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HomeMy WebLinkAbout04-27-07 (4) COMMONWEALTH OF PENNSYLVANIA fJ:)EPARTMENT OF REVENUE '* BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX OIVISION PO BOX 280601 HARRISBURG PA 11128-0601 NotICE OF INHERITANCE TAX AP~RAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON .JQ~~T~YQHELD OR TRUST ASSETS i . ~.. 'hj'.,) REV-1548 EX AFP (06-05) 21 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 04-30-2007 HEPFORD 06-21-2005 d..\ D'I b1JSS CUMBERLAND 174-20-2902 07108406 APPEAL DATE: 06-29-2007 (See reverse side under Objectiol's) A.aunt Re.1tted I I MAKE CHECK PAYABLE AND REMIT PAYMENT REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 GRACE I ,....,. SAMUEL 317 4TH ST SUMMERDALE HEPFORD PA 17093 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 07108406 FINANCIAL INSTITUTION: PNC BANK ACCOUNT NO. 5000718234 TYPE OF ACCOUNT: DATE ESTABLISHED ~ )SAVINGS () CHECKING ()TRUST ()TIME CERTIFICATE 12-12-1996 x 21,648.52 0.166 3,608.16 .00 3,608.16 .00 .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." 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 (-) 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" ( CR), YOU MAY BE DUE A REFUND. ........r- "..."...P'I........ Il'"TI"""", "'I"'" "I"'U'I',rt. I""'....~.. I""'ftb T...CO>Tbll....TTn...co> , c)