HomeMy WebLinkAbout08-13-10 Pennsylvania , ~
BUREAU OF INDIVIDUAL TAXES _
.' ~ 'kaTjG.E,OF_ INHERITANCE TAX DEF`ARTMENT OF REVENUE
INHERITANCE TAX DIVISION APPRAISEMEN7,':14ILf~YjfANCE OR DISALLOWANCE
REV-1.548 EX AFP (12-09)
PO BOX 280601 OF"' IlEDUCTLONS,, AN a, ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JDINT~LY HELD DR TRUST ASSETS
~ DATE 08-16-2010
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~'~~' i ~ jai-~~ ~ ~ ~ ~~ ESTATE OF CHANCE LIZA D
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DATE OF DEATH 05-23-2010
~~ ,-~,, ,~~ FILE NUMBER 21 10-0545
~'--' COUNTY CUMBERLAND
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" ;~T SSN/DC 155-72-8289
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PIPPA S CALLAND ; ACN 10135389
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511 W MAIN STREET A
APPEAL BY DATE:10-15-2010
M E C H A N I C S B U R G P A 17 0 5 5 (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 t--
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: 08-16-2010
ESTATE OF:CHANCE
LIZA
COUNTY:CUMBERLAND
FILE NO.: 21 10-0545 S.S/D.C. NO.: 155-72-8289 A,CN: 10135389
TAX RETURN WAS: CX) ACCEPTED AS FILED t ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 361347-11
TYPE OF ACCOUNT: t )SAVINGS tX) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 07-07-2009
Account Balance •00 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 1.000 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."
TAY f DCTTTC .
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-) AMOUNT PAID
D DATE OF DEATH:05-23-2010
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" (CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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