HomeMy WebLinkAbout11-27-06
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
'*'
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX ZII0601
HARRISBURG PA 171ZII-0601
NOTICE-OF. .INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, ANI) ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-15411 EX AFP (06-05)
MARY M FORNWALT
209 1ST ST
SUMMERDALE PA 17093
MJE
ESt'ATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
. '~CN
11-27-2006
ARNOLD JR
08-10-2005
d. \ - 0 T D42A.p
CUMBERLAND
179-30-4935
05157517
APPEAL DATE: 01-26-2007
(See reverse side under Objections)
Amount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
PERCY
E
CUT ALONG THIS LINE -to RETAIN LOWER PORTION FOR YOUR RECORDS +-
REY=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 11-27-2006
ESTATE OF ARNOLD JR
PERCY
E DATE OF DEATH 08-10-2005
COUNTY
CUMBERLAND
FILE NO. S.S/D.C. NO. 179-30-4935
TAX RETURN WAS: (X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
05157517
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.
264594-11
TYPE OF ACCOUNT: ()SAVINGS ~) CHECKING ()TRUST ()TIME CERTIFICATE
DATE ESTABLISHED 05-11-2005
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
.00
1. 000
.00
.00
.00
.15
.00
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."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
. 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" ( CRl, YOU MAY BE DUE A REFUND.
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