HomeMy WebLinkAbout09-02-05
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
'*'
oc('nnnr:n iyn('c (',-
BUREAU OF INDIVi~'r-,ms ',jr ,'.',".JL I)--
INHERITANCE lA-X DIVISi,lif:',:::'- .- '--, ~,- ,
PO BOX 280601 I "
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLOWANCE DR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSHENT OF TAX ON
JOINTLY HELD DR TRUST ASSETS
REV-15~6 EX AFP (06-05)
Zr.nc ('~"'\ r> D~d 1-"1. no
l.i~0 .,>'! -(~ I J I j~. uu
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
09-05-2005
HAWKS
02-16-2005
~ \- ~<;-,<\o,5
CUMBERLA"AD
241-42-4487
05130673
APPEAL DATE: 11-04-2005
(See reverse side under Objections)
Amount ReIII:l.tted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NANNIE
L
r'
TERESA, L MURPHY
3 SCRAFFORD ST
SHIPPENSBURG PA 17257
TO:
CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
REY=i54S-EX-AFP-roi=osj--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 09-05-2005
ESTATE OF HAWKS
NANNIE
L DATE OF DEATH 02-16-2005
COUNTY
CUMBERLAND
FILE NO. S.S/D.C. NO. 241-42-4487
TAX RETURN WAS: (X) ACCEPTED AS FILED () CHANGED
JOINT DR TRUST ASSET INFORMATION
ACN
05130673
FINANCIAL INSTITUTION: FaM TRUST
ACCOUNT NO.
34-15414
TYPE OF ACCOUNT: ()SAVINGS OC) CHECKING (>TRUST ()TIME CERTIFICATE
DATE ESTABLISHED 02-02-2005
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
.00
1. 000
.00
.00
.00
.15
.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 PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" I CR), YOU HAY BE OUE A REFUND.
SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIOHS. )
nt'