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HomeMy WebLinkAbout05-28-101 Na'TI~E_ dK•'+INHERITANCE TAX BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION /CPPRAISEM~A~~, ,A~,LOWANCE OR DISALLOWANCE PO BOX 280601 `~OF~b~DUCii'IdW3;~ AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS Pennsylvania ~ DEPARTMENT OF REVENUE REV-1548 EX AFP C12-09) ~~i~ ~~~ ~$ P ~: ~ ~ DATE 05-31-2010 C~.ERK ~t~ QRPH~N'S ~ ~t~RT NAHTALIE JOLLIFF ~~~i~E~1~_?~~$1~~ ~~1' ~~~ 1201 DICKINSON DR CARLISLE PA 17013 ESTATE OF JOLLIFF ROBERT DATE OF DEATH 09-09-2009 FILE NUMBER 21 09-1092 COUNTY CUMBERLAND SSN/DC 514-09-6541 ACN 10114118 APPEAL BY DATE:07-30-2010 (See reverse side under Objections) Amount Remitted --~ MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SgUARE CARLISLE PA 17013 C 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: 05-31-2010 ESTATE OF:JOLLIFF ROBERT FILE NO.: 21 09-1092 S.S/D.C. NO.: 514-09-6541 COUNTY:CUMBERLAND ACN: 10114118 TAX RETURN WAS: tX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: BANK OF AMERICA NA ACCOUNT NO.: 007473208063 TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING C )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 01-01-1951 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAY f RGTITTC 2,617.92 NOTE: X 0.166 436.33 - .00 436.33 Y .15 65.45 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 C+) INTEREST/PEN PAID C-) AMOUNT PAID 05-03-2010 CD012702 .00 65.45 C DATE OF DEATH:09-09-2009 TOTAL TAX PAYMENT 65.45 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" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.