HomeMy WebLinkAbout10-23-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
~a r't-l~~''f•:(~~` ;1,~J$T!ICErQF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES AP-.E~1I,$EM,E,~T, --.ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION ~ ~ . ,
PO BOX 280601 ! i, .,~~Q~ :If ~~1}~T'I',U~l~,! AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
JANET M PETERS
135 AMITY ROAD
Z~~~ ACT 23 ~ ~2~ ~ I
~I,t , , ,~.--
~.~, - ^';
~1 ~,...
DUNCANNON PA 17020
y
I f
REV-1548 EX AFP CO1-09)
DATE 10-20-2009
ESTATE OF LANTZY LOIS M
DATE OF DEATH 07-03-2008
FILE NUMBER 21 08-0744
COUNTY CUMBERLAND
SSN/DC 161-34-2046
ACN 08145211
APPEAL DATE: 12-19-2009
(See reverse side under Objections)
Amount Remitted
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 ~
-------------------------------------------------------------------------------------------
REV-1548 EX AFP COl-09)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 10-20-2009
ESTATE OF LANTZY
FILE N0. 21 08-0744
LOIS M DATE OF DEATH 07-03-2008 COUNTY CUMBERLAND
S.S/D.C. N0. 161-34-2046
ACN 08145211
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: AMERICHOICE FCU ACCOUNT N0. 2056-01
TYPE OF ACCOUNT: 4()SAVINGS C ) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 04-01-1975
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
1,421.09
X 0.166
236.85
_ .00
236.85
X .12
28.42
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
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-) AMOUNT PAID
INTEREST IS CHARGED THROUGH 10-28-2009 TOTAL TAX CREDIT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 28.42
REVERSE SIDE OF THIS FORM INTEREST AND PEN. .81
TOTAL DUE 29.23
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )