HomeMy WebLinkAbout03-26-10~. ,.r ,~._,~ ~. r,-.,...r-
BUREAU OF INDIVIDUAL TAXES ~ - ;~(,~-~'NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION ~ AP.PRAEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 - ""' ' `- `•~ ~ OF DED,IICTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
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~~~ 1~',
~f ~ f" I",..,,,~ ,,~ , , -, . 7.
ANGELO ANTONICELL'T -' - ~~
5 EVERGREEN LANE
MECHANICSBURG PA 17050
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 EX AFP C12-09)
DATE 03-29-2 10
ESTATE OF ANTONIO LLI HELEN
DATE OF DEATH 01-23-2 10
FILE NUMBER ~- /(~~-(;~~',(,,~~
COUNTY C MBERL ND
SSN/DC 178-22- 772
ACN 1010911
APPEAL BY DATE:05-28-2010
(See reverse side under O jections)
Amount Remitted
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS
------------------------------
REV-1548 EX AFP C12-09) ----------------------- ----------------- ---------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANC OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSET
DATE: 0 -29-2010
ESTATE OF:ANTONICELLI HELEN DATE OF DEATH:O1-23-2010 OUNTY:CUMBERLAND
FILE NO.: S.S/D.C. NO.: 178-22-7772 ACN: 10109117
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 19 92-00
TYPE OF ACCOUNT: ( ~ SAVINGS C ) CHECKING C )TRUST C )TIME CERTIFIC TE
DATE ESTABLISHED 10-14-1977
Account Balance 6,170.42 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.166 YOUR ACCO NT, SUBMIT THE
Amount Subject to Tax 1,028.42 UPPER POR ION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 1,028.42 REGISTER F WILLS AT THE
Tax Rate x .00 ABOVE ADD ESS.. MAKE CHECK
Tax Due .00 OR MONEY RDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
TAX CREDITS: i
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-)
AMOUNT PAID
I
TOTAL TAX PAYMEN
BALANCE OF TAX D
INTEREST AND PEN
TOTAL DUE
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" OCR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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_:-, ~ . ..~, , .~ ~, Pennsylvania ~
BUREAU OF INDIVIDUAL TAXES ~~'~1~U`fICE OF INHERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ,~~~,_ ~ ,_ `; APPR'AIS~~IENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP C12-09)
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
~~~~ ~~ ~~' ~ {~' ~~ DATE 03-29-2010
~.:a ~_.~
ANGELO ANTONICELLI
5 EVERGREEN LANE
MECHANICSBURG PA 17050
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
ESTATE OF ANTONIO LLI HELEN
DATE OF DEATH 01-23-2010
FILE NUMBER a~ -~~ (}aQ~
COUNTY CUMBERL ND
SSN/DC 178-22- 772
ACN 1010911
APPEAL BY DATE:05- 8-2010
(See reverse side under O 'ections)
Amount Remitted
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS
---------------------------------------------------------------------- --------------------
REV-1548 EX AFP C12-09)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANC OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSET
DATE: 0 -29-2010
ESTATE OF:ANTONICELLI HELEN DATE OF DEATH:O1-23-2010 OUNTY:CUMBERLAND
FILE NO.: S.S/D.C. NO.: 178-22-7772 ACN: 10109119
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 19 92-11
TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING C )TRUST C )TIME CERTIFIC TE
DATE ESTABLISHED 12-31-1979 '
Account Balance 632.29 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.166 YOUR ACCO NT, SUBMIT THE
Amount Subject to Tax 105.38 UPPER POR ION OF THIS NOTICE
Debts and Deductions - •00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 105.38 REGISTER F WILLS AT THE
Tax Rate Y •00 ABOVE ADD ESS.. MAKE CHECK
Tax Due •00 OR MONEY RDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-)
AMOUNT PAID
I
TOTAL TAX PAYMEN
BALANCE OF TAX D
INTEREST AND PEN
TOTAL DUE
.00
.00
.00
.00
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" OCR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
- ~~r= ;~~~~ ~ :
BUREAU OF INDIVIDUAL TAXES ~- NbT-IG-~ OF INHERITANCE TAX pennsy van~a
DEPARTMENT ~
INHERITANCE TAX DIVISION '~-'` ~. Ql.PR
~A,IS'E
M~EN'r, ALLOWANCE OR DISALLOWANCE OF REVENUE
s
PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON ', REV-1548 EX AFP C12-o9)
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS '
~~~ ` ~~
~~~ ~~' ~$ DATE 03-29- i
2 10
~~ _-~-~ , i n ~-
ANGELO ANTONICELLI
5 EVERGREEN LANE
MECHANICSBURG PA 17050
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
HELEN
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
ESTATE OF ANTONIO LLI
DATE OF DEATH 01-23-2 10
FILE NUMBER ~ ~ - ~ U - a6~
COUNTY UMBERL ND
SSN/DC 178-22- 772
ACN 1010912
APPEAL BY DATE:05-28-2010
(See reverse side under O jections)
Amount Remitted
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS
REV-1548 EX AFP C12-09~------- ----------------------- ----------------- --------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANC OF
DEDUCTIONS, AND ASSESSME NT OF TAX ON JOINTLY HELD OR TRUST ASSET
DATE: 0 -29-2010
ESTATE OF:ANTONICELLI HELEN DATE OF DEATH:O1-23-2010 OUNTY:CUMBERLAND
FILE NO.: S.S/D.C. NO.: 178-22-7772 ACN: 10109121
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 19 92-04
TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING C )TRUST C )TIME CERTIFIC TE
DATE ESTABLISHED 10-14-1977
Account Balance 2,000.42 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.166 YOUR ACCO NT, SUBMIT THE
Amount Subject to Tax 333.41 UPPER POR ION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 333.41 REGISTER F WILLS AT THE
Tax Rate Y .00 ABOVE ADD ESS. MAKE CHECK
Tax Due .00 OR MONEY RDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-)
AMOUNT PAID
TOTAL TAX PAYMEN
BALANCE OF TAX D
INTEREST AND PEN
TOTAL DUE
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" OCR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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.00
` '`"` "~~ ~" ~~" ++ NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL 1~AXES -, +~-'APPI2AISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION .
PO BOX 280601 L ~~ ~OF~~DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 _ '~ ~ ~ ~ JOINTLY HELD OR TRUST ASSETS
~~ ~ ~~ ~C~~ ~~~ ~~
i `',' `
_ _ ,_' i.e' ~ f
ANGELO ~ ~~''Ti1h1I.CEL' LI.'`.Y` ~~,
5 EVERGREEN LANE
MECHANICSBURG PA 17050
pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-09)
DATE 03-29-210
ESTATE OF ANTONIO LLI HELEN
DATE OF DEATH 01-23-2 10
FILE NUMBER p~ ~ -IO- U~~
COUNTY CUMBERL ND
SSN/DC 178-22- 772
ACN 1010912
APPEAL BY DATE:05 28-2010
(See reverse side under O jections)
Amount Remitted
MAKE CHECK PAYABLE AN 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)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSET
DATE: 0 -29-2010
ESTATE OF:ANTONICELLI
FILE NO.:
HELEN
S.S/D.C. NO.: 178-22-7772
DATE OF DEATH:O1-23-2010
NOTE: TO ENSURE PROPER CREDIT TO
YOUR ACCO NT, SUBMIT THE
UPPER POR ION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER F WILLS AT THE
ABOVE ADD ESS. MAKE CHECK
OR MONEY RDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
ACN: 10109123
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 15 32-00
TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING C )TRUST C )TIME CERTIFIC TE
DATE ESTABLISHED 10-09-1973 ~
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAV !`DCiITTC.
2,150.17
X 0.166
358.37
- .00
358.37
x .00
.00
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
TOTAL TAX PAYMEN
BALANCE OF TAX D
INTEREST AND PEN
TOTAL DUE
OUNTY:CUMBERLAND
.00
.00
.00
.00
~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
BUREAU OF INDIVIDUAL. ta)CES ~ ' ~~ ~•~ NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISIDN, ,. ,'' ~' APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 •_ _ 'w. . ~ ~ OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
r 1 r
,L ~.
CRP-' "~ ~ , ~~? ~~',-
ANGELO tl ~ - prNTONI-CE~LL`~
5 EVERGREEN LANE
MECHANICSBURG PA 17050
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
Pennsylvania ~
DEPARTMENT OF REVENUE
~ REV-1!i48 EX AFP C12-09)
DATE 03-29-2010
ESTATE OF ANTONICELLI HELEN
DATE OF DEATH 01-23-2010
FILE NUMBER ~ ~ _ ~~ _ aQ~
COUNTY UMBERL ND
SSN/DC 178-22-7772
ACN 10109125
APPEAL BY DATE:05- 8-2010
(See reverse side under O •ections)
Amount Remitted
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS
------------------------------
REV-1548 EX AFP C12-09~ ----------------------- ----------------- --------------------
NOTICE OF INHERITANCE TA X APPRAISEMENT, ALLOWANCE OR DISALLOWANC OF
DEDUCTIONS, AND ASSESSME NT OF TAX ON JOINTLY HELD OR TRUST ASSET
DATE: 0 -29-2010
ESTATE OF:ANTONICELLI HELEN DATE OF DEATH:O1-23-2010 OUNTY:CUMBERLAND
FILE NO.: S.S/D.C. NO.: 178-22-7772 ACN: 10109125
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 15 32-11
TYPE OF ACCOUNT: C SAVINGS ( ~ CHECKING C )TRUST C )TIME CERTIFIC TE
DATE ESTABLISHED 12-31-1979
Account Balance 12,536.08 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.166 YOUR ACCO NT, SUBMIT THE
Amount Subject to Tax 2,089.39 UPPER POR ION OF THIS NOTICE
Debts and Deductions - •00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 2,089.39 REGISTER F WILLS AT THE
Tax Rate Y •00 ABOVE ADD ESS•. MAKE CHECK
Tax Due •00 OR MONEY RDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-)
AMOUNT PAID
TOTAL TAX PAYMEN
BALANCE OF TAX D
INTEREST AND PEN
TOTAL DUE
* 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.
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