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HomeMy WebLinkAbout03-26-10BUREAU OF INDIVIDUAL TAXES,,, ,~ ,.~,.~,_,~ ,_ NOTICE OF INHERITANCE TAX INHERITANCE TAX DIVISION --.' ~ ~-' ' - - ~'P-~'R/k`~;SEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 .' F"~D~DUCTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 4 `, _-} ,- ~ ''. ' ~.` JOINTLY HELD OR TRUST ASSETS ~~ S D P 2~ F ~2~ 3 t ~; JOAN H~,~+~' `,~~1 _.~~;~T 454 BETHANY D~R~```~` -- ~ - `~~~ MECHANICSBURG PA 17050-7956 Pennsylvania ~ DEPARTMENT OF REVENUE REV-15G8 EX AFP C12-09) DATE 03-29-210 ESTATE OF HUGHES I HAYDN DATE OF DEATH 10-25-2 09 FILE NUMBER 21 10-0 07 COUNTY CUMBERL ND SSN/DC 169-09- 947 ACN 0917958.. APPEAL BY DATE:05 28-2010 (See reverse side under 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 DISALLOWAN E OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSE S DATE: 0 -29-2010 ESTATE OF:HUGHES HAYDN FILE NO.: 21 10-0207 S.S/D.C. NO.: 169-09-9947 COUNTY:CUMBERLAND ACN: 09179587 TAX RETURN WAS: CX1 ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PNC BANK NA ACCOUNT NO.: 00 005005567463 TYPE OF ACCOUNT: C )SAVINGS C ~ CHECKING C )TRUST C )TIME CERTIFIC TE DATE ESTABLISHED 09-15-2009 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAV /`DCIITTC. 44,421.03 X 0.500 22,210.52 - .00 22,210.52 y .00 .00 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." 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. DATE OF DEATH:10-25-2009 .00 .00 .00 .00