HomeMy WebLinkAbout11-09-07
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
'*
WILLIAM ROMBERGER
2138 YALE AVE
CAMP HILL
NOTICE of INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
7 ,'T: -~i Pi! 12: 2BATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
REV-1548 EX AFP (06-05)
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO 80X 280601
HARRISBURG PA 17128-0601
Ci
11-12-2007
ROMBERGER
11-12-2006
21 07-0117
CUMBERLAND
054-18-8876
06161735
APPEAL DATE: 01-11-2008
(See reverse side under Objections)
A.ount Re.lttedl I
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
IRENE
PA 17011
TO:
CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS of--
Riy=is4i-ix-AFP-C03=OSj--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 11-12-2007
ESTATE OF ROMBERGER
IRENE
DATE OF DEATH 11-12-2006
COUNTY
CUMBERLAND
FILE NO. 21 07-0117
TAX RETURN WAS:
S.S/D.C. NO. 054-18-8876
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
06161735
FINANCIAL INSTITUTION: COMMUNITY STATE BANK
ACCOUNT NO.
4307518
TYPE OF ACCOUNT:
DATE ESTABLISHED
()SAVINGS OC) CHECKING (HRUST (HIME CERTIFICATE
07-14-2005
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
x
4,293.60
0.166
715.61
.00
715.61
.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
DATE
RECEIPT
NUMBER
DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
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. )
.00
.00
.00
.00
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