HomeMy WebLinkAbout12-03-10~;~-'r"`""`: -~~~ NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES rr!:'
INHERITANCE TAX DIVISION ~• A~P'RfAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 t <, ; i- ~~ ,`- dF. DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 ' ~ ~ JOINTLY HELD OR TRUST ASSETS
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ELAINE M '~A'~'F'77~L._.' •<< ~ ! ~ ^
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350 N 19TH ST
CAMP HILL PA 17011-3935
pennsylvan~a
DEPARTMENT OF REVENUE
REV-1548 EX AFP C12-09)
DATE 12-06-2010
ESTATE OF MARTIN LILLIAN G
DATE OF DEATH 09-25-2010
FILE NUMBER 21 10-1085
COUNTY CUMBERLAND
SSN/DC 196-22-4140
ACN 10158959
APPEAL BY DATE:02-04-2011
(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 E'-
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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: 12-06-2010
ESTATE OF:MARTIN LILLIAN G DATE OF DEATH:09-25-2010
FILE NO.: 21 10-1085 S.S/D.C. NO.: 196-22-4140
ACN: 10158959
TAX RETURN WAS: (X) ACCEPTED AS FILED C 3 CHANGED
FINANCIAL INSTITUTION: PSECU
TYPE OF ACCOUNT: CX)SAVINGS
DATE ESTABLISHED 11-24-2008
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
JOINT OR TRUST ASSET INFORMATION
ACCOUNT NO.: 9848849973-S1
( ~ CHECKING ( )TRUST C )TIME CERTIFICATE
43,099.90
X 0.16b
7,183.46
- .00
7,183.4b
Y .045
323.2b
NOTE: TO ENSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-)
AMOUNT PAID
10-29-2010 CD013580 16.16 323.26
TOTAL TAX PAYMENT 339.42
BALANCE OF TAX DUE 16.1bCR
INTEREST AND PEN. .00
TOTAL DUE 16.16CR
COUNTY:CUMBERLAND
* 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.