HomeMy WebLinkAbout06-29-07
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
n,..r'~\onrr\ r,rc''''C r.
q,'!./)llJL~j \NOfMEOF INHERITANCE TAX
:'j[:,ApP~l~"S"t, ALLOWANCE OR DISALLOWANCE
.IJOFJ'DEDLJe'rIONS,' AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 2B0601
HARRISBURG PA 1712B-0601
2001 JUN 29 PM I: 15
ROBERT D PEARCE
171 BRINDLE RD
MECHANICSBURG
CLERK OF
ORPHP"N'S COURT
CUh/PCJ ! \ !r':'-:' PA
PA 17055
*'
REV-154B EX AFP (06-05)
DATE 07-02-2007
ESTATE OF EICHELBERGER VIVIAN
DATE OF DEATH 04-12-2007
FILE NUMBER 21 07-0549
COUNTY CUMBERLAND
SSN/DC 192-30-1569
ACN 07123142
APPEAL DATE: 08-31-2007
(See reverse side under Objections)
A.ount Re.lttedl I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
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 07-02-2007
ESTATE OF EICHELBERGER
VIVIAN
CUMBERLAND
DATE OF DEATH 04-12-2007
FILE NO. 21 07-0549
TAX RETURN WAS:
COUNTY
S.S/D.C. NO. 192-30-1569
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
TYPE OF ACCOUNT:
DATE ESTABLISHED
ACN
07123142
ACCOUNT NO.
210596-11
()SAVINGS OC) CHECKING ()TRUST ()TIME CERTIFICATE
10-24-2001
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
6,984.36
0.500
3,492.18
.00
3,492.18
.45
157.15
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 (-)
06-04-2007 CD008246 7.86 149.29
TOTAL TAX CREDIT 157.15
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00 I"~
II IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. II
( 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. )