HomeMy WebLinkAbout05-17-10 ~- , , ~~ ~,: y~ ~~~ ~~~~~ Pennsylvania ~
BUREAU OF INDIVIDUAL TAXES "F~` '~` '' N~~l,C~ ~OF. INHERITANCE TAX
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SE'Y
ALLOWANCE OR DISALLOWANCE
" DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION
PO Box 2BO6o1 ,
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1 ~'`~"~E~SUCTiONS, AND ASSESSMENT OF TAX ON REV-154B Ex AFP ciz-o9)
HARRISBURG PA 1~12a-o6o1 JOINTLY HELD OR TRUST ASSETS
~~~ ~~~ ~ ~ ~ ~~ ~~ DATE 05-1 7-21010
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BOYD GIBB
319 JUNIPER STREET
CARLISLE PA 17013
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
MAKE CHECK PAYABLE AN REMIT PAYMENT T0:
ESTATE OF GIBB MICHAEL
DATE OF DEATH 12-05-2 09
FILE NUMBER 21 10-0 77
COUNTY CUMBERL ND
SSN/DC 187-38-10486
ACN 0917999+
APPEAL BY DATE:07+-16-2010
(See reverse side under bjectinns)
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 DISALLOWAN4E OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSET'S
DATE: O5-17-2010
ESTATE OF:GIBB MICHAEL DATE OF DEATH:12-05-2009 COUNTY:CUMBERLAND
FILE NO.: 21 10-0377 S.S/D.C. NO.: 187-38-0486 ACN: 09179994
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
"
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 3567-50
TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING C )TRUST CX)TIME CERTIFICATE
DATE ESTABLISHED 02-03-2006
Account Balance 1,154.67 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 577.34 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 577.34 REGISTER OF WILLS AT THE
Tax Rate Y .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 25.98 OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-)
AMOUNT PAID
04-08-2010 CD012593 .00 25.98'
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TOTAL TAX PAYMENT 25.98
BALANCE OF TAX DUE .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. (\~\1
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