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HomeMy WebLinkAbout05-17-10~.~~~~~ ~-r, ,.~~~,t~ ~~~iit~t Pennsylvania ~ BUREAU OF INDIVIDUAL TAXES ~ _ r ~~~'.~.- `..: ` i Ili .OF INHERITANCE TAX DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION _ :'° `'Af'PR7k~,.~:S~LM~N~', ALLOWANCE OR DISALLOWANCE PO BOX 280601 :L~ `--~ ~ 'D~''DUCTrYbN'S, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-09) HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS ~~~~ ~ ~ ~ P~ ~~ 3~ DATE 05- 17-210 C~C~t\ ~r ~~~~"~"~~ r,~~ ~~T i"~ v j~t ,ti .i ! 1 THOMAS A DEBELLO ~'~"° 26 WHITE OAK BLVD MECHANICSBURG PA 17050-7939 REGISTER OF WILLS ~' 1 COURTHOUSE SQUARE CARLISLE PA 17013 MAKE CHECK PAYABLE AN REMIT PAYMENT T0: ESTATE OF DEBELLO', ANTHONY J DATE OF DEATH 03-10-2 10 FILE NUMBER 21 10-0 72 COUNTY CUMBERL ND SSN/DC 128-16- 989 ACN 1012051 APPEAL BY DATE:07 16-2010 (See reverse side under O jections) Amount Remitted CUT ALONG THIS LINE '~'~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV-1548 EX AFP C12-09)-------------------------------------------------------------------- NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWAN E OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSEI~S DATE: 0~-17-2010 ESTATE OF:DEBELLO ANTHONY J DATE OF DEATH:03-10-2010 'COUNTY:CUMBERLAND FILE NO.: 21 10-0272 S.S/D.C. NO.: 128-16-0989 ACN: 10120519 TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PNC BANK NA ACCOUNT NO.: 001005130176218 TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING ( )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 01-25-2008 Account Balance 13,804.25 NOTE: TO ENSURE' PROPER CREDIT TO Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 6,902.13 UPPER POR'~TION OF THIS NOTICE Debts and Deductions - .00 WITH YOUR! TAX PAYMENT TO THE Taxable Amount 6,902.13 REGISTER OF WILLS AT THE Tax Rate Y .045 ABOVE ADDIRESS. MAKE CHECK Tax Due 310.60 OR MONEY ''ORDER PAYABLE T0: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID i ~~ I ~i PAYMENT MUST BE MADE BY 12-11-2010*. TOTAL TAX PAYMENT .00 BALANCE OF TAX D E 310.60 INTEREST AND PEN. .00 TOTAL DUE 310.60 I ~~ * 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.