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HomeMy WebLinkAbout05-17-10 (2) ~.~,~...~.__~~ ~ r..: t.. ~~ Pennsylvania ~E T NOT~£ 0~'; Ij~41~~~~~4JI~l ~ ~ BUREAU OF INDIVIDUAL TAXES y , DEPARTMENT OF REVENUE APPRAISEMENT, AL~,O~MI/4NCE' QRnDI(SALLOWANCE INHERITANCE TAX DIVISION # t.. ~~+ REV-1548 EX AFP C12-09) ~~~SS~1~t~'JOF TAX ON E t PO BOX 280601 OF DEDUCTION w,. ,~ ~ HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS ~; ~~ 05-17-20110 ~~~~ '~ ~ 7D E dTE OF GIBB MICHAEL S DATE OF DEATH 12-05-2 09 ~~~~'~E NUMBER 21 10 - 0 77 ~~~~,~~e-~P~ CUMBERL 187 - 38 - a+,:; ~, , ND 486 . . ~ L -~' ~ ~ BOYD GIBB 0917999 A 1 319 JUNIPER STREET APPEAL BY DATE:07- 16-2010 CARL I SL E PA 17 013 (See reverse side under O jections) Amount Remitted MAKE CHECK PAYABLE ANDI REMIT PAYMENT T 0: 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:GIBB MICHAEL OUNTY:CUMBERLAND FILE NO.: 21 10-0377 S•~ TAX RETURN WAS: CX) FINANCIAL INSTITUTION: MEMBERS TYPE OF ACCOUNT: C )SAVINGS DATE ESTABLISHED 05-05-2008 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 5/D.C. NO.: 187-38-0486 ACN: 09179995 i ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION 1ST FCU ACCOUNT NO.: 3567--12 C ) CHECKING C )TRUST C ~ TIME CERTIFICATE 1,135.48 NOTE: X 0.500 567.74 - .00 567.74 Y .045 25.55 TO ENSUR PROPER CREDIT TO YOUR ACC UNT, SUBMIT THE UPPER PO TION OF THIS NOTICE WITH YOU TAX PAYMENT TO THE REGISTER''OF WILLS AT THE ABOVE ADbRESS. MAKE CHECK OR MONEY 'ORDER PAYABLE T0: "REGISTER OF WILLS, AGENT." PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID (-) AMOUNT PAID 04-08-2010 CD012593 .00 25.55] DATE OF DEATH:12-05-2009 TOTAL TAX PAYME T 25.55 BALANCE OF TAX UE .00 INTEREST AND PE .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.