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HomeMy WebLinkAbout09-24-10 (2)BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 ('~ t `r'~ ~ ~ ~ T~CE~J-0F INHERITANCE TAX _ _ „ APP•RA-~SE,MEIdT,h ALLOWANCE OR DISALLOWANCE 1 ~ '~~+ ~(~F~~DE.DUC'T:;ZONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS 210 SEP 24 P~ 12~ 53 C~E~~ ~~= C,~Rf3HAi~J'S ~.;r~1RT GUST LEE C~~~~~'F'...~';`~.\I~ r`;1 , r~~; 1319 N PITT STREET CARLISLE PA 17013 pennsylvania DEPARTMENT OF REVENUE REV-1548 EX AFP C12-09) DATE 09-27-2010 ESTATE OF LEE ELLEN K DATE OF DEATH 10-09-2009 FILE NUMBER 21 09-1149 COUNTY CUMBERLAND SSN/DC 171-12-9125 ACN 091b9955 APPEAL BY DATE:11-26-2010 (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 ~'1 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: 09-27-2010 ESTATE OF:LEE ELLEN COUNTY:CUMBERLAND FILE NO.: 21 09-1149 S.S/D.C. NO.: 171-12-9125 ACN: 09169955 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 156573-00 TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING C )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 02-06-1996 Account Balance 829.35 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.166 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 138.23 UPPER PORTION OF THIS NOTICE Debts and Deductions - •00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 138.23 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." TAX CREDITS: PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID (-) 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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. K DATE OF DEATH:10-09-2009