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HomeMy WebLinkAbout01-16-07 (2) ----- ------ ---.,-.".-.--- ---- ..~ JANICE I CRUM 101 LANCASTER BLVD MECHANICSBURG PA 17055 COMMONWEALTH OF PENNSYLVANIA ~r,",r''"',::n ("~cPr~t~TMENT OF REVENUE PiLU',)!'-":...: ~:':_ ~On~E OF INHERITANCE TAX APPR'AI-SE~ftlf), ALLOWANCE OR DISALLOWANCE OF D~DUCTIONS, AND ASSESSMENT OF TAX ON 'lGfll \',,,; \ 6 ?O;,Ii~i2\Y OH3LD OR DT:~:T ASSETS L~'-l) ~ '-iJ..' ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN . BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 2B0601 HARRISBURG PA 1712B-0601 REV-154B EX AFP (06-05) C\ ':CI/ r- 'L'.-~ 11 \ .' CI',~:I< ,;' f\ \ I' 01-15-2007 LEBO 10-02-2006 21 06-1104 CUMBERLAND 195-07-4913 06155750 APPEAL DATE: 03-16-2007 (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 PAULINE G rH ....,'....' TO: CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +-- REY=is4S-EX-AFP-C03=OSj-------------------------------------------------------------------- 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 LEBO PAULINE G DATE OF DEATH 10-02-2006 COUNTY CUMBERLAND FILE NO. 21 06-1104 TAX RETURN WAS: S.S/D.C. NO. 195-07-4913 (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION ACN 06155750 FINANCIAL INSTITUTION: PSECU ACCOUNT NO. 8704102436 TYPE OF ACCOUNT: DATE ESTABLISHED ()SAVINGS OC) CHECKING (HRUST ()TIME CERTIFICATE 02-04-2005 x 659.80 0.166 109.97 .00 109.97 .45 4.95 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." Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due x TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 12-12-2006 CD007554 .25 4.70 TOTAL TAX CREDIT 4.95 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 ~ II IF PAID AFTER THIS DATE. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. II G V ( IF TOTAL DUE IS LESS THAN *1. NO PAtMENT 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. )