HomeMy WebLinkAbout05-29-07
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
*'
BUREAU OF INDIVIDUAL TAxES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0'01
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-154B EX AFP (0'-05)
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DATE 05-28-2007
ESTATE OF FA BAS LEO
DATE OF DEATH 04-15-2006
FILE NUMBER 21 06-0758
COUNTY CUMBERLAND
SSN/DC 036-16-3999
ACN 06131010
APPEAL DATE: 07-27-2007
(See reverse side under Objections)
A.ount Re.lttedl I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
~ARLISLE, PA 17013
BEATRICE
APT 2057
355 S SPORTING
MECHANICSBURG
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YetiABAS
HLL RD
PA 17050
CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
REY=is4S-EX-AFP-coj=os5-------------------------------_____________________________________
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 05-28-2007
ESTATE OF FABAS
LEO
DATE OF DEATH 04-15-2006
COUNTY
CUMBERLAND
FILE NO. 21 06-0758
TAX RETURN WAS:
S.S/D.C. NO. 036-16-3999
eX) ACCEPTED AS FILED e) CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
06131010
FINANCIAL INSTITUTION: SOVEREIGN BANK
ACCOUNT NO.
45105002757
TYPE OF ACCOUNT:
DATE ESTABLISHED
e )SAVINGS e) CHECKING e >TRUST OC )TIME CERTIFICATE
05-29-1992
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable A.ount
Tax Rate
Tax Due
x
85,144.35
0.166
14,191.01
.00
14,191.01
.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."
x
TAX CREDITS:
PAYMENT
DATE
RECEIPT
NUMBER
DISCOUNT e+)
INTEREST/PEN PAID e-)
AMOUNT PAID
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. )
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