION OF Ti'IS NOTICE
WITH YOUR TAX PAYM NT TO THE
REGISTER OF WILLS T THE
ABOVE ADDRESS. MAKE CHECK
DR MONEY ORDER PAY+BlE TO,
"REGISTER OF WILLS; AGENT."
TAX CREDITS:
~
. IF PAlO AFTER THIS DA~I__SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
I IF TOTAL DUE IS LESS TIlM 11. NO PAYMENT IS REllUIREO.
IF TOTAL DUE IS REFLECTEO AS A "CREOIT" I ell. YDlI HAY BE DUE A REFUIlD.
SEE REVERSE SlOE OF THIS FORM FOR INSTRUCTIONS. I
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
03-19-2005 CD005101 .00 61. 45
,
i
TOTAL TAX CREDIT , 61. 45
BALANCE OF TAX DUE I .00
INTEREST AND PEN. , .00
TOTAL DUE .00
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDxvnxMtrU\ielFJ niTirF nF HOTICE OF INHERITANCE TAX
I-.ITANCE TAX DIVISIlIII,:"'" -- ~,' --' APPRAISENENT, ALLOIIANCE OR DISALLOIIANCE
PO IIllC ....01 -' OF DEDUCTIONS, AND ASSESSHENT OF TAX ON
_lSlIURG .A '11'.-...' JOINTLY HELD OR TRUST ASSETS
*'
REV-~ EX lAP (83-05)
29
PM I?; 09
~; t :'..,
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
05-02-2005
THIEME
11-10-2004
21 05-0264
CUMBERLAND
180-01-4596
05106582
AIIoutt _1 tteel
M~RIE
A
HERBERT C, t THIEME JR
15 MANOR DR
MECHANICSBURG PA 17055
MAKE CHECK PAYABLE AND REMIT PAY"ENT TO:
REGISTER OF WILLS :
CUMBERLAND co COURT HOUSE ,
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
1~-~'1r~~Jr~~~1.......................................................................~............
FILE NO. 21 05-0264
TAX RETURN WAS:
S.S/D.C. NO. 180-01-4596
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
I
,
i
05106582
'-..
FINANCIAL INSTITUTION: PSECU
ACCOUNT NO.
0180014596-511
TYPE OF ACCOUNT: (lO SAVINGS ( ) CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 12-09-2000
Account Balance
Percent Taxable X
Allount Subject tD Tax
Debts and Deductions
Taxable Allount
Tex Rate X
Tax Due
41,102.69
0.166
6,850.59
.00
6,850.59
.45
308.28
NOTE: TO INSURE PROPER C~EDIT TO
YOUR ACCOUNT, SUBM.T THE
UPPER PORTION OF TiIS NOTICE
WITH YOUR TAX PAYM NT TO THE
REGISTER OF WILLS T THE
ABOVE ADDRESS. ~E CHECK
OR MONEY ORDER PA~fBLE TO:
"REGISTER OF WILLS, AGENT."
I
I
TAX CREDITS:
~
. IF PAID AFTER THIS DAT~LSEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ·
I IF TDTAL IIUE IS LESS TIUIII 11, III PAYHENT IS RElIUIRED.
IF TDTAL IIlIE IS REFLECTED AS A "CREDIT" I C~)_l YOU HAY BE IIUE A REFUIlD.
SEE REVERSE SIDE OF THIS FORK FOR INSTRUCTIOICi. I
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
PAYMENT MUST BE MADE 8Y 08-11-2005-. TOTAL TAX CREDIT ! .00
BALANCE OF TAX DUE 308.28
INTEREST AND PEN. , .00
. TOTAL DUE I 308.28