HomeMy WebLinkAbout12-27-10R~~n~l ~^, tint'-)lt~ V~ ^
BUREAU OF INDIVIDUAL TAXE9•~-'`•~~ ~~-~~` ~~~~11 OTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION ~"' ~~ ; c""; i ,; ~~ieI~SEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 ~~~~~`~'''~-~~ •-~~+ SUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-Ob01 JOINTLY HELD OR TRUST ASSETS
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Cl~RK CF
((~~~~QRPHA~`S ~C~URT
THEODORE BO1'CY~~~~~~~~~' CQ°~ PA
821 PEACE ST
HAZLETON PA 18201
Pennsylvania
DEPARTMENT OF REVENUE
REV-1548 IX AFP (12-10)
DATE 12-27-2010
ESTATE OF BONIN MARTHA G
DATE OF DEATH 02-25-2010
FILE NUMBER 21 10-0261
COUNTY CUMBERLAND
SSN/DC 205-26-2115
ACN 10045596
APPEAL BY DATE:02-25-2011
(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 E"'~
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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:BONIN MARTHA G DATE OF DEATH:02-25-2010 COUNTY:CUMBERLAND
FILE NO.: 21 10-0261 S.S/D.C. NO.: 205-26-2115
ACN: 10045596
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ALLSTATA LIFE INSURANCE CO ACCOUNT NO.:
GA16881071
TYPE OF ACCOUNT: C SAVINGS ( ) CHECKING C TRUST C TIME CERTIFICATE
DATE ESTABLISHED 10-30-2003
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAY f DCTITTC.
136,282.35 NOTE:
X l.ooo
136,282.35
- .00
136,282.35
~ .15
20,442.35
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 (-) AMOUNT PAID
INTEREST IS CHARGED THROUGH D1-04-2011
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 20,442.35
INTEREST AND PEN. 87.66
TOTAL DUE 20,530.01
* 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. ~'~j