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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 .,,'<- Q 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. ) c>~Y-