HomeMy WebLinkAbout04-11-05
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
'*
BUREAU OF INDIVlDUALl'AXES
INHERITANCE TAX DIVISION
PO BOX Z80601
HARRISBURG PA 171Z8-0601
NOTICE OF INHERITANCE TAX
APPRAISEKENT~ ALLOWANCE OR DISALLOWANCE
OF DEDUCTION~~ AND ASSESSKENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-15~1 EX AFP n2-D~1
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DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
04-11-2005
LEllER
08-07-2004
21 05-0197
CUMBERLAND
175-20-1847
04146151
Allount Relli tted
MARY
R
DOLORES 'B LEZlER
410 GREENSPRING RD
NEWVILLE PA 17241
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 ~
RErv:isira-Ex--AFP--(Oi~03)------------------------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 04-11-2005
ESTATE OF LEllER
MARY
R DATE OF DEATH 08-07-2004
COUNTY
CUMBERLAND
FILE NO. 21 05-0197
TAX RETURN WAS:
S.S/D.C. NO. 175-20-1847
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
04146151
FINANCIAL INSTITUTION: FRANKLIN COUNTY TEACHERS CU
ACCOUNT NO.
31512
TYPE OF ACCOUNT: (~SAVINGS ( ) CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 07-29-1993
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
61,422.87
0.166
10,237.35
.00
10,237.35
.45
460.68
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."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
03-02-2005 ......~ CD005011 .00 460.68
TOTAL TAX CREDIT 460.68
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
. 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.
---- ---- -p TU?~ cnDM ~nR YNSTRUCTIONS. )
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