HomeMy WebLinkAbout05-07-10~`" ~''~)~~ ~~ ~~~~~~ CE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES "?'_~ ~ j ,{ t, f
INHERITANCE TAX DIVISION .. ~. ;,A~Pf~ ~ NT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 C'..~~t~ty' ~ ~~0~;~_ ~TjIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
CQ1~ MAY -7 AMID 0~.
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LAUR I E EVANB~~~..~l~`~~ ~'~~:.
872 RIDGE ROAD
CARLISLE PA 17015
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 EX AFP C12-09)
DATE 05-10-2010
ESTATE OF EVANS EVELYN M
DATE OF DEATH 03-09-2x10
FILE NUMBER 21 10-0277
COUNTY CUMBERLAND
SSN/DC 199-30- 157
ACN 1011717d~
APPEAL BY DATE:07-09-2010
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
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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: 0~-10-2010
ESTATE OF:EVANS EVELYN M DATE OF DEATH:03-09-2010
FILE NO.: 21 10-0277 S.S/D.C. NO.: 199-30-5157
ACN: 10117176
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.:
171166-11
TYPE OF ACCOUNT: C )SAVINGS (X) CHECKING ( )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 10-01-1997
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
2,070.31
X 0.166
345.06
- .00
345.06
x .045
15.53
NOTE: 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."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-)
AMOUNT PAID
04-01-2010 CD012561 .78 15.53
TOTAL TAX PAYMENt 16.31
BALANCE OF TAX D E .78CR
INTEREST AND PEN'S .00
TOTAL DUE ' .78CR
COUNTY:CUMBERLAND
* 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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