HomeMy WebLinkAbout11-08-10 (4)BUREAU OF INDIVIDUAL TAXES ~ ~~',r'r~fi~~r- ,..'1~~iT~C~-±1PF INHERITANCE TAX
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INHERITANCE TAX DIVISION A`PRRAISE~M~,NT,,;~ALLOWANCE OR DISALLOWANCE
PO BOX 280601 €~~~~ia;~~DE~I,IGT,I~NS~~ AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
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CLERK ~~
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REVENNA C BARRICK ~~~~~i~.V r',~''~'±~i ~~w-} ~~~
102 HOLLENBAUGH ROAD
CARLISLE PA 17015
MARY
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: 11-08-2010
ESTATE OF:WARNER
FILE NO.: 21 10-0996 S.S/D.C. NO.: 203-10-7307
COUNTY:CUMBERLAND
ACN: 10155131
TAX RETURN WAS: CX) ACCEPTED AS FILED C ~ CHANGED
JOINT OR TRUST
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
pennsylvania ~~~~~- ~~.
DEPARTMENT OF REVENUE '
_.._.
REV-1548 EX AFP C12-09)
DATE 11-08-2010
ESTATE OF WARNER MARY E
DATE OF DEATH 08-28-2010
FILE NUMBER 21 10-0996
COUNTY CUMBERLAND
SSN/DC 203-10-7307
ACN 10155131
APPEAL BY DATE:O1-07-2011
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
ASSET INFORMATION
ACCOUNT NO.: 318841-50
)TRUST CX3TIME CERTIFICATE
TYPE OF ACCOUNT: C )SAVTNGS C ~ CHECKING C
DATE ESTABLISHED 12-24-2008
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAY CRFiITTS~
52,972.99 NOTE:
X 0.500
26,486.50
- .00
26,486.50
Y .045
1,191.89
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
10-06-2010 CD013451 59.59 1,132.29
11-01-2010 SBADJUST .00 .O1
E DATE OF DEATH:08-28-2010
TOTAL TAX PAYMENT 1,141.89
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" CCR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.