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HomeMy WebLinkAbout04-27-07 (3) BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPA~J~~NT OF REVENUE 'N~T_I.tEIlF INHERITANCE TAX APPRAtsEMENr,_A~LOWANCE OR DISALLOWANCE OF DEDuCrtONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS ", r', "'.' " !: L Ci ,. ,.) *' REV-1548 EX AFP (06-05) " ('-' ,.: ! r" DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 04-30-2007 HEPFORD GRACE 06-21-2005 0.\ Q'l ~(:)&S<; CUMBERLAND 174-20-2902 07108405 APPEAL DATE: 06-29-2007 (See reverse side under Objections) Amount Re.ltted I I MAKE CHECK PAYABLE AND REMIT PAYMENT REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 I ;, t.. i ('~'" 'I DIANNE G DILGER 4 CEDARVIEW DR LEBANON PA 17042 TO: CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +-- REY=is4i-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 04-30-2007 ESTATE OF HEPFORD GRACE I DATE OF DEATH 06-21-2005 COUNTY CUMBERLAND FILE NO. S.S/D.C. NO. 174-20-2902 TAX RETURN WAS: (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION ACN 07108405 FINANCIAL INSTITUTION: PNC BANK ACCOUNT NO. 5000718234 TYPE OF ACCOUNT: ~ )SAVINGS () CHECKING ()TRUST ()TIME CERTIFICATE DATE ESTABLISHED 12-12-1996 x 21,648.52 0.166 3,608.16 .00 3,608.16 .45 162.37 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 (-) INTEREST IS CHARGED THROUGH 05-08-2007 TOTAL TAX CREDIT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 162.37 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 13.44 TOTAL DUE 175.81 * 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. .......... ......lI...I'll~... ro'l'ft~ ft~ TUTcro ~nD" ~nD ,.u~TDllrTTn...~ '\ \ r"',