HomeMy WebLinkAbout04-09-07
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO lOX 210601
HARRISIURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
,DEPARTMENT OF REVENUE
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NOTICE OF INHERITANCE TAX
. ,APPRAISEMENT. ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS. AND ASSESSMENT OF TAX ON
" Je:I.I1TL Y HELD OR TRUST ASSETS
pi.n 1\: ..) '- DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
REV-1548 EX AFP (06-05)
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R S MIEDRICH
1200 JILL DR
HUMMELSTOWN
PA 17036
04-09-2007
MIEDRICH
01-18-2007
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bAUPHIN
208-16-8131
07111334
APPEAL DATE: 06-08-2007
(See reverse side ""der ObjectiollS)
A.ount Re.ltted\ I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
DAUPHIN CO COURT HOUSE
HARRISBURG, PA 17101
RICHARD
F
CUT ALONQ THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS +--
Rey=is4i-ex-iFP-C03=OSl--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 04-09-2007
ESTATE OF MIEDRICH
RICHARD
F DATE OF DEATH 01-18-2007
COUNTY
DAUPHIN
FILE NO. S.S/D.C. NO. 208-16-8131
TAX RETURN WAS: (X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
07111334
FINANCIAL INSTITUTION: PSECU
ACCOUNT NO.
0208168131-2
TYPE OF ACCOUNT:
DATE ESTABLISHED
()SAVINGS () CHECKING (>TRUST ex )TIME CERTIFICATE
02-09-1983
x
32,603.04
0.500
16,301.52
.00
16,301.52
.45
733.57
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
A.ount 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 (-)
PAYMENT MUST BE MADE BY 10-19-2007*. TOTAL TAX CREDIT .00
BALANCE OF TAX DUE 733.57
INTEREST AND PEN. .00
TOTAL DUE 733.57
. 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.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
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