HomeMy WebLinkAbout07-06-10BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO RW( 26B601
HARRISeuRS PA 17124-0601
MICHAEL WEAVER
107 HAIRE AVE
Pennsylvania ~~
~"`~r^~~~~,{ ITANCE TAX
:- DEPARTMENT OF REVENUE
/tP'P1~"A ~ ~ # ~ 6: OR DISALLOWANCH REV-1548 EX AFP C12-09)
OF ~~~~~~~SA" i .:. SESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
Zvi{O JUL `E? P~ 2' ~~TATE OF KELLER2010 INA M
DATE OF DEATH 12-09-2009
GL~RK QF FILE NUMBER 21 09-1175
COUNTY CUMBERLAND
~~ ~ ~~R~ SM/DC 175-10-7404
~~~F~i' ~d~~ ~~ - ~~CN 10103406
LEWISBURG PA 17837-9204
10, 531.66
X 1.000
10, 5.31.66
- .00
10, 5.31.66
Y .15
1, 579.75
CUT ALOMC THIS LINT ~"~ RETAIN LOWER PORTION FOR YOUR RECORDS ~'~'
REV-1546 EX AFP C_12-09)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 06-28-2010
__
ESTATE OF:KELLER
INA
M
DATE OF DEATH:12-09-2009 COUNTY:CUMBERLAND
FILE NO.: 21 09-1175 S.S/D.C. NO.: 175-10-7404
ACN: 1010340'6
TAX RETURN WASs CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PNC BANK NA ACCOUNT NO.: 000031400177692
TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING CX)TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 01-20-2000
Account Balance
Percent Taxable
Aaaount Subject to Tax
Debts and Deductions
Taxable Asount
Tax Rate
Tax Due
TAX CREDITS:
APPEAL BY DATE:08-27-2010
(See reverse state ender 4bf ect~ons)
Amount Rs~itted ~ -~
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
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 (-)
AMOUNT PAID
PAYMENT MUST BE MADE BY 09-10-2010*.
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 1,579.75
INTEREST AND PEN. .00
TOTAL DUE 1,579.75
* 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. ~/~