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HomeMy WebLinkAbout04-09-10 BUREAU OF INDIVIDUAL TAXES R~r~~ ir'r~, ~-~Z`~D~©~ITANCE TAX Pennsylvania ~ INHERITANCE TAX DIVISION PO BOX 280601 AP~~,~ T},i~4Y;~,~pM1~`NCE OR DISALLOWAN ° S ~ ` ' ~ ' DEPARTMENT OF REVENUE CE HARRISBURG PA 17128-0601 OF UC 7 I ON S; AN17`-~b~ SSESSMENT OF TAX ON REV-1548 EX AFP C12-09) JOINTLY HELD OR TRUST ASSETS 20~QAPR-9 ~~~~~ Q~TE 04-12-2010 ESTATE OF WITMER HELEN M DATE OF DEATH ~ ~ ~ 02-04-2010 . FILE NUMBER ~~s ~;~~ COUNTY 21 10-0243 CUMBERLAND PATRICIA HARNER ~~~~~~# ~1~~ ~~. ~SSN/DC 168-26-5304 ACN 10112397 530 KERRSVILLE RD CARLISLE PA 17015 APPEAL BY DATE:06-11-2010 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SgUARE CARLISLE PA 17013 CUT ALONG THIS LINE '~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ 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: 04-12-2010 ESTATE OF:WITMER HELEN FILE NO.: 21 10-0243 S.S/D.C. NO.: 168-26-5304 COUNTY:CUMBERLAND ACN: 10112397 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: ORRSTOWN BANK ACCOUNT NO.: 4000025707 TYPE OF ACCOUNT: ( )SAVINGS C ) CHECKING C )TRUST CX)TIME CERTIFICATE DATE ESTABLISHED 05-07-2008 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: PAYMENT RECEIPT DATE NUMBER 20,000.00 NOTE: X 0.500 10,000.00 - .00 10,000.00 Y .45 450.00 DISCOUNT C+) INTEREST/PEN PAID C-) PAYMENT MUST BE MADE BY 11-05-2010*. M DATE OF DEATH:02-04-2010 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 TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE 450.00 INTEREST AND PEN. .00 _ TOTAL DUE 450.00 ~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.