HomeMy WebLinkAbout08-12-05
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
*'
BUREAU OF lNOIVID4l[~~n (',[[!(':[ r,~ NOTICE OF INNERITANCE TAX
INI-ERITANCE TAX DIYISloM-U\..':' I'.-}I_,) \./1 i ! J[_ _..':APPRAISEMENT I ALLOWANCE OR DISALLOWANCE
PO BOX 280601 r".,:,-,,:'-'-'-- ,,- "I OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 171Z8-060i-'-..-"',J . .JOINTLY HELD OR TRUST ASSETS
REV-1548 EX AFP (06-05)
?nn- We: '12 P,",' I'. 09
L""l.I .,,_ul., .
DATE 08-15-2005
ESTATE OF METZ JOHN R
DATE OF DEATH 01-26-2005
FILE NUMBER 21 05- 0598
COUNTY CUMBERLAND
SSN/DC 201-18-9082
ACN 05120801
APPEAL DATE: 10-14-2005
(See reverse side u "der Objectio"s)
Amount RBBitted\ I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CD COURT HOUSE
CARLISLE, PA 17013
CU:F\
MARY ro,Q?~ETZ
500 S 20Y~ ST
CAMP HILL PA 17011
CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
REV=is4S-EX-AFP-lo3=OS;--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 08-15-2005
ESTATE OF METZ
JOHN
R DATE OF DEATH 01-26-2005
COUNTY
CUMBERLAND
FILE NO. 21 05-0598
TAX RETURN WAS:
S.S/D.C. NO. 201-18-9082
(X), ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
05120801
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.
178100-11
TYPE OF ACCOUNT: ()SAVINGS O() CHECKING (>TRUST ()TIME CERTIFICATE
DATE ESTABLISHED 08-17-1998
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
658.93
0.166
109.82
.00
109.82
.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 TNIS DATE, SEE REVERSE FDR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRI, YDU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. I
s'-L
Q..c
COMMONNEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL rF~":::n nr.F\CE r:: NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION r,::-..- ~-, -.... ~-::: ;: __ .' AP-,'RAISE"ENT, ALLOWANCE OR DISALLOWANCE
PO 80K Z80601 ,,-' .- --. I O~ OEOlJCTIONS, AND ASSESSHENT OF TAX ON
HARRISBURG PA 17128-0601 '" - . JOINTLY HELD OR TRUST ASSETS
*
REV-1548 EX AFP (06-05)
n:ce.'
JANET L r-lif'B'IN
137 700 RD ~-'
NEW OXFORD PA 17350
DATE 08-15-2005
ESTATE OF METZ JOHN R
DATE OF DEATH 01-26-2005
FILE NUMBER 21 05-0598
COUNTY CUMBERLAND
SSN/DC 201-18-9082
ACN 05120802
APPEAL DATE: 10-14-2005
(See reverse side under Objections)
AmDunt Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
ZOGS i\UG 12 Pi1 1: 09
CUT ALONG THIS LINE - RETAIN LONER PORTION FOR YOUR RECORDS +-
REY=is4S-EX-AFP-r03=Osi--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLONANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 08-15-2005
ESTATE OF METZ
JOHN
R DATE OF DEATH 01-26-2005
COUNTY
CUMBERLAND
FILE NO. 21 05-0598
TAX RETURN WAS:
S.S/D.C. NO. 201-18-9082
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
05120802
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.
178100-11
TYPE OF ACCOUNT: ()SAVINGS ~) CHECKING ()TRUST ()TIME CERTIFICATE
DATE ESTABLISHED 08-17-1998
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
658.93
0.166
109.82
1,717.10
.00
.45
.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 PAYltENT IS REIlUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YDU HAY BE DUE A REFUND.
SEE REVERSE SIDE DF THIS FO~ FOR INSTRUCTIONS. )
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