HomeMy WebLinkAbout08-06-10BUREAU OF INDIVIDUAL TAXiE$
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601 ~ ar t~f` ~.
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''~ NOTICE OF INHERITANCE TAX
'Ap'PFtAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
,.~~ OINTLY HELD OR TRUST ASSETS
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ROBERT F CHOMA
2145 15TH STREET
BETHLEHEM PA 18020
pennsylvania ~
DEPARTMENT OF REVENUE ~'
REV-1548 EX AFP (12-09)
DATE 08-09-2010
ESTATE OF BONIN MARTHA G
DATE OF DEATH 02-25-2010
FILE NUMBER 21 10-0261
COUNTY CUMBERLAND
SSN/DC 205-26-2115
ACN 10047025
APPEAL BY DATE:10-O8-2.010
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE S6lUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS 4'~'
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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: 08-09•-2010
ESTATE OF:BONIN
MARTHA
FILE ND.: 21 10-0261 S.S/D.C. NO.: 205-26-2115
ACN: 10047025
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ALLSTATE LIFE ANNUITY ACCOUNT NO.: GA16881072
TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING C )TRUST
DATE ESTABLISHED 10-30-2003
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
Twv r~rnrrc.
C )TIME CERTIFICATE
136,282.35 NOTE:
X 1.000
136,282.35
- .00
136,282.35
x .15
20,442.35
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 ORDEfZ PAYABLE T0:
"REGISTER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+~
INTEREST/PEN PAID C-) AMOUNT PAID
PAYMENT MUST BE MADE BY 11-26-2010.
G DATE OF DEATH:02-25-2010
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 20,442.35
INTEREST AND PEN. .00
TOTAL DUE 20,442.35
COUNTY:CUMBERLAND
* 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. ,,~~--s~,\