HomeMy WebLinkAbout02-16-10" d,MOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES APPRgItSEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION _ _ -_: '~-'OF'`DEDUCTIONS, AND ASSESSMENT OF TAX ON
PO BOX 280601 JOINTLY HELD OR TRUST ASSETS
HARRISBURG PA 17128-0601
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BETTY
7006 SUNDAYS LN
FREDRICK MD 21702
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DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-09)
DATE 02-15-2010
ESTATE OF LEE ELLEN K
DATE OF DEATH 10-09-2009
FILE NUMBER 21 09-1149
COUNTY CUMBERLAND
SSN/DC 171-12-9125
ACN 09175044
APPEAL DATE: 04-16-2010
(See reverse side under Objections)
Amount Remitted
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--~-------------------
REV-1548 EX AFP C12-09)
DEDUCTIONSINANDIASSESSMENTAOFRTAXEONNJOINTLYWHELD OR TRUSTLASSETS OF
DATE: 02-15-2010
ESTATE OF: LEE ELLEN K DATE OF DEATH: 10-09-2009 COUNTY: CUMBERLAND
ACN: 09175044
FILE NO.: 21 09-1149 S.S/D.C. NO.: 171-12-9125
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
ACCOUNT NO.: 4000002181
FINANCIAL INSTITUTION: ORRSTOWN BANK
TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING ( )TRUST
DATE ESTABLISHED 09-16-2003
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
5,008.05
X 0.500
2,504.03
_ .00
2,504.03
.45
112.68
TAX CREDITS:
PAYMENT RECEIPT
DATE NUMBER
12-29-2009 ~ CD012170
5.63
CX)TIME CERTIFICATE
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."
AMOUNT PAID
107.05
TOTAL TAX PAYMENT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~
IF TOTAL DUE IS REFLECTED-ASuAr'^oREDcTO~~rTtONS.YOU MAY BE DUE A REFUND.
DISCOUNT (+)
INTEREST/PEN PAID C-)
.00
1
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