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HomeMy WebLinkAbout12-03-10 (2)BUREAU OF INDIVIDUAL TAXE~ - >..-. ~'~~ ',~ ~ ~r ; jI~OTICE OF INHERITANCE TAX INHERITANCE TAX DIVISION ' ~ ~_ `'AP~PR74I5EMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 ~-.. ; ~ '~ flF~ D~~UCTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 ~ ~ JOINTLY HELD OR TRUST ASSETS t/~'~' , ,.; ~, ;.,~~-~, ,nom ~%~~~Fr}1'i. ~~'~i l~ ~.,/'• 1, ~, CAROL A KAl F,~h~Y~4~ _-~~. ~ ~_ ~. ~.'~', b07 WALRADT ST FULTON NY 13069 pennsylvan~a r -,-~ DEPARTMENT OF REVENUE REV-1548 EX AFP (12-09) DATE 12-06-2010 ESTATE OF THOMAS ANNA W DATE OF DEATH 09-30-2010 FILE NUMBER ,~ ~ - ~ C..: -- t C~C-(~ COUNTY CUMBERLAND SSN/DC 240-28-9514 ACN 10159670 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: 12-06-2010 ESTATE OF:THOMAS ANNA W DATE OF DEATH:09-30-2010 FILE NO.: COUNTY:CUMBERLAND ACN: 10159670 TAX RETURN WAS: CX? ACCEPTED AS FILED C ~ CHANGED FINANCIAL INSTITUTION: PSECU TYPE OF ACCOUNT: C )SAVINGS DATE ESTABLISHED 02-07-2003 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: S.S/D.C. NO.: 240-28-9514 JOINT OR TRUST ASSET INFORMATION ACCOUNT NO.: 8702318828-S4 CX) CHECKING t TRUST ( TIME CERTIFICATE 5,1b5.2b X O.lbb 860.89 - .00 8b0.89 Y .045 38.74 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 (+) INTEREST/PEN PAID (-) AMOUNT PAID PAYMENT MUST BE MADE BY 07-01-2011*. TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE 38.74 INTEREST AND PEN. .00 TOTAL DUE 38.74 * 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.