HomeMy WebLinkAbout12-10-10 (3)}` Pennsylvania
~,•, +N,~ ~" INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES -~~` ~ DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION +'~14~?SrEME~1+,tT~',~ ALLOWANCE OR DISALLOWANCE '~
PO BOX 280601 ~~'°-~~f3 ~I~U'E~~IONSy -'AND ASSESSMENT OF TAX ON REV ••1548 EX AFP C12-09)
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
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JUDY A HERR ~~~`~'~~-~!i.,~'~~'~~~ ~,C~ , P,A,
lOb VALLEY VIEW DR
MECHANICSBURG PA 17050-1538
DATE 12-13-2010
ESTATE OF POTTEIGER BETTY J
DATE OF DEATH 09-16-2010
FILE NUMBER 21 10-1103
COUNTY CUMBERLAND
SSN/DC 162-22-7185
ACN 10156931
APPEAL BY DATE:02-11-2011
(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 ~
REV-1548 EX AFP C12-09~
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OE=
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 12-13-2010
ESTATE OF:POTTEIGER BETTY J DATE OF DEATH:09-16-2010
FILE NO.: 21 10-1103 S.S/D.C. NO.: 162-22-7185
COUNTY:CUMBERLAND
ACN: 10156931
TAX RETURN WAS: CX~ ACCEPTED AS FILED C ) CHANGED
FINANCIAL INSTITUTION: PSECU
JOINT OR TRUST ASSET INFORMATION
ACCOUNT NO.: 0162227185-C51
C ~ CHECKING C )TRUST CX)TIME CERTIFICATE
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:
20,032.30
X 0.500
10,016.15
- .00
10,016.15
x .15
1,502.42
NOTE: TO ENSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TA)C 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
11-04-2010 CD013600 75.12 1,427.30
TOTAL TAX PAYMENT 1,502.42
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* 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.
~_'-%~L/