HomeMy WebLinkAbout12-28-06
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
APPRiis~~~~~~~~~:~~~T~:C~I~:~LOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX Z80601
HARRISBURG PA 171Z8-0601
flee?8 1.1
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ADELINE GOUSE
23RD STREET EXT
ENOLA
CLERK (
'JRPHAN'~, '
'0':> Jt'IB~~P1_/\ ~
PA 17025
REV-1548 EX AFP (06-05)
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
12-18-2006
GOUSE
10-01-2006
21 06-1050
CUMBERLAND
714-18-2611
06157532
APPEAL DATE: 02-16-2007
(See reverse side under Objections)
Amount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
WAL TER
E
TO:
CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS +-
REY=i54s-Ex-AFP-lo3=o5i--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 12-18-2006
ESTATE OF GOUSE
WALTER
COUNTY
CUMBERLAND
E DATE OF DEATH 10-01-2006
FILE NO. 21 06-1050
TAX RETURN WAS:
S.S/D.C. NO. 714-18-2611
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PNC BANK
ACN
06157532
ACCOUNT NO.
5130189166
TYPE OF ACCOUNT:
DATE ESTABLISHED
IX )SAVINGS
02-15-2001
( ) CHECKING (~RUST
( )TIME CERTIFICATE
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
10,435.84
0.166
1,739.34
.00
1,739.34
.00
.00
X
X
TAX CREDITS:
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."
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
\7
· 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 MAYBE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
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