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HomeMy WebLinkAbout12-27-10 (2)BUREAU OF INDIVIDUAL T NOTICE OF INHERITANCE TAX INHERITANCE TAX DIVISION L~'~~,ayF ~k' t~u,~ RAISEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 ~ ~ DEDUCTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS pennsyLvan~a ~~ ~ DEPARTMENT OF REVENUE REV-1548 IX AFP (12-10) ^.6~1 ~ ~~~ ~~ P~ 1 ~ ~ ~ DATE 12-27-2010 ESTATE OF BONIN MARTHA DATE OF DEATH 02-25-2010 ~~~ QF FILE NUMBER 21 10-02b1 Q~~~-I'~ ~QI„~F~T COUNTY CUMBERLAND ~~~CA~ ~;~T"; ~~ ~ PA SSN/DC 205-26-2115 , DANIEL ALERMA ACN 10045597 70 WEST JUNIPER ST APPEAL BY DATE:02-25-2011 AP T 3 0 5 (See reverse side under Objections) HAZLETON PA 18201 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 G 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:BONIN MARTHA FILE NO.: 21 10-0261 S.S/D.C. NO.: 205-26-2115 COUNTY:CUMBERLAND ACN: 10045597 TAX RETURN WAS: CX} ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: ALLSTATELIFE INSURANCE CO ACCOUNT NO.: GA16881055 TYPE OF ACCOUNT: C }SAVINGS C } 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 (`DCTITTC. 136,282.35 NOTE: X 1.000 136,282.35 - .00 13b,282.35 x .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 C-) AMOUNT PAID 08-02-2010 CD013149 .00 20,580.34 G DATE OF DEATH:02-25-2010 TOTAL TAX PAYMENT 20,580.34 BALANCE OF TAX DUE 137.99CR INTEREST AND PEN. .00 TOTAL DUE 137.99CR * 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.