HomeMy WebLinkAbout12-19-07
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
.-- !'IQ.PFEr.OF INHERIT ANCE TAX
~r~("'\~PP~Ar'Sl~r, ""~-LlOWANCE OR DI SALLOWANCE
"-::':.:OF" 'oEDije-r.lIONS.". AND ASSESSMENT OF TAX ON
...',.'., "J.oINliLY +tELD OR TRUST ASSETS
'*
Z001 DEe 19 PH 12: 40
MARY H DAVIES
104 WOODPECKER WAY
AFTON WV
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22920
REV-1548 EX AFP (06-05)
DATE
ESTATE OF
DA TE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
12-17-2007
DAVIES
09-02-2006
21 07-0495
CUMBERLAND
217-12-3012
07102146
APPEAL DATE: 02-15-2008
(See reverse side under Ohjections)
A.ount Remitted I ]
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CHARLES
o
TO:
CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
REY=is4i-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 12-17-2007
ESTATE OF DAVIES
CHARLES
o DATE OF DEATH 09-02-2006
S.S/D.C. NO. 217-12-3012
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FILE NO. 21 07-0495
TAX RETURN WAS:
FINANCIAL INSTITUTION: FARMERS NATIONAL BANK
TYPE OF ACCOUNT:
DATE ESTABLISHED
COUNTY
CUMBERLAND
ACN
07102146
ACCOUNT NO.
220930
()SAVINGS OC) CHECKING (HRUST ()TIME CERTIFICATE
06-30-2001
Account Balance
Percent Taxable
Amount SUbject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
151,498.24
0.166
25,250.21
.00
25,250.21
.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. )
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