HomeMy WebLinkAbout12-05-07 (2)
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 2B0601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
RE COR@H):{)~O~lIfE~IT ANCE TAX
AP~,f.l\€t1ENT,...-A~J.,P\ilANCE OR DISALLOWANCE
OF laetiliichoNS, ,(lliD :.AsSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
*'
REV-1548 EX AFP (06-05)
LARUE M JACOBS
475 JACOBS RD
JULIAN
2007DEC -5 PM 12: ~TE
't"sTATE OF
DATE OF DEATH
CLERK OF FILE NUMBER
ORF;'~/'f,.i'C;, r'il !RT COUNTY
'.J ,_,'......,' 'J I'
Cl.!' i', C", SSN/DC
" . . hACN
12-03-2007
HOMMEL
05-27-2007
21 07-0973
CUMBERLAND
190-18-4088
07130589
APPEAL DATE: 02-01-2008
(See reverse side under Objections)
A.aunt Re.itted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
EDWARD
S
PA 16844
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 12-03-2007
ESTATE OF HOMMEL
EDWARD
S DATE OF DEATH 05-27-2007
COUNTY
CUMBERLAND
FILE NO. 21 07-0973
TAX RETURN WAS:
S.S/D.C. NO. 190-18-4088
eX) ACCEPTED AS FILED e) CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
07130589
FINANCIAL INSTITUTION: SOVEREIGN BANK
ACCOUNT NO.
1055355398
TYPE OF ACCOUNT:
DATE ESTABLISHED
e )SAVINGS e) CHECKING ~ )TRUST e )TIME CERTIFICATE
04-25-2002
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
1,455.23
0.500
727.62
.00
727.62
.15
109.14
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
10-24-2007
RECEIPT
NUMBER
CD008861
DISCOUNT e+)
INTEREST/PEN PAID e-)
.00
AMOUNT PAID
109.14
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. )
109.14
.00
.00
.00
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