HomeMy WebLinkAbout11-28-05
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
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r.- ,\(',c.\,:D ()rl\..iCt.'crTICE OF INHERITANCE TAX
\\[(.J'.Ji,:,,':-,AI't'"R~ISEHfNT, ALLOWANCE OR DISALLOWANCE
,OF'DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX Z80601
HARRISBURG PA 171Z8-0601
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DOROTHY A ADOMAITIS
909 WILLIAMS GROVE ~D
MECHANICSBURG PA 17055
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REV-1548 EX AFP (06-05)
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSNI'DC
ACN
11-28-2005
KURTH
03-04-2005
21 05-0921
CUMBERLAND
178-32-8748
05139338
APPEAL DATE: 01-27-2006
(See reverse side under Objections)
Amount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
MARYANNE
B
TO:
CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
REY=is4S-EX-AFP-lo3=Osi--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 11-28-2005
ESTATE OF KURTH
CUMBERLAND
MARYANNE B DATE OF DEATH 03-04-2005
FILE NO, 21 05-0921
TAX RETURN WAS:
COUNTY
S.S/D.C. NO. 178-32-8748
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SOVEREIGN BANK
ACN
05139338
ACCOUNT NO.
1681706806
TYPE OF ACCOUNT: ()SAVINGS 0<:) CHECKING (>TRUST (>TIME CERTIFICATE
DATE ESTABLISHED 04-24-1997
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
x
2,796.35
0.500
1,398.18
.00
1,398.18
.45
62.92
x
TAX CREDITS:
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."
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
10-17-2005 CD005909 .00 62.92
TOTAL TAX CREDIT 62.92
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'" ( CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
G/ tr.r--