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HomeMy WebLinkAbout11-03-06 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAK DIVISION PO BOK 2110601 HARRISIIURG PA 171211-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE r:~cn~.r.:i) n:::C'~Trt,eE OF INHERITANCE TAX ..- " ..... . ..-: :J.f~~!W'IM, ALLOWANCE OR DISALLOWANCE .~,.of ',.QEOOCY,tr)Ns, AND ASSESSI1ENT OF TAX ON JOINTLY HELD OR TRUST ASSETS * REV-1541!1 EK AFP (06-05) I ~. 28 I' . DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 11-06-2006 WOLTZ 05-28-2006 21 06-0868 CUMBERLAND 207-03-7583 06149530 APPEAL DATE: 01-05-2007 (See reverse side under Objections) AIIaunt R_1ttedl I MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 JULIA LISA WOLTZ 115 BRIGHTON DR CARLISLE PA 17013 CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS +- iiO=is4i-ii-APp-loi=iij-------------------------------------------------------------------- NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 11-06-2006 ESTATE OF WOLTZ JULIA DATE OF DEATH 05-28-2006 COUNTY CUMBERLAND FILE NO. 21 06-0868 TAX RETURN WAS: S.S/D.C. NO. 207-03-7583 (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION ACN 06149530 FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. 30749-11 TYPE OF ACCOUNT: ()SAVINGS ~) CHECKING ()TRUST ()TIME CERTIFICATE DATE ESTABLISHED 01-16-1987 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due 859.71 0.500 429.89 .00 429.89 .45 19.35 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 DR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 10-02-2006 CD007274 .00 19.35 TOTAL TAX CREDIT 19.35 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 $I, NO PAYltENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRI, YDU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) ~