HomeMy WebLinkAbout07-28-06
COMMONWEALTH OF PENNSYLVANIA
,~~~~~MENT OF REVENUE
c;:Cf'i~i,\~\~':; ":\ijdtic~ OF INHERITANCE TAX
,\~ \./.:, Arp~AISEI1EJU ,.... ALLOWANCE OR DISALLOWANCE
'. "'()f"DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINT~~ :H~~ OR TRUST ASSETS
.: : ; \ '- DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
'*
j
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX Z80601
HARRISBURG PA 111Z8-0601
REV-1548 EX AFP (06-05)
DAVID A METZGER
800 YORK RD TR 40
DOVER PA
07-31-2006
JUMPER
06-05-2005
21 05-0532
CUMBERLAND
203-10-4334
05142462
APPEAL DATE: 09-29-2006
(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
THELMA
M
CUT ALONG THIS LINE --+ REtAIN LOWER PORTION FOR YOUR RECORDS +--
--------------------------------.----------------------------------------------------------
REV-1548 EX AFP (03-05)
NOTICE OF INHERITANCE TAX ~PPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT! OF TAX ON JOINTLY HELD OR TRUST ASSETS
i DATE 07-31-2006
ESTATE OF JUMPER THELMA! M DATE OF DEATH 06-05-2005 COUNTY CUMBERLAND
FILE NO. 21 05-0532
TAX RETURN WAS:
S.S~D.C. NO. 203-10-4334
(X) ACCEPTED AS FILED () CHANGED
!
~OINT OR TRUST ASSET INFORMATION
ACN
05142462
FINANCIAL INSTITUTION: SOVEREIGN' BANK
ACCOUNT NO.
0575133707
TYPE OF ACCOUNT: ()SAVINGS (,) CHECKING OC )TRUST ()TIME CERTIFICATE
DATE ESTABLISHED 07-09-1981
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
12,149.84
1.000
12,149.84
.00
12,149.84
.15
1,822.48
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:
nREGISTER OF WILLS, AGENT.n
TAX CREDITS:
,
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
,
INTEREST IS CHARGED THROUGH 08-0~-2006 TOTAL TAX CREDIT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 1,822.48
REVERSE SIDE OF THIS FORM I INTEREST AND PEN. 54.59
TOTAL DUE 1,877.07
. 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. )