HomeMy WebLinkAbout11-29-10BUREAU OF INDIVIDUAL TAXES ~° -,NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION APPRA'I~EMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 - ." ~ ~ --O.F D~~UCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 " '' ' ` "' ' ' JOINTLY HELD OR TRUST ASSETS
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409 N MORRIS STREET
SHIPPENSBURG PA 17257
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DEPARTMENT OF REVENUE
REV-].548 EX AFP C12-09) r
DATE 11-22-2010
ESTATE OF KARNES ERIC D
DATE OF DEATH 08-25-2010
FILE NUMBER 21 10-1012
COUNTY CUMBERLAND
SSN/DC 225-25-2560
ACN 10158705
APPEAL BY DATE:O1-21-2011
(See reverse side under Objectians)
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:KARNES
ERIC
COUNTY:CUMBERLAND
FILE NO.: 21 10-1012 S.S/D.C. NO.: 225-25-2560 ACN: 10158705
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 366179-01
TYPE OF ACCOUNT: (X)SAVINGS C ~ CHECKING ( TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 08-31-2009
Account Balance •00 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 1.000 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax •00 UPPER PORTION OF THIS NOTICE
Debts and Deductions - •00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount •00 REGISTER OF WILLS AT 'THE
Tax Rate x •15 ABOVE ADDRESS. MAKE CHECK
Tax Due •00 OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-)
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.
D DATE OF DEATH:08-25-2010
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