HomeMy WebLinkAbout06-04-10~, ~. ~^~
~~ ~ ~~
BUREAU OF INDIVIDUAL TAXES ~'_..~~~~~ ~~?`i~`~~F INF~ERITANCE TAX
INHERITANCE TAX DIVISION ~~~~. ;,E ~~ ALLOWANCE. OR DISALLOWANCE
PO StD( 280601 t~ ~~~C~1§~, 'AND ASSESSMENT OF TAX ON
HARRISDURC PA 17128-0601 ~ JOINTLY HELD OR TRUST ASSETS
penns~lv~nia
DEPARTMENT OF REVENUE
REV-1548 EX AFP C12-09)
~~.{Q -~1 AM `~• ~;~. DATE 06-08-2010
ESTATE OF PUSEY JOHN
DATE OF DEATH 12-14-2009
FILE NUMBER 21 10-0505
COUNTY CUMBERLAND
Q~ SSN/DC 1b2-09-9826
CLAIRE M LYTER `'""~" ACN 10122541
658 COLONIAL V I EW RO/~D ~' ~ ' '~ ~ ~ APPEAL BY DATE : 0`8 - 07 - 2010
MECHANI CSBURG PA 17055 (Sege reverse side uxd~er Obj~ct~a~s)
A~ount Re~tt•d ~~ -~
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
H
CUT ALONC THIS LINE ~ RETAIN LOWER PORTION FOR YOUR' RECORDS ~
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REV-154a EX AFP Ci2-09)
NOTICE OF INHERITANCE TAX APPRALSEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIO~iS, AND ASSESSM£'NT OF TAX ON JOINTLY HELD OR TRUST ASSETS
~~ ,~_,_._~., ._., DATE :~~:~;~ 10
~_..~._
ESTATE OF:PUSEY JOHN H DATE OF DEATH:12-14-20.09
FILE NO.: 21 10-0505 S.S/D.C. NO.: 1b2-09-9826
COUNTY:C'UMBERLAND
ACN: 10122541
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 5495-DO
TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING C )TRUST C )TI'ME CERTIFICATE
DATE ESTABLISHED 03-27-1961
Account Balance
Percent Taxable
Aaount Subject to Tax
Debts and Deductions
Taxable Aaount
Tax Rate
Tax Due
TAX CREDITS:
33,842.12
X O.lb6
,5., 640.47
- .00
5,640.47
Y .045
253.82
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 C+)
INTEREST/PEN PAID C-) AMOUNT PAID
PAYMENT MUST BE MADE BY 09-15-2010*.
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 253.82
INTEREST AND PEN. .00
TOTAL DUE 253.82
* IF PAID AFTER THIS DATE, SfE 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.