HomeMy WebLinkAbout06-14-10t
pennsylvania ~
BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE REV-1548 EX AFP C12-09)
PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
DATE 06-08-2010
ESTATE OF PUSEY JOHN H
DATE OF DEATH 12-14-2009
FILE NUMBER 21 10-0505
COUNTY CUMBERLAND
SSN/DC 162-09-9826
CLAIRE M LYTER ACN 10122541
658 COLONIAL VIEW RO APPEAL BY DATE:08-07-2010
MECHANICSB RG PA 1 055 (See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAI NT T0:
- 1 REGISTER OF WILLS n ~, --~:~ ~-'
/ 1 COURTHOUSE SQUARE ~ ~ G ~~; -, ~:.~=~
1
(,1 RLISLE PA 17013 , ~~~`a~a :~= '
%~ `' ~'t
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~~ ;r°-,L~ - _ - ,`'
REV-1548 EX AFP C12-09) --> ~ -"
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE O~Ev---+ ~ '"~
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS :v ~,,,?
DATE: 06-08-2010
ESTATE OF:PUSEY
JOHN
COUNTY:CUMBERLAND
S.S/D.C. NO.: 162-09-9826 ACN: 10122541
FILE NO.: 21 10-0505
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING C )TRUST
DATE ESTABLISHED 03-27-1961
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Dus
TAY (`DCi1TTC.
ACCOUNT NO.:
5495-00
C )TIME CERTIFICATE
33,842.12 NOTE:
X 0.166
5,640.47
- .00
5,640.47
.045
253.82
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 ORL)ER PAYABLE T0=
"REGISTER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-) AMOUNT PAID
PAYMENT MUST BE MADE BY 09-15-2010*.
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 253.82
INTEREST AND PEN. .00
TOTAL DUE 253.82
* 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.
.~.~~ nr..rnnr nrnr ne Turc Cf1RM F'f1R TNSTRUCTIONS.
H DATE OF DEATH:12-14-2009
aGV_, ~~~ Fxr~ 1-961
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
LYTER CLAIR M
658 COLONIAL VIEW ROAD
MECHANICSBURG, PA 17055
ACN
ASSESSMENT
CONTROL
NUMBER
-------- fn~d
ESTATE INFORMATION:
FILE NUMBER:
DECEDENT NAME:
DATE OF PAYMENT:
POSTMARK DATE:
COUNTY:
DATE OF DEATH:
SSN: 162-09-9826
2110-0505
PUSEY JOHN H
05/ 14/ 2010
05/ 13/2010
CUMBERLAND
12/ 14/ 2009
TOTAL AMOUNT PAID:
REMARKS: JOHN H PUSEY
REV-1162 EX{11-96)
NO. CD 012749
AMOUNT
$253.82
CHECK# 2086
INITIALS: WZ
RECEIVED BY: GLENDA EARNER STRASBAUGH
SEAL _..,.._ - _ ._
_.
REGISTER OF WILLS
TAXPAYER