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HomeMy WebLinkAbout09-01-06 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE *' j BUREAU Of INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX Z80601 HARRISBURG PA 111Z8-0601 NOTICE Of INHERITANCE TAX ~PPRAISE"ENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESS"ENT Of TAX ON JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP (06-05) 09-04-2006 WESOLOSKIE 07-27-2005 21 05-1020 CUMBERLAND 195-16-5463 05146820 APPEAL DATE: 11-03-2006 (See reverse side under Objections) A.aunt RM1 ttBd I I MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE ~ ..,?~ I, CAR LIS L E , PAl 7 0 ~ f\~ \(.;:2. en G? 1.;-...... .~. M"r''''~ :.00 (~ \.~ ~rD ~~! - ~~~~~ - !~~! - ~~~~ - - - - - -~- - - ~~~~~~ - ~~~~~ - ~~~!~~~ - ~~~ - !~~~ - ~~~~~~~ - - - -- ~- - -~ - - -~~- REV-1548 EX AFP (03-05) _eP~ -"O>~:J NOTICE OF INHERITANCE TAX ~PPRAISEMENT, ALLOWANCE OR DISALLOWANCE .~ ~ ~~ DEDUCTIONS, AND ASSESSMEN~ OF TAXON JOINTLY HELD OR TRUST ASSETS ~ \",; (':'/, DATE 4-200.~;-r. ROBERT APT 3332 325 WESLEY DR MECHANICSBURG A WESOLOSKIE DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN FLORENCE J PA 17055 ESTATE OF WESOLOSKIE FLORENCE J DATE OF DEATH 07-27-2005 FILE NO. 21 05-1020 TAX RETURN WAS: S.SJD.C. NO. 195-16-5463 (X) ~CCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION ACN 05146820 FINANCIAL INSTITUTION: PSECU ACCOUNT NO. 0191700971 TYPE OF ACCOUNT: ()SAVINGS () CHECKING ()TRUST ~ )TIME CERTIFICATE DATE ESTABLISHED 02-26-1996 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due 8,161.70 0.166 1,360.31 .00 1,360.31 .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 PAY"ENT IS REQUIRED. IF TOTAL DUE IS REfLECTED AS A "CREDIT" ( CR), YOU "AY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS. ) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE *' / BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 NOTICE OF INHERITANCE TAX ~PPRAISE"ENT, ALLOWANCE bR DISALLOWANCE dF DEDUCTIONS, AND ASSESSHENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP (06-05) ROBERT A WESOLOSKIE APT 3332 325 WESLEY DR MECHANICSBURG PA 17055 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 09-04-2006 WESOLOSKIE 07-27-2005 21 05-1020 CUMBERLAND 195-16-5463 05146822 APPEAL DATE: 11-03-2006 (See reverse side under Objections) Amount R.itted I I MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 FLORENCE J CUT ALONG THIS LINE ..... RETAIN LOWER PORTION FOR YOUR RECORDS +- iiO=isii-ii-AFP-lo!=osi---------'----------------------------------------------------------- NOTICE OF INHERITANCE TAX iAPPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 09-04-2006 ESTATE OF WESOLOSKIE FLORENCE J DATE OF DEATH 07-27-2005 COUNTY CUMBERLAND FILE NO. 21 05-1020 TAX RETURN WAS: S.sjD.C. NO. 195-16-5463 (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION ACN 05146822 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due 7,225.47 0.166 1,204.27 .00 1,204.27 .00 .00 ~ ACCOUNT NO. ot!~ 700971~ ::tJ ~ 01: HIME CERTIFI~. io. ~ 5 ~ ~!fu I rfJ t? ~C1>~ - (.::>0 ~ :-:a.. -n -" NOTE: TO INSUR. R CSDIT;;tr., ~ . YOUR ACC . SUBfiU T~ fI\ UPPER PORIiOi OF TSis titrtiijE WITH YOUR~AX PAYM&RT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE TO: ~ ftREGISTER OF WILLS, AGENT.ft FINANCIAL INSTITUTION: PSECU TYPE OF ACCOUNT: ()SAVINGS DATE ESTABLISHED 02-26-1996 G ) CHECKING ( )TRUST 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 PAV"ENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRl, YOU "AY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS. l COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE *' J BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX Z80601 HARRISBURG PA 171Z8-0601 NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSHENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP (06-05) ROBERT A WESOLOSKIE APT 3332 325 WESLEY DR MECHANICSBURG PA 17055 DATE 09-04-2006 ESTATE OF WESOLOSKIE FLORENCE J DATE OF DEATH 07-27-2005 FILE NUMBER 21 05-1020 COUNTY CUMBERLAND SSN/DC 195-16-5463 ACN 05146824 APPEAL DATE: 11-03-2006 (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 -+ REITAIN LOWER PORTION FOR YOUR RECORDS +- iiO=is4i-ii-AFP-lo!=osi---------'----------------------------------------------------------- NOTICE OF INHERITANCE TAX iAPPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON ~OINTLY HELD O~ TRUST ASSETS DATE 09-04-2006 ESTATE OF WESOLOSKIE FLORENCE J DATE OF DEATH 07-27-2005 COUNTY CUMBERLAND FILE NO. 21 05-1020 TAX RETURN WAS: S.StD.C. NO. 195-16-5463 (X) ~CCEPTED AS FILED () CHANGED ~OINT OR TRUST ASSET INFORMATION ACN 05146824 FINANCIAL INSTITUTION: PSECU ACCOUNT NO. 0191700971 TVPE OF ACCOUNT: ()SAVINGS () CHECKING ()TRUST OC )TIME CERTIFICATE DATE ESTABLISHED 02-26-1996 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due 1,362.77 0.166 227.13 .00 227.13 .00 .00 NOTE: TAX CREDITS: .J PAVMENT 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 81, 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 *' 'I BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 NOTICE OF INHERITANCE TAX .PPRAISEMENT1 ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS 1 AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP (06-05) ROBERT A WESOLOSKIE APT 3332 325 WESLEY DR MECHANICSBURG PA 17055 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 09-04-2006 WESOLOSKIE 07-27-2005 21 05-1020 CUMBERLAND 195-16-5463 05146818 APPEAL DATE: 11-03-2006 (See reverse side under Objections) Amount Rem:l. tted I I MAKE CHECK PAYABLE AND REMIT PAYMENT REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE1 PA 17013 FLORENCE J TO: ~~!_~~~~~_!~~~-~~~~------~---~~!~~~-~~~~~-~~~!~~~-~~~-!~~~-~~~~~~~---~------------------- REV-1548 EX AFP (03-05) NOTICE OF INHERITANCE TAX 'APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMEN1 OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 09-04-2006 ESTATE OF WESOLOSKIE FLORENCE J DATE OF DEATH 07-27-2005 COUNTY CUMBERLAND FILE NO. 21 05-1020 TAX RETURN WAS: S.SJD.C. NO. 195-16-5463 (X) ~CCEPTED AS FILED () CHANGED i UOINT OR TRUST ASSET INFORMATION ACN 05146818 FINANCIAL INSTITUTION: PSECU Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due 78.39 0.166 13.07 .00 13.07 .00 .00 ACCOUNT NO. 019111700971 g ::n cI'> -, J I!:.' ( )TIME CERTIFIC (I) ~1 tS m ~ r0# 1_ :!Jt? NOTE: TO INSURE s;ew CREDIT i-R ~ YOUR ACCOU ~ MI~TH:;;:;; UPPER PORT F TH~ NO WITH YOUR i:A-lfl>>AYMEt(l TO (~ REGISTER O~ILLS A~HE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS1 AGENT." TYPE OF ACCOUNT: OC )SAVINGS DATE ESTABLISHED 02-26-1996 ( ) CHECKING ( )TRUST 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 DATEI SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. . ( IF TOTAL DUE IS LESS THAN $11 NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR)I YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )