HomeMy WebLinkAbout06-06-05
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
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NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLDMANCE DR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD DR TRUST ASSETS
REV-1548 EX AFP (03-05)
BUREAU OF INDIVlrm(TlIl/Es
INHERITANCE TAX OIYlS1~
PO BOX 280601 '
HARRISBURG PA 17128-0601
ices Jtr: -s rii ~ 37
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
06-07-2005
HILE
10-16-2004
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CUMBERLAND
179-12-5635
05105568
Allount R..Ut...
WIL Ll AM
E
LISA G BRUNDZO
30 BRIARCLIFF DR
SHIPPENSBURG PA 17257
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CD COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
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NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 06-07-2005
ESTATE OF HILE
WILLIAM E DATE OF DEATH 10-16-2004
COUNTY
CUMBERLAND
FILE NO. S.S/D.C. NO. 179-12-5635
TAX RETURN WAS. (X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
05105568
FINANCIAL INSTITUTION. DRRSTOWN BANK
ACCOUNT NO.
4000003160
TYPE OF ACCOUNT: () SAVINGS ( ) CHECKING ( ) TRUST (Xl TIME CERTIFICATE
DATE ESTABLISHED 02-10-2004
Account Balance
Percent Taxeble X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
2,004.44
1. 000
2,004.44
.00
2,004.44
.45
90.20
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
ABDVE ADDRESS. MAKE CHECK
DR MONEY ORDER PAYABLE TO.
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
PAYMENT MUST BE MADE BY 07-17-2005*. TOTAL TAX CREDIT .00
BALANCE OF TAX DUE 90.20
INTEREST AND PEN. .00
TOTAL DUE 90.20
. IF P/<ID AFTER THIS DATE, SEE REVERSE FOR CALCUlATION OF ADDITIONAL 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 FOIll'l FOR INSTRUCTIONS. J
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