HomeMy WebLinkAbout02-02-07
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
N.cliiCE OF INHERITANCE TAX
i !APP~AISEMEIH, ALLOWANCE OR DISALLOWANCE
'OFDEDUCTIO'NS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
2001 FEB -2 PM 12: 35
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRIS8URG PA 17128-0601
BRIAN
4 MOYA LN
SANTA FE
CLER!( OF
ORPH,i"N'S C:Ci/'fF
CUlv1fL-:' "-'::c;:1,' II,!,
B LOOKER - " RI
ME 87508
REV-1548 EX AFP (06-05)
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
02-05-2007
LOOKER
10-15-2006
21 06-1131
CUMBERLAND
172-01-5053
06159525
APPEAL DATE: 04-06-2007
(See reverse side under Objections)
A.ount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
JACOB
B
TO:
CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
REV=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 02-05-2007
ESTATE OF LOOKER
JACOB
B DATE OF DEATH 10-15-2006
FILE NO. 21 06-1131
TAX RETURN WAS:
COUNTY
CUMBERLAND
S.S/D.C. NO. 172-01-5053
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PNC BANK
TYPE OF ACCOUNT:
DATE ESTABLISHED
ACN
06159525
ACCOUNT NO.
5080033162
()SAVINGS OC) CHECKING (HRUST ()TIME CERTIFICATE
02-09-2006
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
13,682.19
1. 000
13,682.19
4,178.87
9,503.32
.45
427.65
X
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 (-)
PAYMENT MUST BE MADE BY 07-16-2007*. TOTAL TAX CREDIT .00
BALANCE OF TAX DUE 427.65
INTEREST AND PEN. .00
TOTAL DUE 427.65 ,"",,\
1I IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION DF ADDITIONAL INTEREST. 1I 'b
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRl, YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FDR INSTRUCTIONS. l