HomeMy WebLinkAbout11-29-10 (3)- u ` ~` 4
BUREAU OF INDIV~.b~U,AL ~TASCES' - ~ ~ `' ~_ NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISIbN '~ APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 ;.' ~ _ OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-Ob0`1 JOINTLY HELD OR TRUST ASSETS
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ROBERT ~~,i r ',~'E'~N~AI"E T T
115 POLARIS DRIVE
WALKERSVILLE MD 21793
pennsylvania ` ~
DEPARTMENT OF REVENUE
REV-1548 EX AFP C12-09) f
DATE 11-22-2010
ESTATE OF LEE GUST R
DATE OF DEATH 08-05-2010
FILE NUMBER 21 10-0872
COUNTY CUMBERLAND
SSN/DC 172-18-1751
ACN 10145358
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 ~
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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: 11-22-2010
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: 10145358
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 300707-00
TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 02-05-2007
Account Balance 1,260.39 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.166 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 210.07 UPPER PORTION OF THIS NOTICE
Debts and Deductions - •00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 210.07 REGISTER OF WILLS AT THE
Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 9.45 OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-)
AMOUNT PAID
10-13-2010 CD013489 .47 9.45
TOTAL TAX PAYMENT 9.92
BALANCE OF TAX DUE .47CR
INTEREST AND PEN. .00
TOTAL DUE .47CR
* 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.
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