HomeMy WebLinkAbout01-16-07 (15)
.. ~,," -..,-,,\
BUREAU OF INDIVID~1~_:~.A*~f~',,_
INHERITANCE TAX OIVISIOIt,',':i" "', '~'
PO BOX 280601 I
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
" APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
7.nUl JM! \ b p~, \2: 03
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
*'
REV-15~B EX AFP (06-05)
"''',1 rf"':ll (",r:
\ _t i;'-'\r\ .....-"'i
,.;L"~'",, ('.r)' lOT
ORr" 1.\'" '-.", ,)1,1
~~\:':' ''',~~. ",- ~~"r'.'<. p,\
I~_ ~ 1 " " , r
ETHEL O~!PETERSON
1520 SELTZER CT
MECHANICSBURG
PA 17050
01-15-2007
PETERSON
07-17-2006
21 06-1101
CUMBERLAND
086-20-0896
06153193
APPEAL DATE: 03-16-2007
(See reverse side under Objections)
A.ount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
RICHARD
N
TO:
CUT ALONG THIS LINE ..... RETAIN LOWER PORTION FOR YOUR RECORDS +-
REY=is48-EX-AFP-coi=os5------------------------------______________________________________
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 01-15-2007
ESTATE OF PETERSON
RICHARD
N DATE OF DEATH 07-17-2006
COUNTY
CUMBERLAND
FILE NO. 21 06-1101
TAX RETURN WAS:
S.S/D.C. NO. 086-20-0896
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
06153193
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.
118029-44
TYPE OF ACCOUNT:
DATE ESTABLISHED
()SAVINGS () CHECKING (>TRUST ex )TIME CERTIFICATE
01-06-2005
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
53,279.43
0.166
8,880.08
.00
8,880.08
.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 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
II IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. II G
{ IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. D
IF TOTAL DUE IS REFLECTED AS A "CREDIT" { CR}, YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. }