HomeMy WebLinkAbout12-19-07 (4)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
*
BUREAU OF INDIVIDUAL TAXES f)-::,f"\'~:r::'\ IY:Cit'FNtf'tICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION r..,'''' 'e... ': ',' ~l>R~'SE:ttENT, ALLOWANCE OR DISALLOWANCE
PO BOX 2B0601 : lIl!, D~DU~JIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 1712B-0601 JOINTL Y HELD OR TRUST ASSETS
REV-1548 EX AFP (06-05)
2007 DEe I 9 PH 12: 4 I
12-17-2007
RANGE
07-27-2007
21 07-0985
CUMBERLAND
162-48-0958
07140163
APPEAL DATE: 02-15-2008
(See reverse side under Objections)
A.ount Re.1tted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
STEPHANIE A
CLEFi< C)F
ORP;!':':\;,,; COI JRT
SHANE J RANGr,u;r ,. .- ~ ;-:J,{~
1007 CHARLES ST
MECHANICSBURG PA 17055
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 12-17-2007
ESTATE OF RANGE
STEPHANIE A DATE OF DEATH 07-27-2007
COUNTY
CUMBERLAND
FILE NO. 21 07-0985
TAX RETURN WAS:
S.S/D.C. NO. 162-48-0958
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
07140163
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.
204497 -11
TYPE OF ACCOUNT:
DATE ESTABLISHED
()SAVINGS ~) CHECKING ()TRUST ()TIME CERTIFICATE
08-17-2004
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
1,488.20
0.166
248.04
.00
248.04
.45
11.16
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
PAYMENT MUST BE MADE BY 04-28-2008*. 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
11.16
.00
11.16
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