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HomeMy WebLinkAbout12-08-06 (8) BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE ", ",.N1>>J:~~ OI;qll(-11fERl~ANCE TAX APPW$EJiMT' A(Lvn"~ OR DISALLOWANCE OF DEP.~Z~ iA,HD"i~SSESSMENT OF TAX ON JODItLV <HELD OR TRUST ASSETS '* REV-1548 EX AFP (06-05) EDWARD HERSHBERGER 702 HUMMEL AVE LEMOYNE PA 17043 100G DEe -8 PM '~:q:2TE OF DATE OF DEATH CLERK OF FILE NUMBER \ 'Ie" (,'1USNTY ORPH,tl. ':.:> ,j,) r: .' I'DC CUt, 'DT' r 'A 12-11-2006 HERSHBERGER 01-25-2005 21 05-0238 CUMBERLAND 200-22-5419 06000026 APPEAL DATE: 02-09-2007 (See reverse side under Objections) Amount Remittedl I MAKE CHECK PAYABLE AND REMIT PAYMENT REGISTER OF WILLS CUMBERLAND CD COURT HOUSE CARLISLE1 PA 17013 MILDRED I TO: CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS +- REV=is4S-EX-AFP-r03=Osi----------------------------------__________________________________ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 12-11-2006 ESTATE OF HERSHBERGER MILDRED I DATE OF DEATH 01-25-2005 COUNTY CUMBERLAND FILE NO. 21 05-0238 TAX RETURN WAS: S.S/D.C. NO. 200-22-5419 (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION ACN 06000026 FINANCIAL INSTITUTION: NATIONAL WESTERN ACCOUNT NO. F0606 TYPE OF ACCOUNT: ()SAVINGS () CHECKING ()TRUST ()TIME CERTIFICATE DATE ESTABLISHED 01-30-2000 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due 1721127.88 0.250 431031.97 .00 431031. 97 .45 11936.44 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT 1 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 WILLS1 AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) INTEREST IS CHARGED THROUGH 12-19-2006 TOTAL TAX CREDIT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 11936.44 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 149.02 ...., TOTAL DUE 21085.46 IJJ . 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) YOU MAY BE DUE A REFUND. 1 SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. }