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HomeMy WebLinkAbout12-05-07 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 2B0601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE R~cnR!iJ[~~~:fH@iRITANCE TAX AP~~E,NT(",Ai~I"PtJf.NCE OR DISALLOWANCE OFrnmllIJ;h!I:QNS;' ANOUSSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS '* PHYLLIS A DAVIS 512 LAM POST LN CAMP HILL 2007 DEe ~,5 PM 12: ~~;TE OF DATE OF DEATH CLERK OF FILE NUMBER ORP:-i,l'c,\,I'S :~-;'T COUNTY C' !' / ,I" SSN/DC \j' . r'i'ACN REV-1548 EX AFP (06-05) PA 17011 12-03-2007 DAVIS 08-21-2007 21 07-0962 CUMBERLAND 181-26-4406 07142765 APPEAL DATE: 02-01-2008 (See reverse side under Ohjections) A.aunt Remitted I I MAKE CHECK PAYABLE AND REMIT PAYMENT REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CARMELA M TO: CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +-- REY=is4S-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 12-03-2007 ESTATE OF DAVIS CARMELA M DATE OF DEATH 08-21-2007 COUNTY CUMBERLAND FILE NO. 21 07-0962 TAX RETURN WAS: S.S/D.C. NO. 181-26-4406 CX) ACCEPTED AS FILED C) CHANGED JOINT OR TRUST ASSET INFORMATION ACN 07142765 FINANCIAL INSTITUTION: COMMUNITY BANKS ACCOUNT NO. 148005138 TYPE OF ACCOUNT: DATE ESTABLISHED C )SAVINGS OC) CHECKING C )TRUST C )TIME CERTIFICATE 05-24-2006 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due x 11 ,982.01 0.500 5,991.01 .00 5,991.01 .45 269.60 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 10-23-2007 RECEIPT NUMBER CD008845 DISCOUNT C+) INTEREST/PEN PAID C-) 13.48 AMOUNT PAID 269.60 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. ) 283.08 13.48CR .00 13.48CR