HomeMy WebLinkAbout05-20-05
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
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BUREAU OF INDIVIDDAL/TAXEsc
INHERITANCE TAX DIVISION-
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSI1ENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REY-1548 EX AFP (03-05)
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DATE
ESTATE OF
DATE OF DEATH
FILE NUIIBER
05-23-2005
ADAMS
02-17-2004
21 05-0200
TIMOTHY
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ORP' ''''1'0 cr 'LiRT COUNTY CUMBERLAND
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CUt/cAliA"!>' r, SSN/DC 209-36-9059
IVA ACN 05103090
152 S 31ST ST I Alno...t R_itt.d I
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 ~
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NOTICE OF INHERITA~: E TAX APPRAISEMENT, ALLONANCE OR DISALLONANCE OF
DEDUCTIONS, AND ASS SSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 05-23-2005
ESTATE OF ADAMS TIMOTHY E DATE OF DEATH 02-17-2004 COUNTY CUMBERLAND
FILE NO. 21 05-0200 S.S/D.C. NO. 209-36-9059 ACN 05103090
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: WAY POINT BANK ACCOUNT NO. 3160000324
TYPE OF ACCOUNT: (lO SAV] NGS ( ) CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 09-30-1 98
Account Balance 3,917.58 NOTE: TO INSURE PROPER CREDIT TO
Percent Taxable y 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 1,958.79 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxeble Amount 1,958.79 REGISTER OF WILLS AT THE
Tax Rate y .45 ABOVE ADDRESS. MAKE CHECK
Tax Due 88.15 DR 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 88.15
BALANCE OF UNPAID INTERES 1/PENALTY AS OF 03-03-2005 TOTAL TAX CREDIT 88.15
BALANCE OF TAX DUE .00
INTEREST AND PEN. 1.16
TOTAL DUE 1.16
. IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL DUE IS LESS THAN $1 NO PAYHENT IS RElIUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRI, YDU HAY BE DUE A REFUND.
SEE REVERSE SlOE OF THIS FOR FOR INSTRUCTIONS. I
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