HomeMy WebLinkAbout11-29-10_ r _ . ',
BUREAU OF INDIVIDUAL T`AX,E',S
INHERITANCE TAX DIVISION'- `~' `-~
PO BOX 280601
HARRISBURG PA 17128-0601
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CAROL J STARASINIC
1342 DAYTON RD
HARRISBURG PA 17113
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pennsylvania ~
DEPARTMENT OF REVENUE 1
REV-1548 EX AFP C12-09)
DATE 11-22-2010
ESTATE OF STARASINIC FRED N
DATE OF DEATH 04-10-2010
FILE NUMBER ~~ _ `C ` ~~-`~'~~
COUNTY CUMBERLAND
SSN/DC 204-28-0406
ACN 10161590
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:STARASINIC
FRED
COUNTY:CUMBERLAND
FILE NO.: S.S/D.C. NO.: 204-28-0406 ACN: 10161590
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT NO.:
0354000747
TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 01-01-1971
Account Balance 1,267.82 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 633.91 UPPER PORTION OF THIS NOTICE
Debts and Deductions •00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 633.91 REGISTER OF WILLS AT THE
Tax Rate x •00 ABOVE ADDRESS. MAKE CHECK
Tax Due •00 OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
TAY f RFTITTC
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-) AMOUNT PAID
TOTAL TAX PAYMENT .00
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" (CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
N DATE OF DEATH:04-10-2010
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