HomeMy WebLinkAbout05-07-10BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
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~~t ~~ r~~ j ~I,C~-. ~~ ~' INHERITANCE TAX
.AF4P,~A~S,.EME~T,~~ ALLOWANCE OR DISALLOWANCE
~'`.;~:+,(-~. U;C~Id~IS~. ~~AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
Z~~~ SAY -7 AM 11= 0~
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r' fQRPHAN`~ ~~RT
LINDA BERNHEIME~U~~~=~~-'~~~~~ ~~~~
1011 NORTH WEST STREET
CARLISLE PA 17013
p~ennsylvania ~
DEPARTMENT OF REVENUE
REY-1548 EX AFP C12-09)
DATE 05-10-200
ESTATE OF BERNHEIM~R MARTIN
DATE OF DEATH 03-10-200
FILE NUMBER 21 10-03148
COUNTY CUMBERLAND
SSN/DC 265-51-6656
ACN 101179271
APPEAL BY DATE:07-~9-2010
(See reverse side under OL 'ections)
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 ASSET$
DATE: 05-10-2010
ESTATE OF:BERNHEIMER
MARTIN
FILE NO.: 21 10-0348 S.S/D.C. NO.: 265-51-6656
COUNTY:CUMBERLAND
ACN: 10117927
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 116223-03
TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING ( )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 03-22-2007
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CRFiITTS
962.01 NOTE:
X 0.166
160.34
- .00
160.34
x .045
7.22
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 DRDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-)
AMOUNT PAID
04-02-2010 CD012562 .36 7.22
DATE OF DEATH:03-10-2010
TOTAL TAX PAYMEN 7.58
BALANCE OF TAX D E .36CR
INTEREST AND PEN. .00
TOTAL DUE .36CR
* 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. (~ 1n