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HomeMy WebLinkAbout10-23-06 '1nl1C Ll;U,j r,? (" \,) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE C'::'C~JifCE OF INHERITANCE TAX '~ffl"RAI$EMiNT, ALLOWANCE OR DISALLOWANCE :OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS \'7: 12 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSNI'DC ACN BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX Z80601 HARRISBURG PA 171Z8-0601 REV-1548 EX AFP (06-05) ~" -; 10-23-2006 HARTMAN 09-08-2005 21 05-0817 CUMBERLAND 201-16-0566 05152273 APPEAL DATE: 12-22-2006 (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 EDWARD G ELIZABETH A BYRD 176 S 2ND ST STEEL TON .r,' PA 17113 TO: CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS +- REV=is4S-EX-AFP-lo3=Osi----------------------------________________________________________ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 10-23-2006 ESTATE OF HARTMAN EDWARD G DATE OF DEATH 09-08-2005 COUNTY CUMBERLAND FILE NO. 21 05-0817 TAX RETURN WAS: S.S/D.C. NO. 201-16-0566 (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION ACN 05152273 FINANCIAL INSTITUTION: OMEGA BANK NA ACCOUNT NO. 103007907 TYPE OF ACCOUNT: ~ )SAVINGS () CHECKING ()TRUST ()TIME CERTIFICATE DATE ESTABLISHED 10-22-2001 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due X 7,694.18 0.500 3,847.09 .00 3,847.09 .15 577 . 06 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." x TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) INTEREST IS CHARGED THROUGH 10-31-2006 TOTAL TAX CREDIT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 577 . 06 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 16.07 TOTAL DUE 593.13 · 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 ~