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HomeMy WebLinkAbout07-30-10BUREAU OF INDIVIDUAL TAXES ^`' '-!+j NOTICE OF INHERITANCE TAX 1~ ACP~2AISEMENT, ALLOWANCE OR DISALLOWANCE INHERITANCE TAX DIVISION _ PO BOX 280601 ,. , ;- ~ 0~'~DEDUCTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS .-, ,, ~ ~,e l~. ~j Lt 1! '~ b- ~ ~~ ~~}~ l~ ~~ r~~ r~~ ~~ ~~.1 I.V w~ ~ _. RUTH D`-~ARCKLEY 41 LENWOOD PARK SHIPPENSBURG PA 17257 pennsylvania~ ~• DEPARTMENT OF REVENUE REV-1548 EX AFP (12-09) DATE 08-02-2010 ESTATE OF YOHN THELMA A DATE OF DEATH 07-04-2009 FILE NUMBER 21 09-0925 COUNTY CUMBERLAND SSN/DC 199-03-7604 ACN 09155548 APPEAL BY DATE:10-O1-2010 (See reverse side under Objections) Amount Remitted 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 ~ 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: 08-02-2010 ESTATE OF:YOHN THELMA COUNTY:CUMBERLAND FILE NO.: 21 09-0925 S.S/D.C. NO.: 199-03-7604 ACN: 09155548 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: M ~ T ACCOUNT NO.: 15004218039061 TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING C TRUST C )TIME CERTIFICATE DATE ESTABLISHED 11-08-2008 Account Balance •00 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax .00 UPPER PORTION OF THIS NOTICE Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount .00 REGISTER OF WILLS AT THE Tax Rate x .15 ABOVE ADDRESS. MAKE CHECK Tax Due •00 OR MONEY ORDER PAYABLE T0: "REGISTER OF WILLS, AGENT." TAV f DCTITTC. PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID A DATE OF DEATH:07-04-2009 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" (CRS, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.