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HomeMy WebLinkAbout08-28-07 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE - BUREAU OF INDIVIDUAL TkE~~i INHERITANCE TAX OIVISION PO lOX 280&01 HARRISIURG PA 17128-0&01 r-:r.r: r':' NOTICE OF INHERITANCE TAX ,. '~j>.pR-AISEMENT, ALLOWANCE OR DISALLOWANCE - - "01: rlEDUCTIONS, AND ASSESSMENT OF TAX ON u' I, l '.' JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP (0&-05) 20J7 r ......... r...", ,- ,) r ; t I : ;~ 5 IRENE S i8ETZE+ APT 314 824 LISBURN RD CAMP HILL PA 17011 !!"'yr , 1- ~ I DATE 08-27-2007 ESTATE OF BRETZEL ALBERT W DATE OF DEATH 07-26-2006 FILE NUMBER 21 06-1075 COUNTY CUMBERLAND SSN/DC 163-03-9979 ACN 06147912 APPEAL DATE: 10-26-2007 (See reverse side under Objections) A.ount Re.1ttedl I MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 C:~.r:f'~'< OF CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS +- 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 08-27-2007 ESTATE OF BRETZEL ALBERT W DATE OF DEATH 07-26-2006 COUNTY CUMBERLAND FILE NO. 21 06-1075 TAX RETURN WAS: S.S/D.C. NO. 163-03-9979 (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION ACN 06147912 FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT NO. 1051136172 TYPE OF ACCOUNT: DATE ESTABLISHED ()SAVINGS OC) CHECKING (>TRUST ()TIME CERTIFICATE 03-16-2005 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due x 15,040.43 1. 000 15,040.43 .00 15,040.43 .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." 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 IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. if , ( 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. )