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HomeMy WebLinkAbout07-28-06 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE ~~::~r'n[,'-':[T (,:f~:'.'C"N6~ICE OF INHERITANCE TAX =~~~A:~ ::"D~~V~r::~L TAXES .. '.j ,~-,:, !"Af'P."tSEttENT 1 ALLOWANCE OR DISALLOWANCE PO BOX Z806Dl 'Of', DEDUCtIONS 1 AND ASSESSMENT OF TAX ON HARRISBURG PA 171Z8-0601 JOINTL Y HELD OR TRUST ASSETS '* y REV-1548 EX AFP (06-05) ;', (")0 ''';:!'' LU DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 07-31-2006 FULFER 11-05-2005 21 06-0549 CUMBERLAND 342-24-3172 06118856 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 CARLISLE1 PA 17013 EVELYN CURTIS W FULF~ 609 E KELLER ST MECHANICSBURG PA 17055 CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS ~ --------------------------------~---------------------------------------------------------- REV-1548 EX AFP (03-05) NOTICE OF INHERITANCE TAX apPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENTToF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 07-31-2006 ESTATE OF FULFER EVELYN DATE OF DEATH 11-05-2005 COUNTY CUMBERLAND FILE NO. 21 06-0549 s.s/b.c. NO. 342-24-3172 TAX RETURN WAS: (X) A~CEPTED AS FILED ( ) I ~OINT OR TRUST ASSET FINANCIAL INSTITUTION: MEMBERS l~T FCU ACN 06118856 CHANGED INFORMATION ACCOUNT NO. 264729-00 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 201434.75 1. 000 201434.75 21231.00 181203.75 .45 819.17 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT1 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 WILLS1 AGENT." TAX CREDITS: , PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER IN~EREST/PEN PAID (-) 06-08-2006 CD006854 .00 819.17 ! TOTAL TAX CREDIT 819.17 BALANCE OF TAX DUE .00 INTEREST AND PEN. .QO TOTAL DUE .00 . IF PAID AFTER THIS DATEI SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. . ( IF TOTAL DUE IS LESS THAN $11 NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRl1 YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. l