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HomeMy WebLinkAbout12-10-10r..... ~ r„Fl'~~~'M L ±-f~Y SCE OF INHERITANCE TAX BUREAU OF INDIVIDUAL TAXES ~ ~ _' • ~ ~ ~.a~~• INHERITANCE TAX DIVISION -;` -,.APP;RI~I EI~NT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 fl~~;i{jE;:~`Dit.;+b~Y~~~TIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS ~Q 10 DEC 10 A~ f 1 ~ i 8 c~ER~ t~~ JUDY A HERR ~U~v~ ~E~ ~'1.,~'=~"•~~ ~^~ PA, 106 VALLEY VIEW DR MECHANICSBURG PA 17050-1538 pennsylvan~a ~ DEPf~RTMENT OF REVENUE REV-1548 EX AFP C12-09) DATE 12-13-2010 ESTATE OF POTTEIGER BETTY J DATE OF DEATH 09-1b-2010 FILE NUMBER 21 10-1103 COUNTY CUMBERLAND SSN/DC 162-22-7185 ACN 10156929 APPEAL BY DATE:02- 11 -;?011 (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 ~ 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: 12-13-2010 ESTATE OF:POTTEIGER BETTY FILE NO.: 21 10-1103 S.S/D.C. NO.: 162-22-7185 ACN: 10156929 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED FINANCIAL INSTITUTION: PSECU TYPE OF ACCOUNT: C SAVINGS DATE ESTABLISHED 05-01-1992 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: J DATE OF DEATH:09-16-2010 COUNTY:CUMBERLAND JOINT OR TRUST ASSET INFORMATION ACCOUNT NO.: 0162227185-S4 CX) CHECKING ( )TRUST ( TIME CERTIFICATE 9,738.84 NOTE: X 0.500 4,869.42 - 4,125.00 744.42 Y .15 111.66 TO ENSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TA}: PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK GR MONEY ORDER PAYABLE T0: "REGISTER OF WILLS, AGENT." PAYMENT DATE RECEIPT NUMBER DISCOUNT (+? INTEREST/PEN PAID (-) AMOUNT PAID 11-04-2010 CD013600 5.58 693.89 TOTAL TAX PAYMENT 699.47 BALANCE OF TAX DUE 587.81CR INTEREST AND PEN. .00 TOTAL DUE 587.81CR * 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. e---_ `~,"~