HomeMy WebLinkAbout06-25-07
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 2B060I
HARRISBURG PA 17128-0601
r-! r.:. ~~; ("'.;:
H:tl!r~~ 01" INHERITANCE TAX
~PPRAtSE~EI'iT',ALLOWANCE OR DISALLOWANCE
. Qi:"DED'utTI ONS ,AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
lUOl JUN 25 PM 3: 55
REV-1548 EX AFP (06-05)
LINDA K MILLER
1531 CRANES GAP RD
CARLISLE PA 17013
CLERK OF
ORPHt,N'S COURT
CU~ Inn'" "n DA,
\,rr':!. ",1.- , ; I
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
06-25-2007
HERSHEY
06-05-2006
21 06-0562
CUMBERLAND
201-16-7330
06137401
APPEAL DATE: 08-24-2007
(See reverse side under Objections)
Amount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CARRIE
A
TO:
CUT ALONG THIS LINE -. RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV=is4S-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 06-25-2007
ESTATE OF HERSHEY
CARRIE
A DATE OF DEATH 06-05-2006
COUNTY
CUMBERLAND
FILE NO. 21 06-0562
TAX RETURN WAS:
S.S/D.C. NO. 201-16-7330
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
06137401
FINANCIAL INSTITUTION: FARMERS NATIONAL BANK
ACCOUNT NO.
11-925-3
TYPE OF ACCOUNT:
DATE ESTABLISHED
()SAVINGS ~) CHECKING ()TRUST ()TIME CERTIFICATE
06-30-2001
X
1,273.49
0.500
636.75
.00
636.75
.15
95.51
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 (-)
INTEREST IS CHARGED THROUGH 07-03-2007 TOTAL TAX CREDIT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 95.51
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 2.51
TOTAL DUE 98.02/,,",
* 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. )
LJ