HomeMy WebLinkAbout07-09-10
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Pennsylvania
INHERITANCE TAX
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BUREAU OF INDIVIDUAL TAXES 1
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DEPARTMENT OF REVENUE
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T, ALLOWANCE OR DISALLOWANCE
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48 EX AFP C12-09)
INHERITANCE TAX DIVISION ,,
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REV-15
AND ASSESSMENT OF TAX ON
' '`` ` -' ' U ~S~DUCTIDNS
PO BoX 280601 ,
HARRISBURG PA 17128-0601 JOINTLY HEL D OR TRUST ASSETS
~~~~ ~U~ -9 P~ 12~ ~4~ DATE 07- 13-2010
ESTATE OF COX MARY A
DATE OF DEATH 08-04-2009
C~~~~.~~ FILE NUMBER 21 09-0819
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~`~ Cr'~~.~RT COUNTY CUMBERLAND
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DENNIS COX ACN 09152341
60 DERBYSHIRE DR APPEAL BY DATE:09-11-2010
C A R L I S L E P A 17 015 (See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T 0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS F""
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REV-1548 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: 07-13-2010
ESTATE OF:COX
MARY
COUNTY:CUMBERLAND
FILE NO.: 21 09-0819 S.SlD.C. NO.: 071-44-99b6 ACN: 09152341
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 53085-00
TYPE OF ACCOUNT: C ~ SAVINGS C ) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 04-27-1978
Account Balance 511.84 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.166 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 85.31 UPPER PORTION OF THIS NOTICE
Debts and Deductions - •00 WITH YOUR TAX. PAYMENT TO THE
Taxable Amount 85.31 REGISTER OF WILLS AT THE
Tax Rate x .00 ABOVE ADDRESS. MAKE CHECK
Tax Due •00 OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
TAY f RFTITTC
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-) AMOUNT PAID
A DATE OF DEATH:08-04-2009
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. --~w,~ ,i~
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