HomeMy WebLinkAbout12-03-10BUREAU OF INDIVIDUAL TAXkES -''fir, ~r ~!`iyr~- {{~i~~ NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION '_ _ "APPRA~SEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280b01 -- ~ ~OF D~bUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 '` ` `-"' `"'~ ' `" '~ UOINTLY HELD OR TRUST ASSETS
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607 WALRADT ST
FULTON NY 13069
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: 12-06-2010
ESTATE OF:THOMAS
FILE NO.:
ANNA
pennsylvan~a : ~
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-09)
COUNTY:CUMBERLAND
W DATE OF DEATH:09-30-2010
S.S/D.C. NO.: 240-28-9514
ACN: 10159668
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
FINANCIAL INSTITUTION: PSECU
TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING ( TRUST
DATE ESTABLISHED 02-07-2003
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
8702318828-S1
C 3TIME CERTIFICATE
7,922.14 NOTE:
X 0.166
1,320.38
- .00
1,320.38
Y .045
59.42
TO ENSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILL5 AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
PAYMENT MUST BE MADE BY 07-01-2011*.
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 59.42
INTEREST AND PEN. .00
TOTAL DUE 59.42
* 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.
JOINT OR TRUST ASSET INFORMATION
ACCOUNT NO.:
DATE 12-06-2010
ESTATE OF THOMAS ANNA W
DATE OF DEATH 09-30-2010
F I L E NUMBER ,~' _. t~ --- ~ ~~ ~,~
COUNTY CUMBERLAND
SSN/DC 240-28-9514
ACN 10159668
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