HomeMy WebLinkAbout12-10-07
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
'*
BUREAU OF INDIVIDUAL
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 1712B-0601
'-::::~('\;T"T! (;FC'('= (Ii<<lTICE OF INHERITANCE TAX
TAXEs'. '.. ..'- j ,::,~~\if,I S,EMENT, ALLOWANCE OR DISALLOWANCE
he::! \. '_I lv,p'F,'P~~!icTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-15~B EX AFP (06-05)
2U07 DEe 10 PM I: 28
DATE 12-10-2007
ESTATE OF HARRIS LOIS A
DATE OF DEATH 11-06-2006
FILE NUMBER 21 06-1144
COUNTY CUMBERLAND
SSN/DC 174-01-6553
ACN 07101318
APPEAL DATE: 02-08-2008
(See reverse side under Objections)
Amount Re.1tted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CLERK OF
ORPHAJ'-l'S COURT
RONALD L HAIOUISBEFilJ\ND CO.. PA
196 MCALLISTER CHRCH RD
CARLISLE PA 17015
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 12-10-2007
ESTATE OF HARRIS
LOIS
A DATE OF DEATH 11-06-2006
COUNTY
CUMBERLAND
FILE NO. 21 06-1144
TAX RETURN WAS:
S.S/D.C. NO. 174-01-6553
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
07101318
FINANCIAL INSTITUTION: CITIZENS BANK OF PA
ACCOUNT NO.
6102314739
TYPE OF ACCOUNT:
DATE ESTABLISHED
~ )SAVINGS () CHECKING ()TRUST ()TIME CERTIFICATE
08-01-1970
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
4,340.69
0.500
2,170.35
.00
2,170.35
.45
97.67
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
INTEREST IS CHARGED THROUGH 12-18-2007
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
*
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
97.67
2.87
100.54
~