HomeMy WebLinkAbout06-27-06
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL T~('{)nr:T': :""'!~F1\'r- n:= NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISIlIH :".~0',)i:~ L.U '-" APP~ISEHENT I ALLOWANCE OR DISALLOWANCE
PO lOX 280601 \,',!tqeOUCTIONSI AND ASSESSHENT OF TAX ON
HARRISIURG PA 17128-0601 - ' -- JOINTLY, HELD OR TRUST ASSETS
-
REV-1548 EX AFP (06-05)
7 "1" "2' or
'). '- ,:, .' 0
(,_ I I I _
DATE 06-26-2006
ESTATE OF GILL BEVERLY J
DATE OF DEATH 10-14-2005
FILE NUMBER 21 06-0005
COUNTY CUMBERLAND
SSN'DC 188-20-7560
ACN 06118864
APPEAL DATE: 08-25-2006
(See reverse side under Ohjections)
A.aunt R..ittedj J
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CD COURT HOUSE
CARLISLEI PA 17013
MALCOLM L B~r
108 AUSTIN DR'.)\
ENOLA PA 17025
iiO=is4i-ii-AFP-loj=oij-----------------------_____________________________________________
CUT ALONG THIS LINE
-+ RETAIN LOWER PORTION FOR YOUR RECORDS ....
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 06-26-2006
ESTATE OF GILL
BEVERLY J DATE OF DEATH 10-14-2005
COUNTY CUMBERLAND
FILE NO. 21 06-0005
TAX RETURN WAS:
S.S/D.C. NO. 188-20-7560
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
06118864
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.
45129-42
TYPE OF ACCOUNT: ()SAVINGS () CHECKING ()TRUST ~ )TIME CERTIFICATE
DATE ESTABLISHED 03-21-1988
Account Balance
Parcent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
21342.56
0.500
11171.28
.00
11171. 28
.15
175.69
NOTE: TO INSURE PROPER CREDIT TO
YOUR ACCOUNT I 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 WILLSI AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
PAYMENT MUST BE MADE BY 07-15-2006.. TOTAL TAX CREDIT .00
BALANCE OF TAX DUE 175.69
INTEREST AND PEN. .00
TOTAL DUE 175.69
· IF PAID AFTER THIS DATEI SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL DUE IS LESS THAN tll NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT"" ( CR)I YOU IlAY BE OUE A REFUND.
SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. )
{I/
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
MOIVI Inft~n[c' .",:::::1("[ n-; NOTICE OF INHERITANCE TAX
=~~~~ lAX DIYIr:::,it"\i:..ryv""'UL) \:J~I '..JL ~PRAISE"ENT, ALLOWANCE OR DISALLOWANCE
PO BOX 2110601 'Of DEDUCTIONS, AND ASSES~ENT OF TAX ON
HARRISBURG PA 171211-0601 " JOINTLY HELD OR TRUST ASSETS
'*
REY-1548 EX AFP (06-05)
I'}~n(
LUlJu
."'7
I ,~,
P:'A "". or
'II (.. 0
DATE 06-26-2006
ESTATE OF GILL BEVERLY J
DATE OF DEATH 10-14-2005
FILE NUMBER 21 06-0005
COUNTY CUMBERLAND
SSN'DC 188-20-7560
ACN 06118857
APPEAL DATE: 08-25-2006
(See reverse side under Objections)
A.aunt Re.1ttedl I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
(~<:-
MALCOLM l-.! "lACK
108 AUSTIN"iR
ENOLA PA 17025
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS +-
iiO=is4i-ii-AFP-loi=osj--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 06-26-2006
ESTATE OF GILL
BEVERLY J DATE OF DEATH 10-14-2005
COUNTY
CUMBERLAND
FILE NO. 21 06-0005
TAX RETURN WAS:
S.S/D.C. NO. 188-20-7560
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
06118857
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.
45129-49
TYPE OF ACCOUNT: ()SAVINGS () CHECKING ()TRUST ~ )TIME CERTIFICATE
DATE ESTABLISHED 03-17-2005
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
.00
1. 000
.00
.00
.00
.15
.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 CREDZTS:
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 tl, NO PAYltENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A ""CREDIT" ( CRl, YOU MY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. l
~v
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
'*
:::n::(\(\c:,r,r[\ ('.C'Y\~=ICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES i :L.."-;, .ut J '~l.t-.!... ENT ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION !'!:r:-, ,
PO BOX 280601 'OF D~TIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 . 0 ' '\)OINTL Y HELD OR TRUST ASSETS
REY-1S4a EX AFP (06-05)
"or!'"
I. it!';'1-
.... ':":U
2 7 P 11 2: 0 6
DATE 06-26-2006
ESTATE OF GILL BEVERLY J
DATE OF DEATH 10-14-2005
FILE NUMBER 21 06-0005
COUNTY CUMBERLAND
SSN/DC 188-20-7560
ACN 06118858
APPEAL DATE: 08-25-2006
(See reverse side under Objections)
A.aunt R_1tted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
MALCOLM L BLAgr'
108 AUSTIN DR
ENOLA PA 17025
CUT ALONG THIS LINE
-to RETAIN LOWER PORTION FOR YOUR RECORDS +-
iiO=iI4i-ii-i;;-lii=ili--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 06-26-2006
ESTATE OF GILL
BEVERLY J DATE OF DEATH 10-14-2005
COUNTY
CUMBERLAND
FILE NO. 21 06-0005
TAX RETURN WAS:
S.S/D.C. NO. 188-20-7560
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
06118858
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.
45129-48
TYPE OF ACCOUNT: ()SAVINGS () CHECKING ()TRUST ~ )TIME CERTIFICATE
DATE ESTABLISHED 10-16-2004
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
.00
1.000
.00
.00
.00
.15
.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 tl, NO PAYItENT IS REQUIRED. .
IF TOTAL DUE IS REFLECTED AS A "CRED%T" ( CRl, YOU KAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FO~ FOR INSTRUCTIONS. l
~vtJ
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
,-,.;f.....,."rr.i:r...., I"'\rr-I,"r~ 0--
;:Ci.),j:-,i)liDTmi!- at DlfHERITANCE TAX
Al'PR~ISE"ENr, ....ALLQWANCE OR DISALLOWANCE
Of DEDUcTIONs> 'AND' ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
') '/ r)IL'j' 2: 0 raDATE
(, I I ~_
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSNI'DC
ACN
*'
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 250601
HARRISBURG PA 17125-0601
REV-1545 EX AFP (06-05)
MALCOLM L BLACK
108 AUSTIN DR
ENOLA
06-26-2006
GILL
10-14-2005
21 06-0005
CUMBERLAND
188-20-7560
06118859
APPEAL DATE: 08-25-2006
(See reverse side under Objections)
AIIDunt R_ittedl I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
BEVERLY
J
PA 17025
CUT ALONG THIS LINE .
-+ RETAIN LOWER PORTION FOR YOUR RECORDS ~
iiO=iA4i-ii-lFP-loi=osi--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 06-26-2006
ESTATE OF GILL
BEVERLY J DATE OF DEATH 10-14-2005
COUNTY CUMBERLAND
FILE NO. 21 06-0005
TAX RETURN WAS:
S.S/D.C. NO. 188-20-7560
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
06118859
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.
45129-47
TYPE OF ACCOUNT: ()SAVINGS () CHECKING ()TRUST ~ )TIME CERTIFICATE
DATE ESTABLISHED 09-06-1989
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
2,426.24
0.500
1,213.12
.00
1,213.12
.15
181.97
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:
RREGISTER OF WILLS, AGENT.R
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
PAYMENT MUST BE MADE BY 07-15-2006*. TOTAL TAX CREDIT .00
BALANCE OF TAX DUE 181.97
INTEREST AND PEN. .00
TOTAL DUE 181.97
· 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'" ( CR), YDU IfAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FO~ FOR INSTRUCTIONS. )
jl/
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
':~~~J~=m:~~~~T:C:I~:~LOWANCE
OFCDEDUcnQNs~/~D:, ASSESSHENT OF TAX ON
JOINTLY HELD" OR TRUST ASSETS
*
REV-1548 EX AFP (06-05)
r 7DATE
U ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
06-26-2006
GILL
10-14-2005
21 06-0005
CUMBERLAND
188-20-7560
06118863
APPEAL DATE: 08-25-2006
(See reverse side under Objections)
A_aunt R..ittedl I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
BEVERLY
J
MALCOLM L BLACK
108 AUSTIN DR
ENOLA PA 17025
CUT ALONG THIS UNE ..... RETAIN LOWER PORTION FOR YOUR RECORDS 4-
iiO=is4i-ii-l;;-loi=osj--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS. AND ASSESSMENT OF TAX ON ~OINTLY HELD OR TRUST ASSETS
DATE 06-26-2006
ESTATE OF GILL
BEVERLY J DATE OF DEATH 10-14-2005
COUNTY CUMBERLAND
FILE NO. 21 06-0005
TAX RETURN WAS:
S.S/D.C. NO. 188-20-7560
(X) ACCEPTED AS FILED () CHANGED
~OINT OR TRUST ASSET INFORMATION
ACN
06118863
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.
45129-43
TYPE OF ACCOUNT: ()SAVINGS () CHECKING ()TRUST ~ )TIME CERTIFICATE
DATE ESTABLISHED 05-17-1989
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
4.383.63
0.500
2.191.82
.00
2.191.82
.15
328.77
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 (-)
'.
PAYMENT MUST BE MADE BY 07-15-2006-. TOTAL TAX CREDIT .00
BALANCE OF TAX DUE 328. 77
INTEREST AND PEN. .00
TOTAL DUE 328 . 77
. IF PAID AFTER THIS DATE. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL DUE IS LESS THAN tl. NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRl. YOU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. l
~
COMMONWEALTH OF PENNSYLVANIA
PEPARTMENT OF REVENUE
Onf"1rf] ('{'"r\('C n.
Cite, i',,_h~'..J u:r- -:',- >; NOTICE OF INHERITANCE TAX
=~~~A': :A':'~~v~r::~L TAXES r'APP~.AI~E"ENT. ALLOWANCE OR DISALLOWANCE
PO BOX ZB060l 'OF DEDUCTIONS. AND ASSEssttENT OF TAX ON
HARRISBURG PA 171ZB-060l .IOINTL Y HELD OR TRUST ASSETS
7.0% JI~7'; 21 Pl"\ 2: 01 DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
*'
REV-1S48 EX AFP (06-0S)
c.n[i:...:.'
I'~', .".,
t ,j , .
MALCOLM L BLAeK
108 AUSTIN DR
ENOLA
06-26-2006
GILL
10-14-2005
21 06-0005
CUMBERLAND
188-20-7560
06118861
APPEAL DATE: 08-25-2006
(See reverse side under Objections)
~ount R..1ttBdl I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARL~SLE. PA 17013
BEVERLY
J
PA 17025
CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS ~
Riv=is4i-ix-AFP-loJ=osi--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON ~OINTLY HELD OR TRUST ASSETS
DATE 06-26-2006
ESTATE OF GILL
BEVERLY J DATE OF DEATH 10-14-2005
COUNTY
CUMBERLAND
FILE NO. 21 06-0005
TAX RETURN WAS:
S.S/D.C. NO. 188-20-7560
(X) ACCEPTED AS FILED () CHANGED
~OINT OR TRUST ASSET INFORMATION
ACN
06118861
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.
45129-45
TYPE OF ACCOUNT: ()SAVINGS () CHECKING ()TRUST ~ )TIME CERTIFICATE
DATE ESTABLISHED 07-10-1989
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts end Deductions
Taxable Amount
Tax Rate X
Tax Due
2.157.46
0.500
1.078.73
.00
1.078.73
.15
161.81
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 (-)
PAYMENT MUST BE MADE BY 07-15-2006-. TOTAL TAX CREDIT .00
BALANCE OF TAX DUE 161.81
INTEREST AND PEN. .00
TOTAL DUE 161.81
· 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 ~Y BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FO~ FOR INSTRUCTIONS. )
r
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
DCr(iOnrD 0FFICE C'tM)TICE OF INHElJITANCE TAX
BUREAU OF INDIVIDUAL TAXES ',."_,,J'h-", "'''''P.IlI~ISE"ENT ALLOWANCE OR DISALLOWANCE
IIIERITAIlCE TAX DIVISION (" ~~, " ,
PO lOX ZlI0601 ' ,.OFO DUtTIONS, AND ASSESS"ENT OF TAX ON
HARRISBURG PA 171ZlI-0601 ' JOINTLY HELD OR TRUST ASSETS
20% JUN 21 Pt1 2: 01
MALCOLM L BLA~\,;:.
108 AUSTIN DR
ENOLA PA 17025
*'
REV-lS~lI EX AFP (06-0S)
DATE 06-26-2006
ESTATE OF GILL BEVERLY J
DATE OF DEATH 10-14-2005
FILE NUMBER 21 06-0005
COUNTY CUMBERLAND
SSN/DC 188-20-7560
ACN 06118862
APPEAL DATE: 08-25-2006
(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
CUT ALONG THIS LINE ..... RETAIN LOWER PORTION FOR YOUR RECORDS +-
iiO=is4i-ii-AFP-coi=osi--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 06-26-2006
ESTATE OF GILL
COUNTY CUMBERLAND
BEVERLY J DATE OF DEATH 10-14-2005
FILE NO. 21 06-0005
TAX RETURN WAS:
S.S/D.C. NO. 188-20-7560
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACN
06118862
ACCOUNT NO.
45129-44
TYPE OF ACCOUNT: ()SAVINGS () CHECKING ()TRUST ~ )TIME CERTIFICATE
DATE ESTABLISHED 06-07-1989
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
4,357.67
0.500
2,178.84
.00
2,178.84
.15
326.83
TAX CREDITS:
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."
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
PAYMENT MUST BE MADE BY 07-15-2006_. TOTAL TAX CREDIT .00
BALANCE OF TAX DUE 326.83
INTEREST AND PEN. .00
TOTAL DUE 326.83
· IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL DUE IS LESS THAN U, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRl, YOU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. l
~~
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
pr-r(!QrV:'1l nr:~j@!~ OF INHERITANCE TAX
. 't:~';/,,'~AP,P,~1S.litf,.:rql ALLOWANCE OR DISALLOWANCE
I~'H 1';; q~Dr;uucTIbNsl AND ASSESSMENT OF TAX ON
, JOINTL Y HELD OR TRUST ASSETS
znus J'JN 21 pro' 2: 07
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO lOX ZII0601
HARRISBURG PA 171ZII-0601
MALCOLM L BLACK
108 AUSTIN DR
ENOLA
r: r:p'( Or:
Onrd ',',"
!Ct~".'
CI\'
PA 17025
'*
REV-15411 EX AFP (06-05)
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
06-26-2'006
SILL
10-14-2005
21 06-0005
CUMBERLAND
188-20-7560
06118865
APPEAL DATE: 08-25-2006
(See reverse side under Objections)
A.aunt R..ittedl r
MAKE CHECK PAYABLE AND REMIT PAYMENT
RESISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLEI PA 17013
BEVERLY
J
TO:
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS +-
iiO=is4i-ii-AFP-loJ=osi--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 06-26-2006
ESTATE OF SILL
CUMBERLAND
BEVERLY J DATE OF DEATH 10-14-2005
FILE NO. 21 06-0005
TAX RETURN WAS:
COUNTY
S.S/D.C. NO. 188-20-7560
(X) ACCEPTED AS FILED () CHANSED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACN
06118865
ACCOUNT NO.
45129-41
TYPE OF ACCOUNT: ()SAVINSS () CHECKINS ()TRUST ~ )TIME CERTIFICATE
DATE ESTABLISHED 02-21-1988
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Allount
Tax Rate X
Tax Due
21343.54
0.500
11171.77
.00
11171.77
.15
175.77
TAX CREDITS:
NOTE: TO INSURE PROPER CREDIT TO
YOUR ACCOUNTI SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
RESISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE TO:
"RESISTER OF WILLSI ASENT."
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
.
PAYMENT MUST BE MADE BY 07-15-2006*. TOTAL TAX CREDIT .00
BALANCE OF TAX DUE 175.77
INTEREST AND PEN. .00
TOTAL DUE 175.77
· IF PAID AFTER THIS DATEI SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
('IF TOTAL DUE IS LESS THAN $11 NO PAYMENT IS REIlUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRJI YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. J
~v'
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES- c^ r'\(:D (1[:(\('1.: (lCNDTICE OF INHERITANCE TAX
INIERITANCE TAX DIVISION HrCuR'j_.I ',_,,_A~RA.Ii:iENENT. ALLOWANCE DR DISALLOWANCE
PO BOX 280601 ,- - \ :-':OIHJI=D,ucTIONS. AND ASSESSNENT OF TAX ON
HARRISBURG PA 17128-0601 . . JOINTLY HELD DR TRUST ASSETS
'*
REV-1548 EX AFP (06-05)
CI
nr'-' "
MALCOLM L BLACKJ.r;- .-
108 AUSTIN DR U
ENOLA PA 17025
DATE 06-26-2006
ESTATE OF GILL BEVERLY J
DATE OF DEATH 10-14-2005
FILE NUMBER 21 06-0005
COUNTY CUMBERLAND
SSN/DC 188-20-7560
ACN 06118860
APPEAL DATE: 08-25-2006
(See reverse side under Objections)
Amount R..1ttedl I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
10% JUN 21 Pt' 2: 01
CUT ALONG THIS LINE
-+ RETAIN LOWER PORTION FOR YOUR RECORDS +-
Riy=i54i-ii-AFP-loJ=o5i---------------------------------------------------------------_____
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 06-26-2006
ESTATE OF GILL
BEVERLY J DATE OF DEATH 10-14-2005
COUNTY CUMBERLAND
FILE NO. 21 06-0005
TAX RETURN WAS:
S.S/D.C. NO. 188-20-7560
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
06118860
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.
45129-46
TYPE OF ACCOUNT: ()SAVINGS () CHECKING ()TRUST ~ )TIME CERTIFICATE
DATE ESTABLISHED 08-04-1989
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
2.137.52
0.500
1.068.76
.00
1.068.76
.15
160.31
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 (-)
PAYMENT MUST BE MADE BY 07-15-2006*. TOTAL TAX CREDIT .00
BALANCE OF TAX DUE 160.31
INTEREST AND PEN. .00
TOTAL DUE 160.31
· IF PAID AFTER THIS DATE. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL DUE IS LESS THAN tl. NO PAYNENT IS REIlUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRl. YOU NAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FOHN FOR INSTRUCTIONS. l
~
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAxmf"'npn~D OfF\Ct or NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION --T;['.".l' I~ -- ~~P!I~ISEHENT, ALLOWANCE OR DISALLOWANCE
PO BOX 2110601 OF, D&bucTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 171211-0601 .JOINTLY HELD OR TRUST ASSETS
*'
REV-1541l EX AFP (06-05)
10% JUN 21 PM 2: 01
r\ CP~{ c);::
;"j~.,,_. ,
MALCOLM L BL~~P,P'J\ <
108 AUSTIN DR '-'
ENOLA PA 17025
DATE 06-26-2006
ESTATE OF GILL BEVERLY J
DATE OF DEATH 10-14-2005
FILE NUMBER 21 06-0005
COUNTY CUMBERLAND
SSN/DC 188-20-7560
ACN 06118866
APPEAL DATE: 08-2~2006
(See reverse side under Objections)
Amount R..1ttedl I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE
..... RETAIN LOWER PORTION FOR YOUR RECORDS ~
Riy=ls4i-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 06-26-2006
ESTATE OF GILL
BEVERLY J DATE OF DEATH 10-14-2005
COUNTY CUMBERLAND
FILE NO. 21 06-0005
TAX RETURN WAS:
S.S/D.C. NO. 188-20-7560
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
06118866
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.
45129-05
TYPE OF ACCOUNT: ~ )SAVINGS () CHECKING ()TRUST ()TIME CERTIFICATE
DATE ESTABLISHED 01-13-1988
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
12,326.67
0.500
6,163.34
.00
6,163.34
.15
924.50
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 (-)
PAYMENT MUST BE MADE BY 07-15-2006-. TOTAL TAX CREDIT .00
BALANCE OF TAX DUE 924.50
INTEREST AND PEN. .00
TOTAL DUE 924.50
. IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. . rI
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REClUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRl, YOU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. l