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HomeMy WebLinkAbout11-14-05 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUI\L TA)(ES\ INHERITANCE TAX DIVISION PO 1l0X 280601 HARRISBURG PA 17128-0601 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP (06-05) r : n2 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 11-14-2005 MASON 10-06-2004 21 05-0180 CUMBERLAND 072-48-1967 04146313 APPEAL DATE: 01-13-2006 (See reverse side under Objections) Amount Remitted I I MAKE CHECK PAYABLE AND REMIT PAYMENT REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 STACEY SARA A MASON 135 WINSTON DR MECHANICSBURG PA 17055 TO: CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +-- REV=is4S-EX-AFP-roi=osi-------------------------------------------------------------------- NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 11-14-2005 ESTATE OF MASON STACEY DATE OF DEATH 10-06-2004 COUNTY CUMBERLAND FILE NO. 21 05-0180 TAX RETURN WAS: S.S/D.C. NO. 072-48-1967 (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION ACN 04146313 FINANCIAL INSTITUTION: FULTON BANK ACCOUNT NO. 022-0172600 TYPE OF ACCOUNT: ()SAVINGS () CHECKING (>TRUST IX >TIME CERTIFICATE DATE ESTABLISHED 03-09-2002 X 1.263.57 0.166 210.60 .00 210.60 .15 31. 59 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." Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due x TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 02-23-2005 ..... CD004983 .00 31.59 TOTAL TAX CREDIT 31. 59 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 MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) PI. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDU~-;IAX~ f"\ n~f!r[ rC NOTICE OF INHERITANCE TAX INHERITANCE TAX DIVISIDN ' ,I' . J:[, '_ ' _', .'APPRAISEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601' . ,OF DEDUCTIONS, AND ASSESSMENT OF TAX ON HARRIS8URG PA 17128-0601 - . JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP (06-05) CHR I STOPH_S(~MASON 135 WINSTON DR MECHANICSBURG ;-: DATE 11-14-2005 ESTATE OF MASON STACEY DATE OF DEATH 10-06-2004 FILE NUMBER 21 05-0180 COUNTY CUMBERLAND SSN/DC 072-48-1967 ACN 04146312 APPEAL DATE: 01-13-2006 (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 ')iF'] tt;'j't Il C i:: n? I ;. ~, 1 l: . '!""- iL.- PA 17055 CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +-- REV=is4S-EX-AFP-C03=Osi-------------------------------------------------------------------- NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 11-14-2005 ESTATE OF MASON STACEY DATE OF DEATH 10-06-2004 COUNTY CUMBERLAND FILE NO. 21 05-0180 TAX RETURN WAS: S.S/D.C. NO. 072-48-1967 (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION ACN 04146312 FINANCIAL INSTITUTION: FULTON BANK ACCOUNT NO. 022-0172600 TYPE OF ACCOUNT: ()SAVINGS () CHECKING (HRUST Q( HIME CERTIFICATE DATE ESTABLISHED 03-09-2002 X 1,263.57 0.166 210.60 .00 210.60 .15 31. 59 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." Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due X TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 02-23-2005 ..... CD004982 .00 31.59 TOTAL TAX CREDIT 31. 59 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 MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. J Rt.