HomeMy WebLinkAbout12-27-10BUREAU OF INDIVIDUAL TAXE~~..~~~~ff' a ~•~ ~'~ ~ ,NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION ~} (~' ~ ~ ~ ~ ;~ ~ f~l~iSEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 I t~.~,~~~.~r4. ~ ~~ C~FE~~UCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
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4824 BRIAN ROAD
MECHANICSBURG PA 17050
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DEPARTMENT OF REVENUE
REV-1548 EX AFP C12-10)
DATE 12-27-2010
ESTATE OF DAWSON CABBIE M
DATE OF DEATH 10-04-2010
FILE NUMBER ~ ~ -- ~u' ~`(;-(
COUNTY CUMBERLAND
SSN/DC 254-32-0009
ACN 10159490
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 ~
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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:DAWSON
CABBIE
FILE NO.:
S.S/D.C. NO.: 254-32-0009
COUNTY:CUMBERLAND
ACN: 10159490
TAX RETURN WAS: (X) ACCEPTED AS FILED ~ ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 361757-11
TYPE OF ACCOUNT: t )SAVINGS ( ~ CHECKING ( )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 07-11-2009
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAY f DGTITTC .
6b6.35
X 0.500
333.18
- 4,655.53
.00
x .045
.00
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 C+)
INTEREST/PEN PAID C-) AMOUNT PAID
M DATE OF DEATH:10-04-2010
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" CCR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. •-~,sZ