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HomeMy WebLinkAbout12-05-07 - COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 2B060 1 HARRISBURG PA 1712B-0601 -.,- \ '-"1\ 0.rN9"'i!~,-1JF INHERITANCE TAX -/iJ,(\R~~A,~SI;:~t.iT" ALLOWANCE OR DISALLOWANCE . :~~F-~EmOCTIO~~, AND ASSESSMENT OF TAX ON '.:>: . '.-. I-JOINtlY HELD OR TRUST ASSETS 2007 DEe -5 PM 12: 3S SHANE J RANGE 1007 CHARLES ST MECHANICSBURG PA 17055 REV-1548 EX AFP (06-05) DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 11-26-2007 RANGE 07-27-2007 '-I - D 7. 3q gS CUMBERLAND 162-48-0958 07140162 APPEAL DATE: 01-25-2008 (See reverse side under Objections) A.aunt Remitted! J MAKE CHECK PAYABLE AND REMIT PAYMENT REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 STEPHANIE A TO: CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +-- REY=is48-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 11-26-2007 ESTATE OF RANGE STEPHANIE A DATE OF DEATH 07-27-2007 FILE NO. S.S/D.C. NO. 162-48-0958 TAX RETURN WAS: (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU TYPE OF ACCOUNT: DATE ESTABLISHED COUNTY CUMBERLAND ACN 07140162 ACCOUNT NO. 204497-00 ~ )SAVINGS () CHECKING ()TRUST ()TIME CERTIFICATE 04-26-2001 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due X 18.994.00 0.166 3,165.73 .00 3.165.73 .00 .00 X TAX CREDITS: PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (_) 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 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 y