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HomeMy WebLinkAbout09-24-10 (2)a -. pennsylvania `~ ~ ~T. ` -'~' °'; a6"~EE"' QF ; 3 bR~ITANCE TAX ~ BUREAU OF INDIVIDUAL TAXES -~ DEPARTMENT OF REVENUE APPRA~SEM~NT, AFL AI~CE OR DISALLOWANCE INHERITANCE TAX DIVISION G 0 $, AMT~'A.~SSESSMENT OF TAX ON REV-1548 EX AFP C12-D9~ PO BOX 280601 OF 'D~~,~f ~.'N `., HARRISBURG PA 17128-0601 JOINTLY HEL~I1 `DR TRUST ASSETS ~~~~ ~~~ 24 P~ ~2~ TATE OF BROWN-2010 KATHERINE E DATE OF DEATH 07-05-2010 ~~.E~~ ~,~ FILE NUMBER 21 10-0706 COUNTY CUMBERLAND {~RP~{~,r~~;j ~~f j~r7 SSN/DC 204-03-8144 ~~~~~f~~w~~ ;`i'` ~ {~;,~~ ~%~ ACN 10145576 MICHAEL BROWN ~'_~~ C/0 4b13 BRIAN RD APPEAL BY DATE:11-26-2010 M E C H A N I C S B U R G P A 17 0 5 0 (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:BROWN FILE NO.: 21 10-0706 S.S/D.C. NO.: 204-03-8144 ACN: 10145576 TAX RETURN WAS: CX~ ACCEPTED AS FILED C ~ CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: FULTON BANK NA ACCOUNT NO.: 3100-25799 TYPE OF ACCOUNT: tX)SAVINGS C ~ CHECKING ( )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 02-21-2003 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAV f`DCTITTC . KATHERINE E DATE OF DEATH:07-05-2010 8,093.42 X 0.166 1,348.93 - .00 1,348.93 x .045 b0.70 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 C-) AMOUNT PAID 08-24-2010 CD013257 3.04 57.67 TOTAL TAX PAYMENT 60.71 BALANCE OF TAX DUE .O1CR INTEREST AND PEN. .00 TOTAL DUE .O1CR COUNTY:CUMBERLAND * IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" tCR), YDU MAY BE DUE A REFUND. ~ SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ~`~~