HomeMy WebLinkAbout10-01-10~ ~'~~ r -~~ ~a ~~ O}F~~D-INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ~. APPRAiS~~~IE~~';•. AJt~OWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISTON -
PO BOX 280601 }~- ~€ia'U~T.IO'M~, ~~ND ASSESSMENT OF TAX ON
HARRISBURG PA 17T2B-oboe `~ ~`~ ~ "' JO`~~NTLY~ 'HELD OR TRUST ASSETS
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MECHANICSBURG PA 17050
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DEPARTMENT OF REVENUE
REV-1548 IX AFP (12-09)
DATE 10-04-2010
ESTATE OF HUGHES HAYDN
DATE OF DEATH 10-25-2009
FILE NUMBER 21 10-0207
COUNTY CUMBERLAND
SSN/DC 169-09-9947
ACN 10047498
APPEAL BY DATE:12-03-2010
(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 <"~
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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: 10-04-2010
ESTATE OF:HUGHES
HAYDN
FILE NO.: 21 10-0207 S.S/D.C. NO.: 169-09-9947
ACN: 10047498
TAX RETURN WAS: CX? ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: RIVERSOURCE LIFE INSURANCE ACCOUNT NO.:
9300-4260990
TYPE OF ACCOUNT: C )SAVINGS C ? CHECKING C )TRUST C TIME CERTIFICATE
DATE ESTABLISHED 11-01-2008
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TeY ra~nrTC•
7,843.25
X 1.000
7,843.25
- .00
7,843.25
~ .D45
352.95
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 C-) AMOUNT PAID
INTEREST IS CHARGED THROUGH 10-12-2010
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
DATE OF DEATH:10-25-2009
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 352.95
INTEREST AND PEN. 3.07
TOTAL DUE 356.02
COUNTY:CUMBERLAND
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~
IF TDTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.