HomeMy WebLinkAbout11-14-06
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX Z80601
HARRISBURG PA 11128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
r-''"\r,rr'fi'l r':-r!('\r-""'~
t'<J))r1(..J:U \,W,'li_i'ICE OF INHERITANCE TAX
lH~i::'FAl>>f)A:t$~Me~T, ALLOWANCE OR DISALLOWANCE
.._h.., -OF '"DEDUC1IONS, AND ASSESSHENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
2006 NOV I 4 PH I: 09
*'
REV-1548 EX AFP (06-05)
CLERK OF
QRPHAt\rS COURT
FRANCINE A GROFF CUMBERLNm CO" PA
7729 WERTZVILLE RD
CARLISLE PA 17013
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
11-13-2006
LANGLOIS
08-09-2006
21 06-0773
CUMBERLAND
037-10-9004
06150872
APPEAL DATE: 01-12-2007
(See reverse side under Objections)
Mount Re.:L tted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
MILDRED
S
CUT ALONG THIS LINE
-+ RETAIN LOMER PORTION FOR YOUR RECORDS +-
iiO=is4i-ii-AFP-lil=isi--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOMANCE ORDISALLOMANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 11-13-2006
ESTATE OF LANGLOIS
MILDRED S DATE OF DEATH 08-09-2006
COUNTY CUMBERLAND
FILE NO. 21 06-0773
TAX RETURN WAS:
S.S/D.C. NO. 037-10-9004
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
06150872
FINANCIAL INSTITUTION: AMERICHOICE FCU
ACCOUNT NO.
34891
TYPE OF ACCOUNT: ~ )SAVINGS () CHECKING ()TRUST ()TIME CERTIFICATE
DATE ESTABLISHED 03-05-2003
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
3,855.09
0.500
1,927.55
.00
1,927.55
.45
86.74
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 (-)
10-06-2006 CD007298 4.34 82.40
TOTAL TAX CREDIT 86.74
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 $I, NO PAYMENT IS REQUIRED.
If TOTAL DUE IS REfLECTED AS A "CREDIT" ( CRl, YOU KAY BE DUE A REfUND.
SEE REVERSE SIDE OF THIS fORM FOR INSTRUCTIONS. l