HomeMy WebLinkAbout05-17-10 (2)~r Pennsylvania ~
BUREAU OF INDIVIDUAL TAXES e?~+t~`~ t= i~ p~~l'Q~~~f'n,~(tIhIHERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ~kPP~12Acf~S~M~N7rj.~l.pWANCE OR DISALLOWANCE
REV-1548 EX AFP C12-09)
PO BOX 280601 ~~{-17~~ki~T~~N$`j~..gNp ASSESSMENT OF TAX ON
HARRISBURG PA 1~12B-0601 JOINTLY HELD OR TRUST ASSETS
~~~~ ~~~ ~ ~ ~~ ~~ 3~ ESTATE OF URBAN-2U10 CHARLOTTE
DATE OF DEATH 12-11-209
C~~~~ (1r FILE NUMBER 21 10-0 71
~1~~~,~'~~`~ ~#~t~~T COUNTY CUMBERL ND
SSN/DC 196-14- 961
SUSAN E WILLIARD ~~~,~~` ~' a` .: !~~~ ~ ~~~
(;~„1 ~ ACN 1011646
501 COUNTRY CLUB RD APPEAL BY DATE:07-16-2010
CAMP H I L L PA 17 011 (See reverse side under O jections)
Amount Remitted
MAKE CHECK PAYABLE AND'IREMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
-------------------------------------------------------------------------------------------
REV-1548 EX AFP C12-09)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 0$-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: 10116468
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: METRO BANK
ACCOUNT NO.: 535041197
TYPE OF ACCOUNT: C )SAVINGS C ~ CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 05-13-2002
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
7,295.26
X 0.500
3,647.63
- .00
3,647.63
Y .045
164.14
NOTE: TO ENSURE'PROPER CREDIT TO
YOUR ACCOIUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER i0F WILLS AT THE
ABOVE ADDIRESS. MAKE CHECK
OR MONEY (ORDER PAYABLE T0:
"REGISTER'.. OF WILLS, AGENT."
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-)
AMOUNT PAID
04-05-2010 CD012577 .00 164.14'
i
TOTAL TAX PAYMEN 164.14
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.
~~ ~~