HomeMy WebLinkAbout05-27-05
COMMONWEALTH OF PENNSYLVANIA *'
DEPARTMENT OF REVENUE
"-.' -...'~ . .. iCt , " NOTICE OF INHERITANCE TAX
BUREAU OF lNOIVlOUAb'TAlIES
INHERITANCE TAX DIVISION," - . APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 OF DEDUCTIONs, AND ASSESSHENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP (03-05
~nn'~'fi'/ "7 Pi'l12: 39 DATE 05-30 2005
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ESTATE OF AMICU CI FRANCES J
DATE OF DEATH 11-17 2004
CI Ff1V nF FILE NUMBER 21 05 0280
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onn' r "'~ nc" '''T COUNTY CUMBE LAND
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~'jf'c'" ' ,,' '.... SSN/DC 169-2 -6793
DEBORAH V t'5TEPHENS,: ACN 05109 97
1205 CROSS CREEK DR Allount R .itt.d
MECHANICS BURG PA 17055
MAKE CHECK PAYABLE , ND REMIT PAYMENT TO:
REGISTER OF WIL S
CUMBERLAND CO C URT HOUSE
CARLISLE, PA 1 013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
.~-~'1ri!I:~J.irG~~'........................................................ ...........................
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLON NCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST AS ETS
D TE 05-30-2005
ESTATE OF AMICUCCI FRANCES J DATE OF DEATH 11-17-2004 COUNTY CUMBERLAND
FILE NO. 21 05-0280 S.S/D.C. NO. 169-26-6793 ACN 05109797
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. 30740-11
TYPE OF ACCOUNT: ( ) SAVINGS (J(l CHECKING ( ) TRUST ( ) TIME CERTI ICATE
DATE ESTABLISHED 08-14-2004
Accoun1: Balance 665.33 NOTE: TO INS RE PROPER CREDIT TO
Percen1: Texable X 1. 000 YOUR A COUNT, SUBMIT THE
Amount Subjec1: 1:0 Tax 665.33 UPPER ORTION OF THIS NOTICE
Debts and Deductions - .00 WITH , UR TAX PAYMENT TO THE
Taxable Amoun1: 665.33 REGIS' R OF WILLS AT THE
Tax Ra1:e X .45 ABOVE DDRESS. MAKE CHECK
Tax Due 29.94 OR MO~ EY ORDER PAYABLE TO:
"REGI~ TER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PA D
DATE NUMBER INTEREST/PEN PAID (-)
03-24-2005 CD00512~ .00 29 94
TOTAL TAX CRE IT 29.94
BALANCE OF TAX DUE .00
INTEREST AND IE N. .00
TOTAL DUE .00
.
. IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN $1, NO PAYNENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRI, YOU HAY BE DUE A REFUND.
~~~ D~U~~~ ~Tn~ OF THIS FORM FOR INSTRUCTIONS. )
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