HomeMy WebLinkAbout06-29-07
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
X(;ORn,=f\ ri~F~J'CE OF INHERITANCE TAX
.::.~.:.;(,=:~~P~4I:;Pf~IO", ALLOWANCE OR DISALLOWANCE
iC"l:l':! OJ:' Q.JtDlIcttQNS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
'*
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 2801i0l
HARRISBURG PA 17128-01i0l
2007 JUN 29 PH I: 14
CLERK OF
ORPHAN'S COURT
ARTHUR E SMITH o~r,..n~r:D:."J" r() DA
1912 CLEARFIELD RD
SHIPPENSBURG PA 17257
REV-1548 EX AFP (01i-05)
DATE 07-02-2007
ESTATE OF GOODHART ARTHUR
DATE OF DEATH 02-19-2006
FILE NUMBER 21 06-0279
COUNTY CUMBERLAND
SSN/DC 177-16-0070
ACN 07001008
APPEAL DATE: 08-31-2007
(See reverse side under Objections)
Amount Re.1tted I 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=is4i-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 GOODHART
ARTHUR
DATE OF DEATH 02-19-2006
COUNTY
CUMBERLAND
FILE NO. 21 06-0279
TAX RETURN WAS:
S.S/D.C. NO. 177-16-0070
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ALLSTATE LIFE INS CO
TYPE OF ACCOUNT:
DATE ESTABLISHED
ACN
07001008
ACCOUNT NO.
GA0829728
()SAVINGS () CHECKING ()TRUST ()TIME CERTIFICATE
02-19-2006
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
175,209.94
0.050
8,760.50
.00
8,760.50
.45
394.22
x
x
TAX CREDITS:
PAYMENT
DATE
RECEIPT
NUMBER
DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
* 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. )
INTEREST IS CHARGED THROUGH 07-10-2007
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
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."
.00
394.22
19.67
413.89
~