Loading...
HomeMy WebLinkAbout02-01-10 (3)BUREAU OF INDIVIDUAL TAXES ~ NOSICE OF INHERITANCE TAX ~, F y{~ ~r~~11 T, ALLOWANCE OR DISALLOWANCE INHERITANCE TAX DIVISION ~e Pa eox zaa6ol .~ - 0 ~ONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 +`li ~`Jt~,~ ~jj' ~~~ TLY HELD OR TRUST ASSETS 2010 F'EB -- I PN i ~ 4 ~y~y'n LEONARD BOU (~S }1T 1171 BOILING SPRI II "" '~" ~~ MECHANICSBURG PA 17055 Pennsylvania ~ DEPARTMENT OF REVENUE REV-1548 EX AFP (12-09) DATE 02-01-2010 ESTATE OF BOURINSKI JOYCE DATE OF DEATH 12-03-2009 FILE NUMBER 21 10-0002 COUNTY CUMBERLAND SSN/DC ACN 09180002 APPEAL DATE: 04-02-2010 (See reverse side under Objecti©ns) Amount Re~itted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE '--~ RETAIN LOWER PORTION FOR YOUR RECORDS 4- ------------------------------------------------------------------ REV-1548 EX AFP C12-09) -"-------"--------------" NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS _ DATE: 0 -01-2010 ESTATE OF: BOURINSKI JOYCE DATE OF DEATH: 12-03-2009 FILE NO.: 21 10-0002 S.S/D.C. NO.: COUNTY: CUMBERLAND ACN: 09180002 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 190278-42 TYPE OF ACCOUNT: C )SAVINGS ( ) CHECKING C )TRUST CX)TIME CERTIFICATE DATE ESTABLISHED 01-14-2000 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 5,486.02 X 0.166 914.35 - .00 914.35 Y .00 .00 NOTE: TO ENSURE 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 (+) INTEREST/PEN PAID (-) AMOUNT PAID TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 * IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" C CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.