HomeMy WebLinkAbout06-29-07 (2)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
c;:~fIf(\q'P,[r~Uilli~l't:ANCE TAX
APPRAI~~,It.l;(t~ ~ ~~~SE OR DISALLOWANCE
OF DEDrotQIi$"~~D,,,S~ESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
'*
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 2B0601
HARRISBURG PA 17128-0601
REV-1548 EX AFP (06-05)
2007 JUN 29 PH I~~TE OF
DATE OF DEATH
CLERK OF FILE NUMBER
ORP,HAJ\1'S CO,U, RjOUNTY
CU' 'r'-c,' ('1\ ,~N/DC
['.J.i_.' !~!_"\)., ~N
07-02-2007
EICHELBERGER
04-12-2007
21 07-0549
CUMBERLAND
192-30-1569
07123139
APPEAL DATE: 08-31-2007
(See reverse side "nder Objections)
A.aunt R..ltt.d I I
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
ROBERT D PEARCE
171 BRINDLE RD
MECHANICSBURG PA 17055
VIVIAN
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 07-02-2007
ESTATE OF EICHELBERGER
VIVIAN
DATE OF DEATH 04-12-2007
COUNTY
CUMBERLAND
FILE NO. 21 07-0549
TAX RETURN WAS:
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
07123139
ACCOUNT NO.
210596-05
~ )SAVINGS () CHECKING ()TRUST ()TIME CERTIFICATE
10-24-2001
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
66,008.43
0.500
33,004.22
3,549.88
29,454.34
.45
1,325.45
x
x
TAX CREDITS:
PAYMENT
DATE
06-04-2007
06-25-2007
RECEIPT
NUMBER
CD008240
SBADJUST
DISCOUNT (+)
INTEREST/PEN PAID (-)
66.27
.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."
AMOUNT PAID
1,259.17
.01
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. )
1,325.45
.00
.00
.00
l~