HomeMy WebLinkAbout07-17-06
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
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pcrrPDEO U\ i--NOTIy'E OF INHERITANCE TAX
, ":,:. ';:.., t'APP.~lseHfN1'" ALLOWANCE OR DISALLOWANCE
r".~;\-i Df-'DEiJUtTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
". ~9 DATE
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ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
'*
/
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO lOX 280601
HARRISBURG PA 17128-0601
REV-1548 EX AFP (06-05)
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07-17-2006
FULFER
11-05-2005
21 06-0549
CUMBERLAND
342-24-3172
06118855
APPEAL DATE: 09-15-2006
(See reverse side under Objections)
A.aunt Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
EVELYN
CURTIS W FULFER C.i."-
609 E KELLER ST
MECHANICSBURG
PA 17055
CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ...
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NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 07-17-2006
ESTATE OF FULFER
EVELYN
DATE OF DEATH 11-05-2005
COUNTY
CUMBERLAND
FILE NO. 21 06-0549
TAX RETURN WAS:
S.S/D.C. NO. 342-24-3172
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
06118855
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.
264729-11
TYPE OF ACCOUNT: ()SAVINGS ~) CHECKING ()TRUST ()TIME CERTIFICAtE
DATE ESTABLISHED 05-13-2005
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
5,000.05
1.000
5,000.05
.00
5,000.05
.45
225.00
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 (-)
06-08-2006 CD006855 .00 225.00
TOTAL TAX CREDIT 225.00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
· IF PAID AFTER THIS DAT~I_.SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL DUE IS LESS TtIAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRl, YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. l