HomeMy WebLinkAbout05-17-10BUREAU OF INDIVIDUAL TAXES _. - , ~:' .~ ~'~~', `, NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION ~'': i"':::;,°:~~~ `-iA-PP~tAt'S'EMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 ~~ ~ OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 0 LY HELD OR TRUST ASSETS
~~
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PATRICIA A JANTE~~~~
5500 F GLOUCESTER ST
MECHANICSBURG PA 17055
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-09)
DATE 05-17-2Q10
ESTATE OF DREIBEL~IS MARY L
DATE OF DEATH 12-19-2 09
FILE NUMBER 21 10-O~i55
COUNTY CUMBERL/{-ND
SSN/DC 172-24- 180
ACN 1011868
APPEAL BY DATE:07-16-2010
(See reverse side under O jections)
Amount Remitted
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
MAKE CHECK PAYABLE ANDI REMIT PAYMENT T0:
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 ASSETS
DATE: 0~-17-2010
ESTATE OF:DREIBELBIS MARY L DATE OF DEATH:12-19-2009 COUNTY:CUMBERLAND
FILE NO.: 21 10-0455 S.S/D.C. NO.: 172-24-8180
ACN: 10118688
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MID PENN BANK ACCOUNT NO.: 104067
TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 03-06-2006
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
364.56
X 0.500
__ 182.28
- .00
182.28
Y .045
8.20
NOTE: TO ENSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER POR''TION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDIRESS. MAKE CHECK
OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-)
AMOUNT PAID
PAYMENT MUST BE MADE BY 09-20-2010*.
TOTAL TAX PAYMEN .00
BALANCE OF TAX D E 8.20
INTEREST AND PEN. .00
TOTAL DUE ' 8.20
* 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.