HomeMy WebLinkAbout08-12-05
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVlDURE9w~ED :JFF!CF (':C NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISIDN -,..... . - '." ,- :APPRAISEHENT, ALLOlIANCE OR DlSALLDWANCE
PD BDX ZODODl ., ". "OF DEDUCTIONS, AND ASSESSIIENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
*'
REV-l54LEX AFP (06-65)
20GS ,l,UG 12 Pi; 1: 09
CLE.~;< -
Or," ,,'
II'.,;~
THERESA ClMl-fUHMEL
900 RIDGE RD
CARLISLE
I~~T
DATE 08-15-2005
ESTATE OF FOX MARTHA M
DATE OF DEATH 01-04-2005
FILE NUMBER 21 05-0618
COUNTY CUMBERLAND
SSN/DC 201-03-8373
ACN 05116751
APPEAL DATE: 10-14-2005
(See reverse side under Objections)
AmDun~ Remi~~edl I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CD COURT HOUSE
CARLISLE, PA 17013
PA 17013
CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS _
REV=is4W-ix-AFP-loi=osi--------------------------------------------------------------------
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 FOX
MARTHA
M DATE OF DEATH 01-04-2005
COUNTY
CUMBERLAND
FILE NO. 21 05-0618
TA~ RETURN WAS:
S.S/D.C. NO. 201-03-8373
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
05116751
FINANCIAL INSTITUTION: MEMBERS 1ST FED CU
ACCOUNT NO.
155453-05
TYPE OF ACCOUNT: ~ )SAVINGS () CHECKING ()TRUST ()TIME CERTIFICATE
DATE ESTABlISHED 11-28-1995
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
303.73
0.500
151. 87
.00
151. 87
.45
6.83
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 (-)
06-30-2005 CD005544 .00 6.83
TOTAL TAX CREDIT 6.83
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 t1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( C!!!.z YOU HAY BE DUE A REFUND.
-- --..---- ........"" ftl:' T"'T~ ~1H8I FOR IHSTRUCTIUJr.j. )
~v....
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
*'
BUREAU OF INDIVIDUDC!I'~Cn ncril'r (1L NOTICE OF INHERITANCE TAX
INHERITANCE YAK DIYlSldHlJ,J'....'; ''../'_'.J v; '''J[.}\U''PRAISEHENT, ALLOWANCE OR DISALLOWANCE
PO BDX 28'6Dl ",,'OF DEDUCTIONS, AND ASSESSI1ENT DF TAX ON
HARRISBURG PA 17128-'601' JOINTLY HELD OR TRUST ASSETS
REV-IS48 EX AFP (06-05)
zn~5 WG 12 Pi: I: 09
DATE 08-15-2005
ESTATE OF FOX MARTHA M
DATE OF DEATH 01-04-2005
FILE NUMBER 21 05-0618
COUNTY CUMBERLAND
SSN/DC 201-03-8373
ACN 05116769
APPEAL DATE: 10-14-2005
(See rtn'erse side under Objections)
AmDunt Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CIE:'<
nee'
THERESA r:K'JIUMMEL
900 RIDGE"RD
CARLISLE PA 17013
CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS -
REY=is4S-EX-AFP-roj=osj--------------------------------------------------------------------
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 FOX
MARTHA
M DATE OF DEATH 01-04-2005
COUNTY
CUMBERLAND
FILE NO. 21 05-0618
TAX RETURN WAS:
S.S/D.C. NO. 201-03-8373
(Xl ACCEPTED AS FILED (l CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
05116769
FINANCIAL INSTITUTION: MEMBERS 1ST FEDERAL CU
ACCOUNT NO.
155453-11
TYPE OF ACCOUNT: (lSAVINGS CC l CHECKING (HRUST (lTIME CERTIFICATE
DATE ESTABLISHED 11-28-1995
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
23,571.56
0.500
11,785.78
.00
11,785.78
.45
530.36
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 (-)
06-30-2005 CD005546 .00 530.36
TOTAL TAX CREDIT 530.36
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 PAYI1ENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRJ, YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. J
-"'-"