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HomeMy WebLinkAbout09-17-10BUREAU OF INDIVIDUAL TAXE~ ~ ~ ~~r~i ~~'~ '~~OTICE OF INHERITANCE TAX ~ APPR'A~EMENT, ALLOWANCE OR DISALLOWANCE INHERITANCE TAX DIVISION ~ .. PO BOX 280601 ~"~-W,TCC~i M,~OF~~~~~~~11CTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 ' JOINTLY HELD OR TRUST ASSETS 2fl10 SEP 17 A~1(i ~ 54 CLERK OF ORPHAN'S CJURT Loins A WI~,~°~~~~~~~? ~~., PA 612 GOLF CREST LANE DAVENPORT FL 33837 Pennsylvania ` ` ` r DEPARTMENT OF REVENUE REV-1548 EX AFP (12-09) DATE 09-20-2010 ESTATE OF WINTERS JANICE C DATE OF DEATH ?07-20-~2.Q 09 FILE NUMBER O~ ` -~y COUNTY CUMBERLAND SSN/DC 207-34-8222 ACN 09168765 APPEAL BY DATE:11-19-2010 (See reverse side under 06jections) 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 (12-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 09-20-2010 ESTATE OF:WINTERS JANICE C DATE OF DEATH:07-20-2009 COUNTY:CUMBERLAND FILE NO.: S.S/D.C. NO.: 207-34-8222 ACN: 09168765 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: WACHOVIA BK NA ACCOUNT NO.: 1010187826989 TYPE OF ACCOUNT: C )SAVINGS (X) CHECKING ( )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 04-17-2008 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 9,247.73 X 0.500 4,623.87 - .00 4,623.87 x .00 .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 t-) 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" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ~w .