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HomeMy WebLinkAbout06-13-05 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE *' BUREAU OF lNOIVIllUA/,.~~ :JCAllE& INtERITANCE TAX DIYI$:l~_ - ~ PO BOX Z80601 ,:_~ - HARRISBURG PA 17128-0601 . NOTICE OF INHERITANCE TAX APPRAI&ENENT, ALLOWANCE OR OI&ALLONANCE OF DEOUCTION&, AND A&&E&&HENT OF TAX ON ~OINTLY HELD OR TRUST A&&ET& REY-l548 EX AFP (03-05) DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 06-13-2005 WERZINSKY 12-18-2004 21 05-0423 CUMBERLAND 179-30-8433 05113376 A.......t R_itted LARUE E J_',; i::' 51 FRANK r,Qf,lf,i~~Ufl~~~T 179 ToRVl;tIR ENoLA PA 17025 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 ~ 1~-;[I'1r"!:~~.1ra~1nI'.................................................................................... NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD DR TRUST ASSETS DATE 06-13-2005 ESTATE OF WERZINSKY LARUE E DATE OF DEATH 12-18-2004 COUNTY CUMBERLAND FILE NO. 21 05-0423 TAX RETURN WAS: S.S/D.C. NO. 179-30-8433 (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION ACN 05113376 FINANCIAL INSTITUTION: PSECU ACCOUNT NO. 0179308433-555 TYPE OF ACCOUNT: () SAVINGS ( ) CHECKING ( ) TRUST (Xl TIME CERTIFICATE DATE ESTABLISHED 07-20-2001 Account Balance Percent Texable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due 2,339.65 0.166 389.95 .00 389.95 .00 .00 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK DR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 . IF PAID AFTER THI& DATE, &EE REVER&E FOR CALCULATION OF ADDITIONAL INTERE&T. . ( IF TOTAL DUE 1& LE&& THAN $1, NO PAYMENT I& REQUIRED. IF TOTAL DUE I& REFLECTED Ai A "CREDIT" ( CRI, YOU HAY BE DUE A REFUND. &EE REVER&E &IDE OF THI& FDHN FDR IN&TRUCTIONS. I ,","0,.'<- COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE '* BUREAU OF INDIVI~~'TAXES' INHERITANCE TAX DIYJSIONcJ PO BOX 280601 . - HARRISBURG PA 17128-060Tc NOTICE OF INHERITANCE TAX , APPRAISEHENT, ALLONANCE OR DISALLOWANCE DF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP (03-05) 13 t-. itO: SO DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 06-13-2005 WERZINSKY 12-18-2004 21 05-0423 CUMBERLAND 179-30-8433 05113374 AaIount R_ltt... LARUE E 08'" "i I", 'V',:C'T FRANK "i i\.6litltiJ,~Sj(y i ' 179 TORY'ce!R ENOLA PA 17025 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ A~-;[I'1rill:~~1rG~""1.................................................................................... NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON ~OINTLY HELD OR TRUST ASSETS DATE 06-13-2005 ESTATE OF WERZINSKY LARUE E DATE OF DEATH 12-18-2004 COUNTY CUMBERLAND FILE NO. 21 05-0423 TAX RETURN WAS: S.S/D.C. NO. 179-30-8433 (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION ACN 05113374 FINANCIAL INSTITUTION. PSECU ACCOUNT NO. 0179308433-54 TYPE OF ACCOUNT: () SAVINGS (XI CHECKING ( ) TRUST ( ) TIME CERTIFICATE DATE ESTABLISHED 05-31-1990 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due 3,149.56 0.166 524.94 .00 524.94 .00 .00 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, 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 WILLS, AGENT.n TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 . IF PAm AFTER THIS DATE, SEE REVERSE FOR CA.LCULATION OF ADDITIONAL INTEREST. · I IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" I CRI, YOU KAY BE DUE A REFUND. SEE REVERSE SIDE OF TMIS FORll FOR INSTRUCTIONS. I ,L ~S COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE *' BUREAU OF INDIVIIlIIAL. 'J'AlIES..'. INHERITANCE TAX DIYIsI-Dft>: .._~ . PD BOX ZS060l HARRISBURG PA 171Z8-0601 NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSHENT OF TAll ON JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP (D3-05) DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 06-13-2005 WERZINSKY 12-18-2004 21 05-0423 CUMBERLAND 179-30-8433 05113372 Aooo...t R_itt.d LARUE E Ju:~ j :)51 OR" ", ,w r '." 'c.r t ':.Jiif.\h., -', '.' ':.";-':: i FRANK ('I if\..;)~~Zl:~KY: 179 TORY'CrR . ENOLA PA 17025 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ 1~-~~1r"!:~J.~G~~'.................................................................................... NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 06-13-2005 ESTATE OF WERZINSKY LARUE E DATE OF DEATH 12-18-2004 COUNTY CUMBERLAND FILE NO. 21 05-0423 TAX RETURN WAS: S.S/D.C. NO. 179-30-8433 (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION ACN 05113372 FINANCIAL INSTITUTION: PSECU ACCOUNT NO. 0179308433-57 TYPE OF ACCOUNT: (Xl SAVINGS ( ) CHECKING ( ) TRUST ( ) TIME CERTIFICATE DATE ESTABLISHED 01-12-1999 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due 709.58 0.166 118.27 .00 118.27 .00 .00 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, 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 WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 . IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. . ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRJ, YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. J "* ~':>