HomeMy WebLinkAbout02-18-05
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
'*
BUREAU OF INOIVlDUAL~TAxES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLOHANCE OR DISALLDWANCE
OF DEDUCTION~._ANO ASSESSHENT OF TAX ON
JOINTLY nELD OR TRUST ASSETS
REV-15~8 EX AFP n2-0~)
,- (:
'._U
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
02-21-2005
DDVE
01-04-2004
ClS- \'\10
CUMBERLAND
204-03-1588
04111430
Allount Re..itted
LELA
M
ELAINE
35 E GATE
CARLISLE
A GILBERT
DR
PA 17013
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ...
RE-y=isiri-Eif-AFP--roi-:oil------------------------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 02-21-2005
ESTATE OF DOVE
LELA
M DATE OF DEATH 01-04-2004
COUNTY
CUMBERLAND
FILE NO. S.S/D.C. NO. 204-03-1588
TAX RETURN WAS: (X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
04111430
FINANCIAL INSTITUTION: FULTON BANK
ACCOUNT NO.
3622-22967
TYPE OF ACCOUNT:
DATE ESTABLISHED
( ) SAVINGS (JO CHECKING ( ) TRUST ( ) TIME CERTIFICATE
03-31-1995
x
18,298.82
0.500
9,149.41
.00
9,149.41
.15
1,372.41
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."
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
INTEREST IS CHARGED THROUGH 03-01-2005 TOTAL TAX CREDIT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 1,372.41
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 24.57
TOTAL DUE 1,396.98
. IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIDNAL INTEREST. .
( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRJ, YOU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. J
~.."v-