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HomeMy WebLinkAbout09-24-10 (9) -,.. - ,.- "t_ Pennsylvania -, `, . - ~ BUREAU OF INDIVIDUAL TAXES ~_;'_ ~ ' ` ~ " '~1dOTICE OF INHERITANCE TAX ~ ALLOWANCE OR DISALLOWANCE EMENT ' R ~ ~ DEPARTMENT OF REVENUE f ` ~~, ' ~ INHERITANCE TAX DIVISION , Ap P A $ . REV-1548 EX AFP (12-09) PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS cp ~~~~ S ~~ c ~~ ~~' ~~ Cj "~ f '~' DATE 09-27-2010 ~~.ERK ~;~ ORFI-~A~~'~ GCU~T CU~.~~~`~~'(_ `',1~' F~~`1 Via. JAMES LEE 1194 IRWIN COURT WINTER SPRINGS FL 32708 ESTATE OF LEE ELLEN K DATE OF DEATH 10-09-2009 FILE NUMBER 21 09-1149 COUNTY CUMBERLAND SSN/DC 171-12-9125 ACN 091699b5 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 ~ ------------------------------------------------------------------------------------------- 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: 09169965 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 50195-42 TYPE OF ACCOUNT: ( )SAVINGS C ) CHECKING ( ?TRUST C ~ TIME CERTIFICATE DATE ESTABLISHED 07-02-2000 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 29,290.99 X 0.083 2,440.82 - .00 2,440.82 X .045 109.84 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 (+) 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 109.84 INTEREST AND PEN. 1.06 TOTAL DUE 110.90 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.