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HomeMy WebLinkAbout12-17-10 (2)._ ~ ,.,r,..~. ~. ~... Pennsylvania ~ ~. .-M ,.: ~',~~ ~ NOtS~ ~F INHERITANCE TAX DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION ~' APPRAI$E~'Ifty~,~ nALLOWANCE OR DISALLOWANCE PD BOX 280601 ~l.-!`b~`9E~UL~TI'ANS.~.i AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-10) HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS ETHEL WEIGLE 302 N FRONT ST L~ DEC ! 7 F I2* 5 3 C~ERI~ ~r ORPNA~d'~ ~}~u~R; WORMLEYSBURG PA 17043-1112 DATE 12-20-2010 ESTATE OF THOMAS ANNA W DATE OF DEATH 09-30-2010 FILE NUMBER 21 10-1093 COUNTY CUMBERLAND SSN/DC 240-28-9514 ACN 10159669 APPEAL BY DATE:02-18-2011 (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 C12-10) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 12-20-2010 ESTATE OF:THOMAS ANNA W DATE OF DEATH:09-30-2010 COUNTY:CUMBERLAND FILE NO.: 21 10-1093 S.S/D.C. NO.: 240-28-9514 ACN: 10159669 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PSECU ACCOUNT NO.: 8702318828-S4 TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING C )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 02-07-2003 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 5,165.26 NOTE: X 0.166 860.89 - 860.89 .00 x .045 .00 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 C+) INTEREST/PEN PAID C-) AMDUNT PAID TOTAL TAX PAYMENT .00 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" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. i~