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HomeMy WebLinkAbout07-22-2005 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDlvIDuAi:~..G;~ED OFFiCF r~: NOTICE OF INHERITANCE TAX INHERITANCE TAX DIVISION ",~ - I ,-,:APPRAISEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 28.601 .. . '., ., ",OF DEOUCTIDNS, AND ASSESSHENT OF TAX ON HARRISBURG PA 17128-0601 ,JOINTLY HELD OR TRUST ASSETS *' REV-1548 EX AFP (06-05) zaos ,!UU2 Pi: 2: 09 DATE 07-25-2005 ESTATE OF KLEIN MIRIAM B DATE OF DEATH 03-03-2005 FILE NUMBER 21 05- 0566 COUNTY CUMBERLAND SSN/DC 171-50-5304 ACN 05125391 APPEAL DATE: 09-23-2005 (See reverse side under Objections) Amount ReRittedl I MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CD COURT HOUSE CARLISLE, PA 17013 EDMUND KLEIN 5435 BoNNYRIGG CT MECHANICSBURG PA 17055 CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS _ REV=is4S-EX-AFP-lo3=OSj-------------------------------------------------------------------- NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 07-25-2005 ESTATE OF KLEIN MIRIAM B DATE OF DEATH 03-03-2005 COUNTY CUMBERLAND FILE NO. 21 05-0566 TAX RETURN WAS: S.S/D.C. NO. 171-50-5304 (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION ACN 05125391 FINANCIAL INSTITUTION, PSECU ACCOUNT NO. 0171505304 TYPE OF ACCOUNT: ~ )SAVINGS () CHECKING ()TRUST ()TIME CERTIFICATE DATE ESTABLISHED 11-04-1992 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due 50,801.41 0.500 25,400.71 .00 25,400.71 .45 1,143.03 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 (- ) 06-20-2005 CD00546b'-.. .00 1,143.03 TOTAL TAX CREDIT 1,143.03 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 . IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION DF ADDITIONAL INTEREST. . ( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YDU NAY BE DUE A REFUND. SEE REVERSE SIDE OF TNIS FORH FOR INSTRUCTIONS. ) i.- ",,5 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE * r:::"...."""cn n:::e:!,,::: (':e NOTICE OF INHERITANCE TAX BUREAU OF INDIVlDUAtic"~"~!',",,},-u ,~': , ,~~ '-APPRAISEMENT ALLDIIANCE DR OISALLDWANCE INHERITANCE TAX DIVISION ""'>;"---,"-, ""1'-'" , PO 80X 2806.1 ;" ", ," " ' "-PF DEDUCTIONS, AND ASSESSMENT OF TAX ON ......ISIllJ.. PA 17128-0601 " " .JDINTL Y HELD DR TRUST ASSETS REV-l548 EX AFP (06-05) DATE 07-25-2005 ESTATE OF KLEIN MIRIAM B DATE OF DEATH 03-03-2005 FILE NUMBER 21 05-0566 COUNTY CUMBERLAND SSN/DC 171-50-5304 ACN 05125390 APPEAL DATE: 09-23-2005 (See reverse side under Objections) AmDunt Re.i~~edl I MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 7n', III! 27 Pi' 7: 09 """",,,\,; .... ,~'-_ _ ".._ EDMUND C'KLEIN 5435 BONNYRIGG CT MECHANICSBURG PA 17055 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS _ REV:i5~i-EX-AFP-(03:05)-------------------------------------------------------------------- NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 07-25-2005 ESTATE OF KLEIN MIRIAM B DATE OF DEATH 03-03-2005 COUNTY CUMBERLAND FILE NO. 21 05-0566 TAX RETURN WAS: S.S/D.C. NO. 171-50-5304 (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION ACN 05125390 FINANCIAL INSTITUTION: PSECU ACCOUNT NO. 0171505304 TYPE OF ACCOUNT: ()SAVINGS 01:) CHECKING (>TRUST (>TIME CERTIFICATE DATE ESTABLISHED 11-04-1992 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due 1,484.42 0.500 742.21 .00 742.21 .45 33.40 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 RECi~PT DISCOUNT (+) AMOUNT PAID DATE NUM ER INTEREST/PEN PAID (-) 06-20-2005 CD005465 ....... .00 33.40 TOTAL TAX CREDIT 33.40 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 I TOTAL DUE .00 If IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. If ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REIlUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRI, YOU HAY BE DUE A REFUND. - ---- -- .......~ I:'ftDM II:'nD TNSTRUCTIONS. ) Q,..,s.v.