HomeMy WebLinkAbout01-16-07
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
*'
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 2B060l
HARRISBURG PA 1712B-060l
NOTICE OF INHERITANCE TAX
~~,~,",~,I-~~n:,~~l:LioWANCE OR DISALLOWANCE
;,O~;,~t!U:CJ'rO'NS, ':'AtlP ASSESSMENT OF TAX ON
'.-', JQ'rJf~'l Y 'H'ELPOR TRUST ASSETS
REV-15~B EX AFP (06-05)
DATE 01-15-2007
Or' \2' 01STATE OF PETERSON RICHARD N
'ln~l JM4 \ 5 r' \ . DATE OF DEATH 07-17-2006
~> FILE NUMBER 21 06-1101
, ........v '-',;: COUNTY CUMBERLAND
('lc':~;~::::;'\IW SSN/DC 086-20-0896
KAREN J MARCH OPFr!t>\ >'.>"\: 'r,tI.ACN 06153186
3755 MOUNTAIN VIEW RD CU\"'\ APPEAL DATE: 03-16 -2007
MECHANICSBURG PA 17050 . (See rellerse 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 --+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
REY=is4S-EX-AFP-C03=os5--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 01-15-2007
ESTATE OF PETERSON
RICHARD
N DATE OF DEATH 07-17-2006
COUNTY
CUMBERLAND
FILE NO. 21 06-1101
TAX RETURN WAS:
S.S/D.C. NO. 086-20-0896
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
06153186
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.
118029-56
TYPE OF ACCOUNT:
DATE ESTABLISHED
()SAVINGS () CHECKING (HRUST OC HIME CERTIFICATE
08-03-2004
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
10,714.93
0.166
1,785.86
.00
1,785.86
.45
80.36
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 (-)
11-30-2006 CD007558 .00 80.36
TOTAL TAX CREDIT 80.36
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00 r
" 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" ( CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )