HomeMy WebLinkAbout12-03-10BUREAU OF INDIVIDUAL TAXES ~ ~1r' ~r ~~~' ~r ;~~.'~ 0 SCE OF INHERITANCE TAX
INHERITANCE TAX DIVISION •APf~RA'~.S~I~~tT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 ~ .F •~;,_~OF,,DE'DUCT`IONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 J~'iNTLY HELD OR TRUST ASSETS
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DIANE FAUT~~~ ~` ~~ ~`~~ ~ ""
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6349 STEPHENS CROSSING
MECHANICSBURG PA 17050
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DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-09) ~~ ~~~
DATE 12-06-2010
ESTATE OF KOUMPIAS DIMOSTENI G
DATE OF DEATH 06-09-2010
FILE NUMBER 21 10-1087
COUNTY CUMBERLAND
SSN/DC 081-24-0096
ACN 10157548
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 F-
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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:KOUMPIAS
DIMOSTENI G DATE OF DEATH:Ob-09-2010
COUNTY:CUMBERLAND
FILE NO.: 21 10-1087 S.S/D.C. NO.: Q81-24-0096 ACN: 10157548
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: M 8~ T BANK ACCOUNT NO.: 9835786725
TYPE OF ACCOUNT: ( )SAVINGS (X) CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 03-15-2004
Account Balance 2,879.13 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.166 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 479.86 UPPER PORTION OF THIS NOTICE
Debts and Deductions - •00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 479.86 REGISTER OF WILLS AT THE
Tax Rate Y .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 21.59 OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-)
AMOUNT PAID
PAYMENT MUST BE MADE BY 03-10-2011*.
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 21.59
INTEREST AND PEN. .00
TOTAL DUE 21.59
* 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.
C.JJ