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~'~ `~~~`~`~~`'-~~ ~''+~1~~~ OF~ INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ~~ { ~.'~-~ ~ ' ~` DEPARTMENT OF REVENUE
'`' ~' ,~.,~. R I ~ltx, ALLOWANCE OR DISALLOWANCE
IN~RITANCE TAX DIVISION ~ t~ ~' ~-~F REY-1548 EX AFP C12-09)
PO 80X 280601 i i:~A"„a ~ OFk ~BDI~ !lI~IS - kNiD Il3S~SS~hENT OF T1~C t~N
HARRISdUR6 PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
~~'fl J~~ _~ P~ ~,: ~~ DATE 06-28-2010
ESTATE OF MAILEY ROBERT N
DATE OF DEATH 04-19-2010
~ER~ ~~ FILE NUMBER 21 10-0539
~„~$ ~~R~ COUNTY CUMBERLAND
' ~ SSN/DC 174-20-1659
MARLENE M DOBSON Ct~'~~ ~~~~~ ~~ ' P~' ACN 10125b82
413 DEERFIELD RD APPEAL BY DATEs08-27-2010
CAMP H I L L PA 17 011 (See re--e~se side under Ubfons)
Anount Rrnfttad
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 d"'
REV-154a 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: 06-28-2010
ESTATE OF:MAILEY
ROBERT
N DATE OF DEATH:04-19-201! COUNTY:CUMBERLAND
FILE NO.: 21 10-0539 S.S/D.C. NO.: 174-20-1659 ACN: 10125682
TAX RETURN WAS: CX} ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
TYPE OF ACCOUNT: C ~ SAVINGS C ) CHECKING C )TRUST
DATE ESTABLISHED 03-09-1988
Account Balance
Percent Taxable
AAOUnt Subject to Tax
Debts and Deductions
Taxable ABSOUnt
Tax Rate
Tax Due
621.33
X ,0.1_66 ,
103.56
- .00
103.5b
Y .045
4.66
TAY PDCi1TTC.
I NFOR~IAT I ON
ACCOUNT ND.: 100727-00
C )TIME CERTIFICATE
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
05-28-2010 CD012834 .23 4.66
TOTAL TAX PAYMENT 4.89'.
BALANCE OF TAX DUE .2~CR
INTEREST AND PEN. .OOI
TOTAL DUE .23ICR
* 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.