HomeMy WebLinkAbout10-19-07 (3)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
.
ADELINE GOUSE
23RD STREET EXT
ENOLA
NOTICE OF INHERITANCE TAX
APPRA1SEMENT. ALLOWAN~E OR DISALLOWANCE
OF DEDUCTIONS. AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
c"",]l !"\'".,. I''"' l)" If). f"L
/~i.,;:. . UL. t I::;; ,~.'lIL.DA~
ESTATE OF
DATE OF DEATH
FILE NUMBER
jr'VT'
, ,COUNTY
$,SN/DC
ACN
REV-1548 EX AFP (06-05)
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
('; ~~,~',/'
\'.iL._ \
10-22-2007
GOUSE
10-01-2006
21 06-1050
CUMBERLAND
714-18-2611
06157534
APPEAL DATE: 12-21-2007
(See reverse side under Objections)
A.ount Re.itted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
WAL TE R
E
Cc:J,--:-:,I'
c
PA 17025
TO:
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 10-22-2007
ESTATE OF GOUSE
WALTER
E DATE OF DEATH 10-01-2006
COUNTY
CUMBERLAND
FILE NO. 21 06-1050
TAX RETURN WAS:
S.S/D.C. NO. 714-18-2611
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
06157534
FINANCIAL INSTITUTION: PNC BANK
ACCOUNT NO.
21001030348
TYPE OF ACCOUNT:
DATE ESTABLISHED
()SAVINGS () CHECKING (HRUST IX HIME CERTIFICATE
02-15-2001
18,413.04
0.166
3,068.90
.00
3,068.90
.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."
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
x
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 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. }
~