HomeMy WebLinkAbout12-27-10 (5)BUREAU OF INDIVIDUAL TAXES ~~~~E ALLOWANCETORCDISALLOWANCE
INHERITANCE TAX DIVISION ~:~s NS, AND ASSESSMENT OF TAX ON
PO BOX 280601 ~, ~~~,~~~ ~ ~~
HARRISBURG PA 17128-0601 J 'i'4QYLY HELD OR TRUST ASSETS
~ ~~t~ ~'~
CLERK QF
aRP~`S C~JI~RT
CARL D KIRBY~}~~~~,~ ~[,1 ~~~ ~,
704 E MARBLE ST
MECHANICSBURG PA 17055
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 EX AFP C12-10)
DATE 12-27-2010
ESTATE OF KIRBY HELEN B
DATE OF DEATH 11-06-2010
FILE NUMBER 21 10-11b0
COUNTY CUMBERLAND
SSN/DC 206-10-9115
ACN 10166528
APPEAL BY DATE:02-25-2011
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
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: 12-27-2010
ESTATE OF:KIRBY
HELEN
FILE NO.: 21 10-1160 S.SlD.C. NO.: 206-10-9115
COUNTY:CUMBERLAND
ACN: 10166528
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 360869-44
TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING t )TRUST C ~ TIME CERTIFICATE
DATE ESTABLISHED 07-02-2009
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAY f DCiITTC.
50,902.41 NOTE:
X 0.500
25,451.21
- .00
25,451.21
Y .045
1,145.30
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-) AMOUNT PAID
11-22-2010 CD013688 57.27 1,088.04
B DATE OF DEATH:11-06-2010
TOTAL TAX PAYMENT 1,145.31
BALANCE OF TAX DUE .O1CR
INTEREST AND PEN. .00
TOTAL DUE .O1CR
~ 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.