HomeMy WebLinkAbout12-03-10 (2)y~ ~,.,~.~ 1~'~''- ~ ''~' ~ T CE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES _-_I ! ,`-?~ 4~
INHERITANCE TAX DIVISION - - APPRAIS~ML~.~IT, ALLOWANCE OR DISALLOWANCE
PO BOX 280b01 "BF' I)ED`~~jIbNS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 ~ ~ ~~~ ~ ~~ JO'I`NTLY HELD OR TRUST ASSETS
ELAINE M MARTI~KF~' ` ~~~`~ ~~~~''~.~ ~ ~~ ~'~
350 N 19TH ST
CAMP HILL PA 17011-3935
Pennsylvania ~ ~:
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-09)
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 10158961
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'-
-------------------------------------------------------------------------------------------
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: 12-Ob-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: 10158961
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PSECU ACCOUNT NO.: 9848849973-S4
TYPE OF ACCOUNT: { )SAVINGS C ~ CHECKING { )TRUST { TIME CERTIFICATE
DATE ESTABLISHED 11-24-2008
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
4,870.19 NOTE:
X 0.166
811.71
- .00
811.71
Y .045
36.53
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 (+)
INTEREST/PEN PAID C-)
AMOUNT PAID
10-29-2010 CD013580 1.83 36.53
TOTAL TAX PAYMENT 38.36
BALANCE OF TAX DUE 1.83CR
INTEREST AND PEN. .00
TOTAL DUE 1.83CR
~ 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.
COUNTY:CUMBERLAND
~~