HomeMy WebLinkAbout05-27-05
COMMONWEALTH OF PENNSYLVANIA *'
DEPARTMENT OF REVENUE
----
BUREAU OF INDIVIDUALT.XE~' NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION ;APPRAISEHENT, ALLOWANCE DR DISALLDWANCE
PO BOX 280601 "DF DEDUCTIONS, AND ASSESSHENT DF TAX DN
HARRISBURG PA 17128-0601 JOINTLY HELD DR TRUST ASSETS REY-1548 EX AFP (03-05
r;.nc~ 'in PM 12: 39 DATE 05-30 2005
LtJUJ
ESTATE OF LEZZE MARY R
DATE OF DEATH 08-07 2004
C' rc"'!1 ("- FILE NUMBER 21 05 0197
Ltr\!\ ,.jf"
OFJlJA~\j'S COURT COUNTY CUMBE LAND
EDWARD CtftFi.SZ!ZER "~. SSN/DC 175-2 -1847
ACN 05111 48
410 GREENSPRING RD A.ount R ..iU.d
NEWVILLE PA 17241
MAKE CHECK PAYABLE , ND REMIT PAYMENT TO:
REGISTER OF WIL S
CUMBERLAND CO C URT HOUSE
CARLISLE, PA 1 013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS .....
A"'-;[!'1ri!!:~J.irG~"!'........................................................ ...........................
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOW NCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST AS ETS
D TE 05-30-2005
ESTATE OF LEZZER MARY R DATE OF DEATH 08-07-2004 COUNTY CUMBERLAND
FILE NO. 21 05-0197 S.S/D.C. NO. 175-20-1847 ACN 05111048
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ADAMS COUNTY NATIONAL BANK ACCOUNT NO. 123358
TYPE OF ACCOUNT: ( ) SAVINGS ClO CHECKING ( ) TRUST ( ) TIME CERTI ICATE
DATE ESTABLISHED 10-24-1985
Account Balance 1,573.89 NOTE: TO INS RE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR A COUNT, SUBMIT THE
Amount Subject to Tax 786.95 UPPER ORTION OF THIS NOTICE
Debts and Deductions - .00 WITH Y UR TAX PAYMENT TO THE
Taxable Amount 786.95 REGIST R OF WILLS AT THE
Tax Rate X .45 ABOVE DDRESS. MAKE CHECK
Tax Due 35.41 DR MON Y ORDER PAYABLE TO:
"REGIS ER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAl
DATE NUMBER INTEREST/PEN PAID (-)
03-29-2005 CD005131 ....., .00 35. 41
TOTAL TAX CRE IT 35.41
BALANCE OF TAX DUE .00
INTEREST AND P N. .00
TOTAL DUE .00
. IF PAID AFTER THIS DATE, SEE REVERSE FDR CALCULATIDN OF ADDITIONAL INTEREST. ·
( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRl, YOU HAY BE DUE A REFUND.
~EC DCUCD~F ~Tn~ OF THIS FORM FOR INSTRUCTIONS. )
~'<-
COMMONWEALTH OF PENNSYLVANIA *'
DEPARTMENT OF REVENUE
BUREAU OF INOIVIDU~L .T,t.XE:;. . NOTICE OF INHERITANCE TAX
INHERITANCE TAX DnISI~*H ' :,~PPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 ,..- '-'IIF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS REY-1548 EX AFP (03-05
DATE 05-30 2005
',' "'7 Pi, 12: 39 ESTATE OF LEZZE MARY R
Ie:.. DATE OF DEATH 08- 07 2004
FILE NUMBER 21 05 0197
(I rp'/ COUNTY CUMBE LAND
'Le ;;\ SSN/DC 175-2 -1847
EDWARD (Qf:itfEZlt'~':OURT
410 GREENS~RiNGRil' ACN 05111 49
AlIOunt R lIIitted
NEWVIL LE PA 17241
MAKE CHECK PAYABLE j ND REMIT PAYMENT TO:
REGISTER OF WIL S
CUMBERLAND CD C URT HOUSE
CARLISLE, PA 1 013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS .....
1~-;[!'1rill:~~.~a~1f:I'........................................................ ...........................
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOW NCE OF
DEDUCTIONS. AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST AS ETS
D TE 05-30-2005
ESTATE OF LEZZER MARY R DATE OF DEATH 08-07-2004 COUNTY CUMBERLAND
FILE NO. 21 05-0197 S.S/D.C. NO. 175-20-1847 ACN 05111049
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ADAMS COUNTY NATIONAL BANK ACCOUNT NO. 9638881
TYPE OF ACCOUNT: (Xl SAVINGS ( ) CHECKING ( ) TRUST ( ) TIME CERTI ICATE
DATE ESTABLISHED 12-28-1960
Account Balance 1,908.88 NOTE: TO INS RE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR A COUNT, SUBMIT THE
Amount Subject to Tex 954.44 UPPER ORTION OF THIS NOTICE
Debts and Deductions - ,DO WITH , UR TAX PAYMENT TO THE
Taxable Amount 954.44 REGIS' R OF WILLS AT THE
Tax Rate X .45 ABOVE DDRESS. MAKE CHECK
Tax Due 42.95 DR MO~ EY ORDER PAYABLE TO:
"REGI~ TER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PA,D
DATE NUMBER INTEREST/PEN PAID (-)
03-29-2005 CD005131----- .00 42 95
TOTAL TAX CRE IT 42.95
BALANCE OF TAX DUE .00
INTEREST AND IE N. .00
TOTAL DUE .00
. IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRl, YOU HAY BE DUE A REFUND.
...eE DlCUCIICC CTn~ nil:' TNT~ FORM FOR INSTRUCTIONS. J
Q~'<--
COMMONWEALTH OF PENNSYLVANIA *'
DEPARTMENT OF REVENUE
BUREAU OF INDIVIIlUAlTAXEl', ;,,' '. NOTICE OF INHERITANCE TAX
IMtERITANCE TAX DIVISI!1.H-' APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP (03-05
v ~7 PH 12: 39 DATE OS-3D 2005
: (. ESTATE OF LEZZE MARY R
DATE OF DEATH 08-07 2004
CLER:< CF FILE NUMBER 21 OS 0197
COUNTY CUMBE LAND
on"-) 1 f 'r'-'" :"f\! I:"T SSNJ'DC 175-2 -1847
__~i-' ~,<:.,\, '.... , t 'uN
EDWARD ('I !\'.C,~EtZERr:< ACN 04146 50
410 GREE'R!iPRING RD ., AlJOUnt R ..itt.d
NEWVILLE PA 17241
MAKE CHECK PAYABLE j ND REMIT PAYMENT TO:
REGISTER OF WIl S
CUMBERLAND CO C URT HOUSE
CARLISLE, PA 1 013
CUT ALONG THIS LINE ..... RETAIN LOWER PORTION FOR YOUR RECORDS ~
A"'-~~1ri!!:~J.ir8~~'........................................................ ...........................
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOW NCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST AS ETS
D TE 05-30-2005
ESTATE OF lEZZER MARY R DATE OF DEATH 08-07-2004 COUNTY CUMBERLAND
FILE NO. 21 05-0197 S.S/D.C. NO. 175-20-1847 ACN 04146150
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: FRANKLIN COUNTY TEACHERS CU ACCOUNT NO. 31512
TYPE OF ACCOUNT: (Xl SAVINGS ( ) CHECKING ( ) TRUST ( ) TIME CERTI ICATE
DATE ESTABLISHED 07-29-1993
Account Balance 61,422.87 NOTE: TO INS RE PROPER CREDIT TO
Percent Taxable X 0.166 YOUR A COUNT, SUBMIT THE
Amount Subject to Tax 10,237.35 UPPER ORTION OF THIS NOTICE
Debts and Deductions - 8,775.50 WITH Y UR TAX PAYMENT TO THE
Taxable Amount 1,461.85 REGIST R OF WILLS AT THE
Tax Rate X .45 ABOVE DDRESS. MAKE CHECK
Tax Due 65.78 OR Mo~ ~Y ORDER PAYABLE TO:
"REGIS ~ER OF WIllS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAI~
DATE NUMBER INTEREST/PEN PAID (-)
03-02-2005 CD00501~ .00 65. 78
TOTAL TAX CRE IT 65.78
BALANCE OF TAX DUE .00
INTEREST AND I N. .00
TOTAL DUE .00
. IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL OUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRJ, YOU MAY BE DUE A REFUND.
~cc DCUCD~C ~Tn~ nF THY~ FORM FOR INSTRUCTIONS. )
q'3,Y-