HomeMy WebLinkAbout02-0970BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA 17128-0601
JEFFREY C MOMMA
1051 STEVENS RD
YORK HAUEN PA 17370
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEMENT ALLOWANCE OR DISALLOWANCE
OF DEDUCTION, AND ASSESSHENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP (R1-02)
DATE 10-22-2002
ESTATE OF WERT FLORENCE B
DATE OF DEATH 09-14-2001
FILE NUMBER ~ /-O~_ ~ 70
COUNTY CUMBERLAND
SSN/DC 174-20-9540
ACN 01155529
Amount Reeitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS ~
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REV-1548 EX AFP (01-021
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 10-22-2002
ESTATE OF WERT FLORENCE B DATE OF DEATH 09-14-2001 COUNTY CUMBERLAND
FILE N0. S.S/D.C. N0. 174-20-9540 ACN 01155529
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PNC BANK ACCOUNT N0. 5140099527
TYPE OF ACCOUNT: ( ) SAVINGS (X) CHECKING ( ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 07-02-1991
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
3,024.73 NOTE:
X 0.500
1,512.37
- .00
1,512.37
X .45
68.06
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 T0:
"REGISTER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMOUNT PAID
INTEREST I5 CHARGED THROUGH 10-30-2002 TOTAL TAX CREDIT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 68.06
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 1.54
TOTAL DUE 69.60
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU MAY BE DUE A REFUND.