HomeMy WebLinkAbout03-26-10~'~` a 11^::~NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAX~,~ `.:" ''.' ~ A~PpRdISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION _ ,~
PO BOX 280601 aF_!D~DUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 " "`~'' ' `{JOINTLY HELD OR TRUST ASSETS
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LARRY BI ~~~ ~``~ :% `~''~~~}~ ;~',
217 E GARFIELD ST
SHIPPENSBURG PA 17257-2001
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 EX AFP C12-09)
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
INA M
MAKE CHECK PAYABLE ANDIREMIT PAYMENT T0:
DATE 03-29-20''10
ESTATE OF KELLER
DATE OF DEATH 12-09-2 09
FILE NUMBER 21 09-11175
COUNTY CUMBERL ~ND
SSN/DC 175-10- x+04
ACN 1010340
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:KELLER INA M DATE OF DEATH:12-09-2009 IOUNTY:CUMBERLAND
FILE NO.: 21 09-1175 S.S/D.C. NO.: 175-10-7404 ACN: 10103405
TAX RETURN WAS: CX1 ACCEPTED AS FILED C ~ CHANGED
JOINT OR TRUST ASSES INFORMATION
FINANCIAL INSTITUTION: PNC BANK NA ACCOUNT NO.: 00 031400255537
TYPE OF ACCOUNT: C )SAVINGS C ~ CHECKING CX)TRUST C TIME CERTIFIC TE
DATE ESTABLISHED 02-01-2005
Account Balance 10,518.81 NOTE: TO ENSURE 'IPROPER CREDIT TO
Percent Taxable X 1.000 YOUR ACCO NT, SUBMIT THE
Amount Subject to Tax 10,518.81 UPPER POR ION OF THIS NOTICE
Debts and Deductions - •00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 10,518.81 REGISTER F WILLS AT THE
Tax Rate Y •15 ABOVE ADD ESS. MAKE CHECK
Tax Due 1,577.82 OR MONEY RDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-)
AMOUNT PAID
02-16-2010 CD012354 78.89 1,498.93
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.
1,577.82
.00
.00
.00
rM^
BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION ! ''~ ,+,AFP ; ISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 ~ ~~ EDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 V, . ~ ~ ` ~ ~ `: JOINTLY HELD OR TRUST ASSETS
~Q ~~ ~~ P~ 12= 3?
~ -„, ,~-
~.,! -`'~
~,~~~ z~~re.
JEAN ~ ~'~'~:; ~ ..-~,~f~T
1145 PHEASANT' ai~E- N`'- ." '' .
CARLISLE PA 17013-1252
Pennsylvania ~
.DEPARTMENT OF REVENUE
i REV-Li48 EX AFP (12-09)
REGISTER OF WILLS
1 COURTHOUSE SQUARE III
CARLISLE PA 17013
INA M
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
DATE 03-29-200
ESTATE OF KELLER
DATE OF DEATH 12-09-20p9
FILE NUMBER 21 09-115
COUNTY CUMBERL D
SSN/DC 175-10-7 04
ACN 10103407
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 DISALLOWANCI OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSET
DATE: 0 -29-2010
ESTATE OF:KELLER INA M DATE OF DEATH:12-09-2009 OUNTY:CUMBERLAND
FILE NO.: 21 09-1175 S.S/D.C. NO.: 175-10-7404 I, ACN: 10103407
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PNC BANK NA ACCOUNT NO.: 00 031800163927
TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING CX)TRUST C )TIME CERTIFIC TE
DATE ESTABLISHED 09-02-1999
Account Balance 10,646.16 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 1.000 YOUR ACCO NT, SUBMIT THE
Amount Subject to Tax 10,646.16 UPPER POR ION OF THIS NOTICE
Debts and Deductions - •00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 10,646.16 REGISTER F WILLS AT THE
Tax Rate Y •15 ABOVE ADD ESS. MAKE CHECK
Tax Due 1,596.92 OR MONEY RDER PAYABLE T0:
"REGISTER , OF WILLS, AGENT."
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID ICI
I
03-01-2010 CD012410 79.85 1,517.07 '
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.
1,596.92
.00
.00
.00
f ~ {~ ~,,.
1 J `~