HomeMy WebLinkAbout05-27-05
COMMONWEALTH OF PENNSYLVANIA *'
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL ~$ NOTICE OF INHERITANCE TAX
DfHERlTAHCE TAX DIVISION APPRAI$EHENT, ALLDHANCE DR DI$ALLDHANCE
PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0681 JOINTLY HELD DR TRUST ASSETS REV-1548 EX AFP (03-05
DATE 05-30 2005
'(27 PrI 12: 39 ESTATE OF ZEARL Y ADA L
DATE OF DEATH 09-08 2004
FILE NUMBER 21 05 0305
Cl r-r~l/r>-,"- COUNTY CUMBE LAND
U:ry\ 'UI
CHERYL Of"'Dftt~ "r-. '-Y'" '[)T SSN....DC 200-0 -7904
r(, .1AS."j.J" I ACN 05108 62
(""\\ ,t .'.'-.-.~-:-._- . - 0".
410 S 2~IID'ST A.ount R ..Hted
CAMP HILL PA HOll
MAKE CHECK PAYABLE NO 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~-:r.!'1ri!Jr~'.1l8~""'....................................................... ............................
NOTICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE OR DISALLOW NCE OF
DEDUCTIONS. AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST AS ETS
DTE 05-30-2005
ESTATE OF ZEARLEY ADA L DATE OF DEATH 09-08-2004 COUNTY CUMBERLAND
FILE NO. 21 05-0305 S.S/D.C. NO. 200-01-7904 ACN 05108362
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. 205878-ll
TYPE OF ACCOUNT: ( ) SAVINGS (lO CHECKING ( ) TRUST ( ) TIME CERTI ICATE
DATE ESTABLISHED 06-07-2001
Account Balance 3,732.29 NOTE: TO INS RE PROPER CREDIT TO
Percent Taxable X 0.166 YOUR A CCOUNT, SUBMIT THE
Amount Subject to Tax 622.06 UPPER ORTION OF THIS NOTICE
Debts and Deductions - .00 WITH , UR TAX PAYMENT TO THE
Taxable Amount 622.06 REGIS ER OF WILLS AT THE
Tax Rate X .45 ABOVE ADDRESS. MAKE CHECK
Tax Due 27.99 OR MOl EY ORDER PAYABLE TO:
"REG!! ~ER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PA D
DATE NUMBER INTEREST/PEN PAID (-)
03-30-2005 CD00514;r--> .00 27 99
TOTAL TAX CRE IT 27.99
BALANCE OF TAX DUE .00
INTEREST AND IE N. .00
TOTAL DUE .00
. IF PAID AFTER THIS DATE, SEE REVER$E FOR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE 1$ REFLECTED AS A "CREDIT" ( CRI, YOU HAY BE DUE A REFUND.
~cc DCUC~~F ~TD~ OF THIS FORM FOR INSTRUCTIONS. J
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COMMONWEALTH OF PENNSYLVANIA *'
DEPARTMENT OF REVENUE
BUREAU OF INDIVIoq~L'tA~'! r.:",- NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION. ' - /APPRAISEHENT, ALLDHANCE DR DISALLDIlANCE
PO BOX 280601 (,' OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 171Z8-0601 JOINTLY HELD DR TRUST ASSETS REV-lS48 EX AFP (03-05
2005 f~AY 27 PH 12: 39 DATE 05-30 2005
ESTATE OF ZEARL Y ADA L
DATE OF DEATH 09-08 2004
rL~'c!/ FILE NUMBER 21 05 0305
\,.; tr'l\ COUNTY CUMBE LAND
onDH/;{,i!~
n. :r\;., ~/ SSN....DC 200-0 -7904
THOMAS CU~'~ l:~ AS' ' ACN 05108 65
410 S 22ND ST AlIOUI1t lIIiUed
CAMP HILL PA 170ll
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 ~
1~-;r.!l1ri!I:~'.irG~1f.!'....................................................... ...........................
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 ZEARLEY ADA L DATE OF DEATH 09-08-2004 COUNTY CUMBERLAND
FILE NO. 21 05-0305 S.S/D.C. NO. 200-01-7904 ACN 05108365
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. 205878-00
TYPE OF ACCOUNT: (lO SAVINGS ( ) CHECKING ( ) TRUST ( ) TIME CERTI ICATE
DATE ESTABLISHED 06-07-2001
Account Balance 2,386.46 NOTE: TO INS RE PROPER CREDIT TO
Percent Taxable X 0.166 YOUR A COUNT, SUBMIT THE
Amount Subject to Tax 397.75 UPPER ORTION OF THIS NOTICE
Debts and Deductions - .00 WITH Y UR TAX PAYMENT TO THE
Taxable Amount 397.75 REGIST R OF WILLS AT THE
Tax Rate X .45 ABOVE DDRESS. MAKE CHECK
Tax Due 17.90 OR MON Y ORDER PAYABLE TO:
"REGIS ER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAl
DATE NUMBER INTEREST/PEN PAID (-)
03-30-2005 CD00514T-' .00 17. 0
TOTAL TAX CRED T 17 .90
BALANCE OF TAX UE .00
INTEREST AND P 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" ( CRI, YOU HAY BE DUE A REFUND.
S~~ R~V~RS~ SIDE OF THIS FORM FOR INSTRUCTIONS. ) C>
c,'\-
*'
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVI~L(t~E~
INHERITANCE TAX DIVISIDtl .
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLOIlANCE OR DISALLOWANCE
DF DEDUCTIONS, AND ASSESSHENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-1548 EX AFP (03-05)
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
05-30 2005
ZEARL Y
09-08 2004
21 05 0305
CUMBE LAND
200-0 -7904
05108 64
Anount R itted
ADA
L
2iJiJ5 Y 27 Pri 12: 39
ORPH/S'~-';:~
CHERYL CI)~.r 'f;lI'AS
410 S 22ND ST
CAMP HILL PA 17011
MAKE CHECK PAYABLE ND REMIT PAYMENT TO:
REGISTER OF WIL S
CUMBERLAND CO CURT HOUSE
CARLISLE, PA 1 013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS 411
A~-:r.!l1ri!I:~'.~G~~'....................................................... ............................
NOTICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE OR DISALLON NCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST AS ETS
D TE 05-30-2005
ESTATE OF ZEARLEV
ADA
L DATE OF DEATH 09-08-2004
COUNTY
CUMBERLAND
ACN
05108364
FILE NO. 21 05-0305
TAX RETURN WAS:
S.S/D.C. NO. 200-01-7904
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.
205878-00
TYPE OF ACCOUNT: (lO SAVINGS ( ) CHECKING ( ) TRUST ( ) TIME CERTI ICATE
DATE ESTABLISHED 06-07-2001
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
2,386.46
0.166
397.75
.00
397.75
.45
17 .90
TAX CREDITS:
PAYMENT
DATE
03-30-2005
RECEIPT
NUMBER
CD00514'S--
DISCOUNT (+)
INTEREST/PEN PAID (-)
.00
NOTE: TO INS RE PROPER CREDIT TO
YOUR COUNT, SUBMIT THE
UPPER ORTION OF THIS NOTICE
WITH UR TAX PAYMENT TO THE
REGIS R OF WILLS AT THE
ABOVE DDRESS. MAKE CHECK
OR MO EY ORDER PAYABLE TO:
"REGI TER OF WILLS, AGENT."
AMOUNT PA D
17 .90
17 .90
.00
.00
.00
TOTAL TAX CRE IT
BALANCE OF TAX DUE
INTEREST AND N.
TOTAL DUE
. 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" ( CRI, YOU HAY BE OUE A REFUND.
...rr ar'JI::a~': ~Tnc nc TI.IT<: II=nDM II=nR TN!;'TRUr:TIDNS. )
os..Y--
*'
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUALTAXES.C. "
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE DF INHERITANCE TAX
cAPPRAISEHENT, ALLOWANCE OR DISALLOWANCE
. OF DEDUCTIONS, AND ASSESSHENT OF TAX ON
JOINTLY HELO OR TRUST ASSETS
Y 27 fr'j 12: 40
REV-1548 EX AFP (03-05)
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
05-30 2005
ZEARL Y
09-08 2004
21 05 0305
CUMBE LAND
200-0 -7904
05108 63
Mount R .itted
L
CLEf~';<
OR.r,~ "iT
.[ j J'Ii' ,;
ro., '~t-~'::-7'-
THOMAS lAA'ELIAS
410.S 22ND ST
CAMP HILL PA 17011
ADA
MAKE CHECK PAYABLE ND REMIT PAYMENT TO:
REGISTER OF WIL S
CUMBERLAND CD CURT HOUSE
CARLISLE, PA 1 013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS
1~-;[!l1ri!I:~'.irG~1n!'.......................................................
...
...........................
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 ZEARLEY
ADA
L DATE OF DEATH 09-08-2004
COUNTY
CUMBERLAND
ACN
05108363
FILE NO. 21 05-0305
TAX RETURN WAS:
S.S/D.C. NO. 200-01-7904
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.
205878-11
TYPE OF ACCOUNT: () SAVINGS (10 CHECKING ( ) TRUST ( ) TIME CERTl ICATE
DATE ESTABLISHED 06-07-2001
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
3,732.29
0.166
622.06
.00
622.06
.45
27.99
TAX CREDITS:
PAYMENT
DATE
03-30-2005
RECEIPT
NUMBER
CD00514
DISCOUNT (+)
INTEREST/PEN PAID (-)
.00
NOTE: TO INS RE PROPER CREDIT TO
YOUR A COUNT, SUBMIT THE
UPPER ORTION OF THIS NOTICE
WITH Y UR TAX PAYMENT TO THE
REGIST R OF WILLS AT THE
ABOVE DDRESS. MAKE CHECK
OR MON Y ORDER PAYABLE TO:
"REGIS ER OF WILLS, AGENT."
AMOUNT PAl
27. 9
27.99
.00
.00
.00
TOTAL TAX CRE IT
BALANCE OF TAX DUE
INTEREST AND P N.
TOTAL DUE
. IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ·
( IF TOTAL DUE IS LESS THAN $1. NO PA~ENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIr' ( CRJ, YOU HAY BE DUE A REFUND.
~FF R~V~RS~ SIDE OF THIS FORM FOR INSTRUCTIONS. )
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