HomeMy WebLinkAbout04-09-07
COMMONWEALTH OF PENNSYLVANIA
y,", D~~T~J~ O,F REVENUE
,.! i
NonCl;oF INHERITANCE TAX
APPRAISEMENT, 'ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
""",',' t~IN, TLY HE,L,q OR. F~ST ASSETS
LiJu7 p,(R -9 fd'IIl'DifE 04-09-2007
ESTATE OF MOSER
e,F DATE OF DEATH 03-08-2006
(",'iIIC:JrFILE NUMBER ~1-D7 .D47<f
'_d,h.!' !~~~~~~ ~~~~~~~4713
ACN 06120990
APPEAL DATE: 06-08-2007
(See reverse side ""der Objectio"s)
A.ount Re.lttedl I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
DAUPHIN CO COURT HOUSE
HARRISBURG, PA 17101
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO lOX 21UOl
HARRISIURG PA 17121-0'01
RICHARD P MOSER JR
690 OLDE VENTURA FRM RD
HUMMELSTOWN PA 17036
'*
REV-1541 EX AFP (0'-05)
ELAINE
R
CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ...
REY=isai-EX-AFP-C03=OSj-------------------------------------------------___________________
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 MOSER
ELAINE
DAUPHIN
R DATE OF DEATH 03-08-2006
COUNTY
FILE NO. S.S/D.C. NO. 213-01-4713
TAX RETURN WAS: (X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: NORTHWEST SAVINGS BANK
TYPE OF ACCOUNT:
DATE ESTABLISHED
ACN
06120990
ACCOUNT NO.
804071280
()SAVINGS OC:) CHECKING (HRUST (HIME CERTIFICATE
02-10-1997
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
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. )
Account Balance
Percent Taxable
A.ount Subject to Tax
Debts and Deductions
Taxable A.ount
Tax Rate
Tax Due
X
8,842.63
0.500
4,421.32
.00
4,421.32
.45
198.96
x
TAX CREDITS:
PAYMENT
DATE
RECEIPT
NUMBER
DISCOUNT (+)
INTEREST/PEN PAID (-)
INTEREST IS CHARGED THROUGH 04-17-2007
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
*
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."
AMOUNT PAID
.00
198.96
5.54
204.50