HomeMy WebLinkAbout06-04-10~. ~ ~~rr~yl~
'~,'"~ F INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ~M~~.°~, ~~'~ pEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ,'~~" _ ALLOWANCE OR DISALLOWANCE REV-1548 EX AFP C12-09)
PO dOD( 280181 ~C~t~ , AND ASSESSMENT OF TAX ON
4YIRRISelNt6 PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
~~~~ " ~~ ~~ ~ ~ 3 ~~ ESTATE OF ANCHEFFO 10 AGNES S
MARY L SNYDER
Y
106 S ENOLA DR -- s
. A .,
ENOLA PA 17025
CUT ALONG THIS LINE ~"'H RETAIN LOWER PORTION FOR YOURR RECORDS 4"'
--~..---~-~------ - -~ --~--..~-s-----~~---r-~--------- r-..------~•---------------------
REV-134A EX AI:P C12-09)
NOTIDE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDIJCTI'ONS, AMID ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: Ob-0'8-20:1.0
~._.
ESTATE OF:ANCHEFF AGNES S DATE OF DEATH:03-23-2010 COUNTY:CUMBERLAND
FILE NO.: 21 10-0480 S.S/D.C. NO.: 211-22-6918
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
DATE OF DEATH 03-23-2010
FILE NUMBER 21 10.0480
COUNTY CUMBERLAND
SSN/DC 211-22-6918
ACN 10122543
APPEAL BY DATEs08-07-2010
(See reverse side under 4Lk,~ecte~ri»s)
Amount R®sitt®d ~ -~
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGIST,~R OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
ACN: 10122543
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SUSQUEHANNA BANK ACCOUNT NO.: 10005628457
TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 08-29-2008
Account Balance
Porc®nt Taxable
Amount Subject to Tax
Debts and Deductions
Taxabl® Aa~ount
Tax Rate
Tax Duo
2,039.86
X 0.500
1,019._
- .00
1,19_ 93
Y .15
152.99
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."
Tear recnsTC.
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
PAYMENT MUST BE MADE BY 12-24-2010*.
TOTAL TAX PAYMENT .00
BALANCE OF TAX D1E 152.99
INTEREST AND PEN. .00
TOTAL DUE 152.99
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR). YOU NAY HE DUE A REFUND. ~~,,~(~ '
SEE REVERSE SIDE OF THIS fORM FOR INSTRUCTIONS. 1`V "'