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HomeMy WebLinkAbout12-04-06 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE Crf10R1 I iCl) .,. ~ 1q1)~~F,.,.INHERITANCE TAX J~~~ . ";tE!fft~iLlLOWANCE OR DISALLOWANCE 'iOF.7DE... , r~O~#.'A!fD ASSESSMENT OF TAX ON JOINTLY HEtD OR TRUST ASSETS * LEANNE E BEll APT 217 208 SENATE AVENUE CAMP HILL PA 2006 DEe -4 PM 3: 2S CLERK OF CU9fjf~\N/~J~QURT ,"'i_.'~ - 1. ',1.~.' ..,(~\. P4 17011 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN REV-1S48 EX AFP (06-0S) 12-04-2006 BEll 08-17-2005 /).1-D7- OIlY1 CUMBERLAND 212-48-2935 06000568 APPEAL DATE: 02-02-2007 (See reverse side under Objections) Amount Remitted L 1 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 APOLLONIA CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS +- REV=is4i-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 12-04-2006 ESTATE OF BEll APOLLONIA DATE OF DEATH 08-17-2005 FILE NO. S.S/D.C. NO. 212-48-2935 TAX RETURN WAS: (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: COMMERCE BANK COUNTY CUMBERLAND ACN 06000568 ACCOUNT NO. 512106089 TYPE OF ACCOUNT: ()SAVINGS ~) CHECKING ()TRUST ()TIME CERTIFICATE DATE ESTABLISHED 10-08-1997 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due 2.311.10 0.500 1.155.55 .00 1.155.55 .15 173.33 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 OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS. AGENT." PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) INTEREST IS CHARGED THROUGH 12-12-2006 TOTAL TAX CREDIT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 173.33 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 6.96 TOTAL DUE 180.29 · IF PAID AFTER THIS DATE. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. . ( IF TOTAL DUE IS LESS THAN $1. NO PAVMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRJ. YOU MAV BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. J q