HomeMy WebLinkAbout09-24-10 (5)', ^^~ ~-- -, DIO:Z~CE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION ? APPRA~I~~hIF~NT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 ~ 4 ~;A ~~.-0~ ;D~Dl9CX`IONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 'SO~iNTLY HELD OR TRUST ASSETS
2~1~ SEP 24 Pty 12~ 54
CLERK ~~
4RP1~AN'S GC~JRT
JAMES LEE C~ati~B~"~'~,!~~''=lr~ ~~,~, PA~
1194 IRWIN COURT
WINTER SPRINGS FL 32708
Pennsylvania ~ ~ 3
DEPARTMENT OF REVENUE
REV-1548 IX 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 09169959
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 "'~ RETAIN LOWER PORTION FOR YOUR RECORDS f"~
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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: 09-27-2010
ESTATE OF:LEE
ELLEN
FILE NO.: 21 09-1149 S.S/D.C. NO.: 171-12-9125
ACN: 09169959
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.:
50195-40
TYPE OF ACCOUNT: ( )SAVINGS C ) CHECKING C )TRUST ( ~ TIME CERTIFICATE
DATE ESTABLISHED 01-29-2000
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAY f'RFilTT4
61,467.86
X 0.083
5,122.12
- .00
5,122.12
X .045
230.50
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 (-)
AMOUNT PAID
INTEREST IS CHARGED THROUGH 10-05-2010
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
K DATE OF DEATH:10-09-2009
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 230.50
INTEREST AND PEN. 2.23
TOTAL DUE 232.73
COUNTY:CUMBERLAND
* 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. ;~ ,
`~-~L