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HomeMy WebLinkAbout05-21-10--,-~ -- ~ ,~- Pennsylvania ~ '~'TVOYICE OF INHERITANCE TAX BUREAU OF INDIVIDUAL TAXES ~ DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION * AIPP.RAIsSEMENTr ALLOWANCE OR DISALLOWANCE ! ~_ ., _ •._ REV-1548 EX AFP C12-09) PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS ~~#~ ~~~ ~ ~ ~+'~ ~~' ~ ~' DATE 05-24-2010 r-~i~ r,~ G~'~ _ ~.~t~ OAP'-~, , •~~ ~ l •~ s p r "? ~, - _ _ r.~ DARRYE W CUNNINGHAM 1916 ALGONQUIN TRAIL WILLIAMSBURG VA 23185 ESTATE OF CUNNINGHAM PHYLLIS W DATE OF DEATH 04-29-2009 FILE NUMBER 21 09-0478 COUNTY CUMBERLAND SSN/DC 213-24-7785 ACN 09139314 APPEAL BY DATE:07-23-2010 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT 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: 05-24-2010 ESTATE OF:CUNNINGHAM PHYLLIS W DATE OF DEATH:04-29-2009 FILE NO.: 21 09-0478 S.S/D.C. NO.: 213-24-7785 ACN: 09139314 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: ORRSTOWN BANK TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 08-07-2001 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 382.65 X 0.500 191.33 - .00 191.33 Y .15 28.70 ACCOUNT NO.: 106002157 NOTE: TO ENSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE T0: "REGISTER OF WILLS, AGENT." PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID INTEREST IS CHARGED THROUGH 06-01-2010 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE 28.70 INTEREST AND PEN. .39 TOTAL DUE 29.09 COUNTY:CUMBERLAND ^ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIDNAL INTEREST. ~ IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ~~`~~1