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HomeMy WebLinkAbout07-10-06 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE ('-~ ('CNbfICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE _ OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS '* REV-1548 EX AFP (06-05) r':_ f", -"'; ;': \."')- 1'"-\. C::t DATE 07-03-2006 ESTATE OF FISHER MARY J DATE OF DEATH 02-05-2005 FILE NUMBER !)I r c6 - '1'1';;' COUNTY CUMBERLAND SSN/DC 207-07-9857 ACN 05136845 APPEAL DATE: 09-01-2006 (See reverse side under Objections) Amount Remitted I I MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 SAMUEL W FISHE~ 5282 STRATHMORE DR MECHANICSBURG PA 17050 CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV=is4i-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 07-03-2006 ESTATE OF FISHER MARY J DATE OF DEATH 02-05-2005 COUNTY CUMBERLAND FILE NO. ~D()S -ol'-t~ TAX RETURN WAS: S.S/D.C. NO. 207-07-9857 (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION ACN 05136845 FINANCIAL INSTITUTION: MID PENN BANK ACCOUNT NO. 309001192 TYPE OF ACCOUNT: ()SAVINGS () CHECKING ()TRUST ~ )TIME CERTIFICATE DATE ESTABLISHED 05-01-2000 x 79,068.50 0.500 39,534.25 .00 39,534.25 .45 1,779.04 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." Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due X TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) INTEREST IS CHARGED THROUGH 07-11-2006 TOTAL TAX CREDIT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 1,779.04 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 79.23 TOTAL DUE 1,858.27 . 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 MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. J ?<