HomeMy WebLinkAbout06-24-05
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
*'
BUREAU OF INDIVIDUAL lAKES
INHERITANCE TAX DIVISION .... ,
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
APPRAISENENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSI1ENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-1548 EX AFP (03-05)
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DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
06-27-2005
WERZINSKY
12-18-2004
21 05-0423
CUMBERLAND
179-30-8433
05113373
AlIOUht R_itted
LARUE
E
MARY 'f BEST
47111 SOUTHAMPTON CT
STERLING VA 20165
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"'-~1ri!!:~~~aJ:-""'....................................................................................
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 06-27-2005
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
05113373
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
.45
5.32
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 (-)
05-06-2005 CD005305 .00 5.32
TOTAL TAX CREDIT 5.32
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 DCREOIT" ( eR J, YOU HAY BE DUE A REFUND.
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
*'
BUREAU OF INOIVtDUALTAX~S-
INHERITANCE TAX DIY~
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT 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
06-27-2005
WERZINSKY
12-18-2004
21 05-0423
CUMBERLAND
179-30-8433
05113375
A.ount R_i ttood
LARUE
E
" ....
MARY F BEST
47111 SOUTHAMPTON CT
STERLING VA 20165
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~-:r.I'1ril!:~'.~8J:-~'....................................................................................
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 06-27-2005
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
05113375
FINANCIAL INSTITUTION: PSECU
ACCOUNT NO.
0179308433-54
TYPE OF ACCOUNT: () SAVINGS (Xl CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 05-31-1990
Account Balance
Percent Taxable X
Amount Subject to Tax
Dabts and Deductions
Taxable Amount
Tax Rate X
Tax Due
3,149.56
0.166
524.94
.00
524.94
.45
23.62
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 (-)
05-06-2005 CD005303 .00 26.32
TOTAL TAX CREDIT 26.32
BALANCE OF TAX DUE 2.70CR
INTEREST AND PEN. .00
TOTAL DUE 2.70CR
. 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 MAY BE DUE A REFUND.
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
*'
BUREAU OF INDIVIDUAl. TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
APPRAISEMENT, AI.1.0NANeE DR DISAI.I.DWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTI.Y HEI.O OR TRUST ASSETS
REV-lS~8 EX AFP (03-051
-
. .',
. '__.V
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
06-27-2005
WERZINSKY
12-18-2004
21 05-0423
CUMBERLAND
179-30-8433
05113377
A.ount R...1 ttlOd
LARUE
E
MARY F BEST
47111 SOUTHAMPTON CT
STERLING VA 20165
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~-;[!'1ri!!:~J.ira~1n!'....................................................................................
NOTICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS. AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 06-27-2005
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
05113377
FINANCIAL INSTITUTION: PSECU
ACCOUNT NO.
0179308433-555
TYPE OF ACCOUNT: () SAVINGS ( ) CHECKING ( ) TRUST (Xl TIME CERTIFICATE
DATE ESTABLISHED 07-20-2001
Account Balance
Percent Taxable 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
.45
17 .55
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 (-)
05-06-2005 CD005304 .00 17.55
TOTAL TAX CREDIT 17 .55
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
. IF PAID AFTER THIS DATE, SEE REVERSE FOR CAI.CUI.ATIOM OF ADDITIONAl. INTEREST. ·
( IF TOTAl. DUE IS I.ESS THAN $1, NO PAYNENT IS REQUIRED.
IF TOTAl. DUE IS REFI.ECTED AS A "CREDIT" ( CRI, YDU MAY BE DUE A REFUND.
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