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HomeMy WebLinkAbout05-21-10_ BUREAU OF INDIVIDUAL TAXES ,. ~ - ,,= ,~ NOTICE OF INHERITANCE TAX Pennsylvania DEPARTMENT OF REVENUE ~ INHERITANCE TAX DIVISION .:i! _ /,,~WRAiSEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-09) HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS `~'~' ~r~~ ~ j t ~'~ r~' ~ ~ 05 24 2010 ELI CICO JR 60 NORTHVIEW DR MECHANICSBURG PA 17050 DATE - - ESTATE OF CICO EVA DATE OF DEATH 08-22-2009 FILE NUMBER 21 09-1077 COUNTY CUMBERLAND SSN/DC 184-36-6674 ACN 09167921 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 (12-09) 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:CICO EVA DATE OF DEATH:08-22-2009 COUNTY:CUMBERLAND FILE NO.: 21 09-1077 S.S/D.C. NO.: 184-36-6674 ACN: 09167921 TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: M 8~ T BANK ACCOUNT NO.: 31003913913933 TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING ( )TRUST CX)TIME CERTIFICATE DATE ESTABLISHED 12-12-1998 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 3,917.42 NOTE: X 0.500 1,958.71 - .00 1,958.71 x .045 88.14 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 C-) AMOUNT PAID 11-19-2009 CD012006 4.41 88.14 TOTAL TAX PAYMENT 92.55 BALANCE OF TAX DUE 4.41CR INTEREST AND PEN. .00 TOTAL DUE 4.41CR ~ 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