HomeMy WebLinkAbout07-30-07
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
'*
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX OIVISION
PO BOX 2B0601
HARRISBURG PA 17128-0601
"'\r"~;~.(" -~ ' "
,.' --f.laT-ICE OF INHERITANCE TAX
:'AP,PRAISEHEHt, ALLOWANCE OR DISALLOWANCE
'OF'DEDUCTIOkS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
Z001 JUL 30 p?,\ I: 22
REV-154B EX AFP (06-05)
JAMES DAVIS
3929 BROOKRIDGE DR
MECHANICSBURG PA 17050
CLEP\( OF
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DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
07-30-2007
DAVIS
04-12-2007
21 07-0594
CUMBERLAND
040-42-3539
07123128
APPEAL DATE: 09-28-2007
(See reverse side under Objections)
A.aunt Re.ltted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CYNTHIA
TO:
CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
REY=is4S-EX-AFP-C03=os5--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 07-30-2007
ESTATE OF DAVIS
CYNTHIA
DATE OF DEATH 04-12-2007
COUNTY
CUMBERLAND
FILE NO. 21 07-0594
TAX RETURN WAS:
S.S/D.C. NO. 040-42-3539
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
07123128
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.
181555-00
TYPE OF ACCOUNT:
DATE ESTABLISHED
~ )SAVINGS () CHECKING ()TRUST ()TIME CERTIFICATE
02-01-1999
1,121.93
0.166
186.99
.00
186.99
.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."
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
x
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
* 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. )
en
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