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HomeMy WebLinkAbout05-17-10 (2)- ~£.. •, BUREAU OF INDIVIDUAL TAXES -~ L`~'~ OF INHERITANCE TAX INHERITANCE TAX DIVISION w s~~'PPR,AI~,9~MENaT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 °'~~~'~~" `flF 'HEDEJ(1~~tYNS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS 2~~0 ~~~ ~ ~' P~? 2~ 3~ C~.~~~C ~,FF Q~~N~,~~'~ ~~{~U~T LISA D SOUD 4802 WATER OAK COURT PALM BEACH GARD FL 33410 Pennsylvania ~ DEPARTMENT OF REVENUE REV-1548 EX AFP C12-09) DATE 05-17-2p10 ESTATE OF TOOZE ALBERT DATE OF DEATH 02-06-2109 FILE NUMBER 21 09-004 COUNTY CUMBERL~}1ND SSN/DC 148-34-1710 ACN 0913668. APPEAL BY DATE:07rt16-2010 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AN REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SgUARE 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 DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSE S DATE: 0~-17-2010 ESTATE OF:TOOZE ALBERT DATE OF DEATH:02-06-2009 COUNTY:CUMBERLAND FILE NO.: 21 09-0604 S.S/D.C. NO.: 148-34-1710 ACN: 09136681 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: WACHOVIA BK NA ACCOUNT NO.: 3000098654287 TYPE OF ACCOUNT: C ~ SAVINGS C ) CHECKING C )TRUST C )TIME CERTIFIbATE DATE ESTABLISHED 09-14-2007 Account Balance 1,002.04 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.166 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 167.01 UPPER POF~TION OF THIS NOTICE Debts and Deductions - •00 WITH YOURI TAX PAYMENT TO THE Taxable Amount 167.01 REGISTER''OF WILLS AT THE Tax Rate Y .15 ABOVE ADgRESS. MAKE CHECK Tax Due 25.05 OR MONEY'-0 RDER PAYABLE T0: "REGISTERS OF WILLS, AGENT." TAX CREDITS: PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID INTEREST IS CHARGED THROUGH 05-25-2010 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM TOTAL TAX PAYMENT .00 BALANCE OF TAX UE 25.05 INTEREST AND PEN. .59 TOTAL DUE ' 25.64 * 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. ~'~~'~~