HomeMy WebLinkAbout03-16-07
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
'*
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX OIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
Af~~I~E~ENT, ALLOWANCE OR DISALLOWANCE
,OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-1548 EX AFP (06-05)
~ !: 11
., v
DATE 03-19-2007
ESTATE OF ROMBERGER IRENE
DATE OF DEATH 11-12-2006
FILE NUMBER 21 07-0117
COUNTY CUMBERLAND
SSN/DC 054-18-8876
ACN 06161736
APPEAL DATE: 05-18-2007
(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
nGC.'i
BARBARA DAR,E~I, .
2138 YALE AVE '~.-'I.,;
CAMP HILL PA 17011
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 03-19-2007
ESTATE OF ROMBERGER
IRENE
DATE OF DEATH 11-12-2006
COUNTY
CUMBERLAND
FILE NO. 21 07-0117
TAX RETURN WAS:
S.S/D.C. NO. 054-18-8876
eX) ACCEPTED AS FILED e) CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
06161736
FINANCIAL INSTITUTION: COMMUNITY STATE BANK
ACCOUNT NO.
4307518
TYPE OF ACCOUNT:
DATE ESTABLISHED
e )SAVINGS ex) CHECKING e >TRUST e >TIME CERTIFICATE
07-14-2005
x
4,293.60
0.166
715.61
.00
715.61
.45
32.20
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 e+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID e-)
01-30-2007 CDOO7179 1. 61 30.59
TOTAL TAX CREDIT 32.20
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" ( CR), YOU MAY BE DUE A REFUND.
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