HomeMy WebLinkAbout06-13-05
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
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BUREAU OF INDIVIIlUAL' -T/'xES
INHERITANCE TAX DIVISliJN --
PO BOX Z80601
HARRISBURG PA 171Z8-0601
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT DF TAX DN
JOINTLY HELD DR TRUST ASSETS
REV-IS48 EX AFP (03-05)
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DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN'DC
ACN
06-13-2005
SMITH
08-22-2004
~'-~S-~I:J
CUMBERLAND
292-14-4343
04143946
AlIOunt R...t Ued
HANNAH
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r1:Ji-d~t\ \~
EUGENE CU/lrSMITH
509 B SOUTHWEST ST
CARLISLE PA
17013
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 INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 06-13-2005
ESTATE OF SMITH
HANNAH
o DATE OF DEATH 08-22-2004
COUNTY
CUMBERLAND
FILE NO. S.S/D.C. NO. 292-14-4343
TAX RETURN WAS: (X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
04143946
FINANCIAL INSTITUTION: ORRSTOWN BANK
ACCOUNT NO.
106001704
TYPE OF ACCOUNT: () SAVINGS (XI CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 10-23-2000
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
2,165.10
0.500
1,082.55
.00
1,082.55
.15
162.38
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 (-)
INTEREST IS CHARGED THROUGH 06-21-2005 TOTAL TAX CREDIT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 162.38
REVERSE SIDE OF THIS FORM INTEREST AND PEN. .67
TOTAL DUE 163.05
. IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
I IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" I CRI, YOU NAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FOHN FDR INSTRUCTIONS. I
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