HomeMy WebLinkAbout05-17-10_~ ~, ~~~dd Pennsylvania ~
BUREAU OF INDIVIDUAL TAXES i'~'__ } !; } ~ , ,?"~ r'I OF INHERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ~~~ ~ ~ ,APB-RAGS h1~M~~, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 ~ ~.-~~~ s,;(~~~'~D~IUC~~~-dN$, AND ASSESSMENT OF TAX ON REV-1548 EX AFP C12-09)
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
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SUSAN E WILLIARI~~.r!" `-- - '~-- ~ ~'-' ~~ - `
501 COUNTRY CLUB RD
CAMP HILL PA 17011
DATE 05-17-2810
ESTATE OF URBAN CHARLOTTE
DATE OF DEATH 12-11-2009
FILE NUMBER 21 10-0 71
COUNTY CUMBERL ND
SSN/DC 196-14-961
ACN 1011646
APPEAL BY DATE:07-116-2010
(See reverse side under O~ijections)
Amount Remitted
MAKE CHECK PAYABLE ANDI 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 DISALLOWANCIE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETIS
DATE: 0~-17-2010
ESTATE OF:URBAN CHARLOTTE DATE OF DEATH:12-11-2009 COUNTY:CUMBERLAND
FILE NO.: 21 10-0171 S.S/D.C. NO.: 196-14-0961
ACN: 10116467
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: METRO BANK ACCOUNT NO.: 5 3 200098
TYPE OF ACCOUNT: C )SAVINGS C)0 CHECKING C )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 08-25-2008
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
132.10
X 0.500
66.05
- .00
66.05
Y .045
2.97
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 ADD'~RESS. MAKE CHECK
OR MONEY .ORDER PAYABLE T0:
"REGISTER' OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-)
AMOUNT PAID
04-05-2010 CD012577 .00 2.97
TOTAL TAX PAYMEN 2.97
BALANCE OF TAX D E .00
INTEREST AND PEN. .00
TOTAL DUE .00
* 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.