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HomeMy WebLinkAbout07-06-10BUREAU OF INDIVIDUAL TAXES ~i ~~~~ ..~~ ' '~-' ~~-+~ OF INHERITANCE TAX INHERITANCE TAX DIVISION .-., n:~ ~' ~~~~'- ALLOWANCE OR DISALLOWANCE PO 80X 288f®1 s~~~~#,?0~~'r11U1: ` bk5, AND AssESSMENT OF TAX ON HARRIS8UR6 PA 17128-0691 JOINTLY HELD OR TRUST ASSETS pennsyl~n DEPARTMENT OF REVENUE REV-154x8 EX AFP (12-09) ~~~4 `~u~" ~~ PM Z, ~ $ ESTATE OF SMITH-2010 RODNEY DATE OF DEATH 03-28-2009 ~{K 1~~ ~~ FILE NUMBEt 21 09-0352 ~~~} COUNTY CUMBERLAND JEAN K SMITH ~~~~~~=~~ ~'~' ~~' SSN/DC 172-40-8130 ACN 09151329 900 DIETZ RD APPEAL BY DATE:09-03-2010 YORK PA 174 0 2 (See reverse side under Ob, jec~lions) Awount Rswitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 J CUT ALONC TNIS LINE ~"', RETAIN LOWER PORTION FOR YOUR RECORDS ~ -- --------------------------------------------------------------------------- REV-1548 EX AFP C12-09) NOTICE OF IN#tERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR Ttt#~ST ASSETS ~_ATEs 07-,x-2010 .. ._~_, ESTATE OF:SMITH RODMEY J DATE OF DEATH:03-28-2009 COUNTY:CUMBERL,AND FILE NO.: 21 09-07152 S.S/D.C. NO.: 172-40-8130 ACN: 09151329 TAX RETURN WAS: tX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT NO.: 0781079624 TYPE OF ACCOUNT: C )SAVINGS C)0 CHECKING C )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 03-16-2009 Account Balance Percent Taxable Awount Subject to Tax Debts and Deductions Taxable Awount Tax Rate Tax Due TAX CREDITS: .00 X 0.500 .00 - .00 .00 Y .045 .00 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 TOTAL TAX PAYMENT .00 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•' CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. rn