HomeMy WebLinkAbout08-05-05
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
.....,.....(',..~,.....r.rT', ,.....\c:~~V'E (v:'
BUREAU OF INDIVIDUAL TAXEt'~v!J1LJDj \.), ' ") - 'iNOUCE OF INHERITANCE TAX
INHERITANCE TAX DIVISI'" r APPIlAI'i\EHENT, ALLOWANCE OR DISALLOWANCE
PO BOX Z....1 '-OF DEOOcTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
M_ "", ,- I"" II: c:q DATE
LUUe ;,l'o -) ,,! . ,",v
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSNI'DC
ACN
*'
REV-1548 EX AFP (06-05)
r-=f).'{
08-08-2005
KIBLER
02-04-2005
":l-.\-~S -\,)S~'l
CUMBERLAND
165-38-0697
05118478
APPEAL DATE: 10-07-2005
(See reverse side under Objections)
AnIount Rl!II:l.tted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
ANNA
M
JUNE A DILLaR
628 SAW MILL RD
MECHANICS BURG
PA 17055
CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS -
REY=is4S-EX-AFP-r03=Osi--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 08-08-2005
ESTATE OF KIBLER
ANNA
M DATE OF DEATH 02-04-2005
COUNTY
CUMBERLAND
FILE NO. S.S/D.C. NO. 165-38-0697
TAX RETURN WAS: (X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
05118478
FINANCIAL INSTITUTION: SUSQUEHANNA VLY FCU
ACCOUNT NO.
11652-00
TYPE OF ACCOUNT: ~ )SAVINGS () CHECKING ()TRUST ()TIME CERTIFICATE
DATE ESTABLISHED 06-04-1999
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
1,445.48
0.500
722.74
3,027.37
.00
.45
.00
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 (-)
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
.. IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ..
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRJ, YOU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. J
c-><:;" 'l-