HomeMy WebLinkAbout05-07-10 (4)BUREAU OF INDIVIDUAL TAXES ~~ ~ ~.y1""!,,.~~1,~, ~`~~~ jt~iVC~E OF INHERITANCE TAX
INHERITANCE TAX DIVISION "4 ", r ~-A~P~R(hlj~~R1~ENT, ALLOWANCE OR DISALLOWANCE
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HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
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CARLISLE PA 17015
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DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-09)
DATE 05-10-2010
ESTATE OF EVANS EVELYN M
DATE OF DEATH 03-09-2010
FILE NUMBER 21 10-0277
COUNTY CUMBERLAND
SSN/DC 199-30-5157
ACN 10117175
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 F"'
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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 COUNTY:CUMBERLAND
FILE NO.: 21 10-0277 S.S/D.C. NO.: 199-30-5157 ACN: 10117175
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 171166-00
TYPE OF ACCOUNT: (XI SAVINGS C ) CHECKING ( )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 10-01-1997
Account Balance 1,507.03 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.166 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 251.18 UPPER PORTION OF THIS NOTICE
Debts and Deductions - •00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 251.18 REGISTER OF WILLS AT THE
Tax Rate Y •15 ABOVE ADDRESS. MAKE CHECK
Tax Due 37.68 OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-)
AMOUNT PAID
04-09-2010 CD012600 1.88 37.68
TOTAL TAX PAYMENT' 39.56
BALANCE OF TAX DUE 1.88CR
INTEREST AND PEN'. .00
TOTAL DUE 1.88CR
* 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. „ n