HomeMy WebLinkAbout09-07-07 (10)
".
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX OIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
~.. . NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF, DEDUCTIONS, AND ASSESSMENT OF TAX ON
-JOINTt. Y HELD OR TRUST ASSETS
2D01 SEP - 7 f~M II: 25
MICHAEL V WAGNER
13 HOMESTEAD LN
CAMP HILL
CL' E- FM '-'j::
.J :f... \'_"
ORPH ~ r. "C' ("'-'1 'RT
\ ii-I,!'.)..) \/0..;
18l} i\ r>~,
PA 17011
REV-1548 EX AFP (06-05)
DATE 09-11-2007
ESTATE OF POWELL JEAN D
DATE OF DEATH 08-12-2006
FILE NUMBER 21 06-0730
COUNTY CUMBERLAND
SSN/DC 174-20-6085
ACN 06152639
APPEAL DATE: 11-10-2007
(See reverse side under Objections)
A.ount Re.ltted 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 09-11-2007
ESTATE OF POWELL
JEAN
D DATE OF DEATH 08-12-2006
COUNTY
CUMBERLAND
FILE NO. 21 06-0730
TAX RETURN WAS:
S.S/D.C. NO. 174-20-6085
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACN
06152639
ACCOUNT NO.
261569-45
TYPE OF ACCOUNT: ()SAVINGS () CHECKING OC HRUST (HIME CERTIFICATE
DATE ESTABLISHED 12-08-2005
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. )
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
5,007.52
1. 000
5,007.52
.00
5,007.52
.45
225.34
x
x
TAX CREDITS:
PAYMENT
DATE
RECEIPT
NUMBER
DISCOUNT (+)
INTEREST/PEN PAID (-)
INTEREST IS CHARGED THROUGH 09-19-2007
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."
AMOUNT PAID
.00
225.34
6.42
231. 76 ( "