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
"*
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