HomeMy WebLinkAbout10-22-10 (2)BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX
INHERITANCE 7AX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 - JOINTLY HELD OR TRUST ASSETS
-,-, ~ ,-,
AMY FELTCS~I_; • ~,
1102 MARKET STREET
UNIT 7
NEW CUMBERLAND PA 17070
Pennsylvania ~
DEPARTMENT OF REVENUE
REV ••1548 EX AFP C12-09)
DATE 10-25-2010
ESTATE OF COX PATIRICA A
DATE OF DEATH 11-08-2009
FILE NUMBER 21 09-1065
COUNTY CUMBERLAND
SSN/DC 182-34-4639
ACN 09174414
APPEAL BY DATE:12-24-2010
(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: 10-25-2010
ESTATE OF:COX PATIRICA A DATE OF DEATH:11-08-2009 COUNTY:CUMBERLAND
FILE NO.: 21 09-1065 S.S/D.C. NO.: 182-34-4639 ACN: 09174414
TAX RETURN WAS: CX~ ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 36614-00
TYPE OF ACCOUNT: C ~ SAVINGS C ~ CHECKING C TRUST C TIME CERTIFICATE
DATE ESTABLISHED 02-10-1984
Account Balance 505.06 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT;, SUBMIT THE
Amount Subject to Tax 252.53 UPPER PORTION OF THIS NOTICE
Debts and Deductions - •00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 252.53 REGISTER OF WILLS AT THE
Tax Rate Y .045 ABOVE ADDRES>. MAKE CHECK
Tax Due 11.36 OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
INTEREST IS CHARGED THROUGH 11-02-2010
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 11.36
INTEREST AND PEN. .11
TOTAL DUE 11.47
* 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.