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HomeMy WebLinkAbout10-15-10 (5)BUREAU OF INDIVIDUAL TAXES (~' NOTICE OF INHERITANCE TAX INHERITANCE TAX DIVISION ;APP~R~ISEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 _' ~.O'~.,D~DUCTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS ~~ C....~,ir r,.r •.~._ _ .. - ,-,;~.~ ,fir ,. ~. ,~, ~~ ,, . _. __ .. ,,.. -,r BETTY B`ENNETT ~' 7006 SUNDAYS LANE FREDERICK MD 21702 Pennsylvania ~ DEP~4RTMENT OF REVENUE REV-1548 EX AFP (12-09) DATE 10-19-2010 ESTATE OF LEE GUST R DATE OF DEATH 08-05-2010 FILE NUMBER 21 10-0872 COUNTY CUMBERLAND SSN/DC 172-18-1751 ACN 10145350 APPEAL BY DATE:12-18-2010 (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 01= DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 10-19~-2010 ESTATE OF:LEE GUST COUNTY: CUMBERLAND FILE NO.: 21 10-0872 S.S/D.C. NO.: 172-18-1751 /RCN: 10145350 TAX RETURN WAS: CX1 ACCEPTED AS FILED C ~ CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 59195-•00 TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING C )TRUST C TIME CERTIFICATE DATE ESTABLISHED 12-04-1985 Account Balance 1,270.68 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 635.34 UPPER PORTION OF THIS NOTICE Debts and Deductions - •00 WITH YOUR TA;K PAYMENT TO THE Taxable Amount 635.34 REGISTER OF I~JILLS AT THE Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK Tax Due 28.59 OR MONEY ORDER PAYABLE T0: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID 09-13-2010 CD013341 1.43 27.16 ~,i R DATE OF DEATH:08-05-2010 TOTAL TAX PAYMENT 28.59 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.