HomeMy WebLinkAbout09-07-07
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
*'
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 2B0601
HARRISBURG PA 17128-0601
,"HOnCEOlj" ;i::N~l;R!ITrAN.CE TAX
APPRAI'SEHj:NT. ALLOWAN~.E OR DISALLOWANCE
OF DEDU!=Tt9NS.AND;ASSES$HENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-1548 EX AFP (06-05)
JENNIFER M HORN
204 W YORK ST
DILLSBURG
PA 17019
I SEi' -7 fJJj~tfm OF ~~;~1-2007
DATE OF DEATH 07-30-2006
CFJ;<, i~,F FILE NUMBER ;)/, 01- ()~ 75'
Ocr-, . Lit \ ,;<('!~NTY fUMBERLAIW
'" I (1:~r, '<'<'~Sty'DC 190-56-6498
\..;u1A 'ACN'" 06152644
APPEAL DATE: 11-10-2007
(See reverse side under Objections)
A.ount Re.1tted[ I
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
BRENDA
L
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 09-11-2007
ESTATE OF HORN
BRENDA
L DATE OF DEATH 07-30-2006
COUNTY
CUMBERLAND
FILE NO. S.S/D.C. NO. 190-56-6498
TAX RETURN WAS: (X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
06152644
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.
227475 -11
TYPE OF ACCOUNT:
DATE ESTABLISHED
()SAVINGS OC) CHECKING (HRUST ()TIME CERTIFICATE
03-03-2003
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
476.57
0.500
238.29
.00
238.29
.45
10.72
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 (-)
INTEREST IS CHARGED THROUGH 09-19-2007 TOTAL TAX CREDIT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 10.72
REVERSE SIDE OF THIS FORM INTEREST AND PEN. .33
TOTAL DUE 11.05
* IF PAID AFTER THIS DATE. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. *
( IF TOTAL DUE IS LESS THAN tl. 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. )
O!J
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