HomeMy WebLinkAbout08-30-05
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDU.(C~~~D OFFCE rr NOTICE OF INHERITANCE TAX
INtERITANCE TAX DIVISIDN:,-,-t"'IT'~;-~ ,',,' '. ," ;-APPRAISEHENT I ALLOWANCE DR DISALLOWANCE
PO BOX 280601 ,<,.,~, - '- --,' r ' 'I' ! "OF DEOOCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 . '- ' .JOINTLY HELD OR TRUST ASSETS
*'
REV-1548 EX AFP (06-05)
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DATE 08-29-2005
ESTATE OF METZ JOHN R
DATE OF DEATH 01-26-2005
FILE NUMBER 21 05-0598
COUNTY CUMBERLAND
SSN/DC 201-18-9082
ACN 05120799
APPEAL DATE: 10-28-2005
(See reverse .ide under Objection.)
Amount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
r.j ",--
v
('8:
'-.".,
MARY C}/. 'HETZ r'
500 S 20TH ST
CAMP HILL PA 17011
CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS _
REV=is4S-EX-AFP-r03=OSl--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 08-29-2005
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
05120799
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.
178100-00
TYPE OF ACCOUNT: ex )SAVINGS () CHECKING (>TRUST (>TIME CERTIFICATE
DATE ESTABLISHED 08-17-1998
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tex Rate X
Tax Due
10,148.27
0.166
1,691.41
.00
1,691.41
.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
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 PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRI, YOU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. I
10
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIoU~~fi'~5'P' !\TI('~ (',C NOTICE OF INHERITANCE TAX
IMHERI"TANCE TAX DIVISlm(-'- '-' '..... L..:..J vl_ j V---APPRAISEI1ENT I ALLOWANCE OR DISALLOWANCE
PO BOX 280601 i <OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
*
REY-1548 EX AFP (06-05)
znr'" 'L'~ " ~
I ~~ .~. !1' " : I
,>J.lJ I. ...J....U
'I: 24
DATE 08-29-2005
ESTATE OF MElZ JOHN R
DATE OF DEATH 01-26-2005
FILE NUMBER 21 05-0598
COUNTY CUMBERLAND
SSN/DC 201-18-9082
ACN 05120800
APPEAL DATE: 10-28-2005
(See reverse side under Objections)
AIIIaunt Remi1:1:ed I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
n';
(
,
JANET CI., ALBIN
137 700 RD
NEW OXFORD PA 17350
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 08-29-2005
ESTATE OF MElZ
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
ACM
05120800
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.
178100-00
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
10,148.27
0.166
1,691.41
8,198.00
.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 PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRJ, YOU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. J
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