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HomeMy WebLinkAbout09-22-06 (2) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE "''-00Pr)CI\ r\CC\r'r: iJr htv 'I Ui_HD\iICI!\..8F\~INHERITANCE TAX C~W..,...iJ!$~/:~Ll-4JWANCE OR DISALLOWANCE "ijj;'eOOCTlOHS ~" AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS 200& SEP 22 AM 9: 55DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX ZII0601 HARRISBURG PA 171Zl1-0601 TRACEY LUNCH 612 W LOCUST ST CLEARFIELD CLEFU< OF ORPHA\I'.s~)2Y.~T CUhiq-- " ') PA PA 16830 *' REV-1548 EX AFP (06-05) 09-25-2006 FRY 08-12-2005 21 06-0454 CUMBERLAND 200-32-2830 05149241 APPEAL DATE: 11-24- 006 (See reverse side under Objecti lIS) Mount R_:l.tted MAKE CHECK PAYABLE AND RE IT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT CARLISLE. PA 17013 HAZEL K ~~!_~~~~~_!~~~-~~~!_-----~---~~!~~~-~~~~~-~~~!~~~-~~~-!~~~-~~~~~~~---~-_\_--------------- REV-1S48 EX AFP (03-05) i NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DAT -25-2006 ESTATE OF FRY HAZEL COUNTY CUMBERLAND K DATE OF DEATH 08-12-2005 FILE NO. 21 06-0454 TAX RETURN WAS: S.S/D.C. NO. 200-32-2830 (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: CLEARFIELD BANK a TRUST CO TYPE OF ACCOUNT: ()SAVINGS () CHECKING ~ )TRUST DATE ESTABLISHED 10-10-1997 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due 4.892.63 0.333 1.630.86 .00 1.630.86 .15 244.63 TAX CREDITS: ACN 05149241 ACCOUNT NO. 1212260~ ( )TIME CERTIFICATE \ NOTE: TO INSURE PROPE CREDIT TO YOUR ACCOUNT. S BMIT THE UPPER PORTION 0 THIS NOTICE WITH YOUR TAX P YMENT TO THE REGISTER OF WIL S AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER AYABLE TO: "REGISTER OF WI LS. AGENT." PAYMENT RECEIPT / DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 06-11-2006 CD006825 ../ .00 5.08 INTEREST IS CHARGED THROUGH 10-03-2006 TOTAL TAX CREDIT 5.08 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 239.55 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 6.65 TOTAL DUE 246.20 · 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 HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) ~