HomeMy WebLinkAbout04-11-05
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
'*
BUREAU OF INDIVIDUAl-TAXES
INHERITANCE TAX DIVISION
PO BOX Z80601
HARRISBURG PA 171Z8-0601
NOTICE OF INHERITANCE TAX
APPRAISEKENTL ALLOHANCE OR DISALLOHANCE
OF DEDUCTION~, AND ASSESSKENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-1548 EX iFP <12-D41
"...:
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
04-11-2005
ADAMS
02-17-2004
21 05-0200
CUMBERLAND
209-36-9059
05103089
Allount RelliUed
TIMOTHY
E
IVA L ADAMS
152 S 31ST ST
CAMP HILL PA 17011
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 ~
REli:i5~8-EX--AFFi-(Oi-:oii------------------------------------------------------------------------------------
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 ADAMS
TIMOTHY E DATE OF DEATH 02-17-2004
COUNTY
CUMBERLAND
FILE NO. 21 05-0200
TAX RETURN WAS:
S.S/D.C. NO. 209-36-9059
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
05103089
FINANCIAL INSTITUTION: WAYPOINT BANK
ACCOUNT NO.
3100006200
TYPE OF ACCOUNT: () SAVINGS ()() CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 09-01-1998
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
7,502.00
0.500
3,751.00
.00
3,751.00
.45
168.80
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 " CD005017 .00 168.80
BALANCE OF UNPAID INTEREST/PENALTY AS OF 03-03-2005 TOTAL TAX CREDIT 168.80
BALANCE OF TAX DUE .00
INTEREST AND PEN. 2.23
TOTAL DUE 2.23
. IF PAID AFTER THIS DATE, SEE REVERSE FOR CAl-CULATION OF ADDITIONAL INTEREST. ·
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRl, YOU MAY BE DUE A REFUND.
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