HomeMy WebLinkAbout10-09-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
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BUREAU OF INDIVIDUAL TAXES ~ ~71071CE DF INHERITANCE TAX
INHERITANCE TAX DIVISION " E#'lPp~,p~S~;MENT, ALLOWANCE OR DISALLOWANCE
Po 80X zao6ol OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP Col-09)
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PAULINE SHELLEY
59 GREENSPRING DRIVE
MECHANICSBURG PA 17050
09
ESTATE OF LANTZY LOIS M
DATE OF DEATH 07-03-2008
FILE NUMBER 21 08-0744
COUNTY CUMBERLAND
SSN/DC :L61-34-2046
ACN 08149152
APPEAL DATE: 12-04-2009
(See reverse side under Objections)
Amount Re^itted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS <--"
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REV-1548 EX AFP CO1-09) - --------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DAT 10-05-2009
ESTATE OF LANTZY LOIS M DATE OF DEATH 07-03-2008 COUNTY CUMBERLAND
FILE N0. 21 08-0744 S.S/D.C. N0. 161-34-2046
ACN 08149152
.,a.. RC I UKIV wA~: tx~ ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: AMERICHOICE FCU ACCOUNT N0. 2056-61
TYPE OF ACCOUNT: C )SAVINGS ( ) CHECKING 4()TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 03-10-2006
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
1,104.50
X 1.000
1,104.50
- .00
1,104.50
X .12
132.54
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 T0:
"REGISTER OF WILLS, AGENT."
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
INTEREST IS CHARGED THROUGH 10-13-2009 TOTAL TAX CREDIT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 132.54
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 3.50
TOTAL DUE 136.04
~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. D
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU MAY BE DUE A REFUND. "r„~[
-SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) ddd""" '~~{