HomeMy WebLinkAbout06-29-07 (3)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
r~Er"r.:l""'\r\[rl ('\;::I('~ (\::~
, ,; ,.\ /1,..'1 " ',," r 1,11- NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES "- - ,-- r,' "" ,-
INHERITANCE TAX DIVISION ~,~P~.H~"ENT, ALLOWANCE OR DISALLOWANCE
PO BOX 2B0601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 1712B-0601 JOINTL Y HELD OR TRUST ASSETS
2007 JUN 29 PM I: 08
CLERK OF
ORPHAN'S COURT
~Y" ,,..rr'l 1,1, or'" nr,\ P, 'A
~.,"':-~- :-:: '. ':., ii' ,'; /1 "
THOM" , ,.' , ,
FLORENC R
10 CREEK RD
MECHANICSBURG
PA 17050
*
REV-1548 EX AFP (06-05)
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
07-02-2007
KIRBY
02-01-2007
~l-cn-Oty~
CUMBERLAND
202-20-3177
07113365
APPEAL DATE: 08-31-2007
(See reverse side under Objections)
A.ount Re.1ttedl I
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
PAUL
E
TO:
CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS 4-
REY=is4i-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 07-02-2007
ESTATE OF KIRBY
PAUL
CUMBERLAND
E DATE OF DEATH 02-01-2007
COUNTY
FILE NO. S.S/D.C. NO. 202-20-3177
TAX RETURN WAS: (X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SOVEREIGN BANK
ACN
07113365
ACCOUNT NO.
1684068452
TYPE OF ACCOUNT: ~ )SAVINGS () CHECKING ()TRUST ()TIME CERTIFICATE
DATE ESTABLISHED 01-02-2007
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
x
.00
0.500
.00
.00
.00
.15
.00
x
TAX CREDITS:
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."
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" ( CRl, YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. l
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