HomeMy WebLinkAbout11-29-10 (2)'~-'' ~ NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TA~GE$~~'~ - - APPf~AISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION
PO BOX 280601 OF.DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 ~ ' ~ JOINTLY HELD OR TRUST ASSETS
~~ , ~' ~ "~
1 :iv . L
C~ -,~ r~
;~ ~ ~ ~,
„ ~ , .. ,.
ROBERT BE~~,~'~-~ J, __ _
115 POLARIS DRIVE
WALKERSVILLE MD 21793
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548'. EX AFP C12-09)
DATE 11-22-2010
ESTATE OF LEE GUST R
DATE OF DEATH OS-05-2010
FILE NUMBER 21 10-0872
COUNTY CUMBERLAND
SSN/DC 172-18-1751
ACN 10145355
APPEAL BY DATE:O1-21-2011
(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 (12-09~
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 11-22-2010
ESTATE OF:LEE GUST R DATE OF DEATH:08-05-2010 COUNTY:CUMBERLAND
FILE NO.: 21 10-0872 S.S/D.C. NO.: 172-18-1751 ACN: 10145355
TAX RETURN WAS: CX~ ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 34253-44
TYPE OF ACCOUNT: ( )SAVINGS C ) CHECKING C )TRUST ( ~ TIME CERTIFICATE
DATE ESTABLISHED 08-05-1983
Account Balance 6,16b.32 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 3,083.16 UPPER PORTION OF THIS NOTICE
Debts and Deductions - •00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 3,083.16 REGISTER OF WILLS AT THE
Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 138.74 OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
10-13-2010 CD013489 6.94 138.74
TOTAL TAX PAYMENT 145.68
BALANCE OF TAX DUE 6.94CR
INTEREST AND PEN. .00
TOTAL DUE 6.94CR
* 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.
.1~'