HomeMy WebLinkAbout10-09-09 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAU"TAX~$1~ NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION ~ ,';~i `up ;_:APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PD BOX 280601 _d OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP
DATE 10-05-2009
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MARY K CJQ`NTZY
116 WINSTON DRIVE
MECHANICSBURG PA 17055
ESTATE OF LANTZY LOIS M
DATE OF DEATH 07-03-2008
FILE NUMBER 21 08-0744
COUNTY CUMBERLAND!
SSN/DC 161-34-20146
ACN 08149154
APPEAL DATE: 12-04-2009
(See reverse side under Objehctions)
Amount Remitted ~'-'
MAKE CHECK PAYABLE AND F~EMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013'
CUT ALONG THIS LINE ----'~--) RETAIN LOWER PORTION FOR YOUR RECORDS 4-
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REV-1548 EX AFP (O1-09) "------------------------------
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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 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 08149154
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: AMERICHOICE FCU ACCOUNT N0. 205663
TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING QOTRUST C )TIME CERTIFICATE
DATE ESTABLISHED 01-22-2007
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
1,065.24 NOTE:
X 1.000
1,065.24
- .00
1,065.24
X .12
127.83
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 ADDRESiS. MAKE CHECK
OR MONEY ORDIER PAYABLE T0:
"REGISTER OF'WILLS, AGENT."
PAYMENT I RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
INTEREST IS CHARGED THROUGH 10-13-2009 TOTAL TAX CREDIT
AT THE RATES APPLICABLE AS OUTLINED ON THE .00
BALANCE OF TAX DUE 127.83
REVERSE SIDE OF THIS FORM INTEREST AND PEN.
3.38
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTERES DUE 1 31.21
C IF TOTAL DUE IS LESS THAN #1, NO PAYMENT IS REpUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )