HomeMy WebLinkAbout08-12-05
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
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BUREAU OF INDIVIDulIt',:rms:) 'fr1u .. './' NOTICE OF INHERITANCE TAX
INtERITANCE TAX DIVISIOK-,.. --~._, ":. APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX .80601: 'DF DEDUCTIONS, AND ASSESSHENT OF TAXON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
REV-1548 EX AFP (06-05)
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DATE 08-15-2005
ESTATE OF GRUBBS A R
DATE OF DEATH 05-21-2004
FILE NUMBER ")., -1:::>5 - "\ ~ '\
COUNTY CUMBERLAND
SSN/DC 159-40-5296
ACN 04133266
APPEAL DATE: 10-14-2005
(See reverse side under Objections)
Amount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CL.En:< n=
or;~; I,: \,: i~T
JENNIFER C'II GRUBBS
APT E6
6160 SPRINGFORD DR
HBG PA 17111
CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS _
REY=is4S-EX-AFP-r03=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 GRUBBS
A
R DATE OF DEATH 05-21-2004
COUNTY
CUMBERLAND
FILE NO. S.S/D,C. NO. 159-40-5296
TAX RETURN WAS: (X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FEDERAL CREDIT UNN ACCOUNT NO.
ACN
04133266
2871411
TYPE OF ACCOUNT: ()SAVINGS IX) CHECKING (>TRUST (>TIME CERTIFICATE
DATE ESTABLISHED 06-03-1991
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
2,574.86
0.500
1,287.43
.00
1,287.43
.45
57.93
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 (+) AMOUN-T PAID
DATE NUMBER INTEREST/PEN PAID (-)
INTEREST IS CHARGED THROUGH 08-23-2005 TOTAL TAX CREDIT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 57.93
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 1.45
TOTAL DUE 59.38
. IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL DUE IS LESS THAN $1, NO PAYIlENT IS REIlUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRI, YOU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORH FOR IHSTRUCTIONS. I
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pennsylvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13)
INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 02-10-2014
ESTATE OF GRUBBS A R
DATE OF DEATH 05-21-2004 q
FILE NUMBER 70 0330959
COUNTY CUMBERLAND
JENNIFER A GRUBBS ACN 04133266
321 NOB HILL DRIVE Amount Remitted
ELMSFORD NY 10523
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment.
CUT ALONG THIS LINE 1 RETAIN LOWER PORTION FOR YOUR RECORDS
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
REV-1607 EX AFP (12-13) ■1�■ INHERITANCE TAX STATEMENT OF ACCOUNT ■if■
ESTATE OF:GRUBBS A R FILE NO. : 70 0330959 ACN: 04133266 DATE: 02-10-2014
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PRINCIPAL
TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 12-02-2005
PRINCIPAL TAX DUE: 57.93
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
C ' >
yw
Y F
INTEREST IS CHARGED THROUGH 02-25-2014 TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM. * BALANCE OF TAX DUE 57.93
INTEREST AND PEN. 25.94
TOTAL DUE 83.87
R IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.
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