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HomeMy WebLinkAbout12-27-10 (3)a ~~~ 1--, ~~===~~~ ~ enns Lvania R~~iL, C~~-~ P Y BUREAU OF INDIVIDUAL 1~ ~'" ,,~~~.,, ~a~t~ I C NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION ~ 5~~ ~-"'~ ~ 1 ~i ~"'~~~PRAISEMENT, ALLOWANCE OR DISALLOWANCE PD BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 IX AFP (12-10) HARRIS8UR6 PA 1712s-o6oi p JOINTLY HELD OR TRUST ASSETS '~~~~E~ ~~ ~7 r~ ~~ ~ ~ DATE 12-27-2010 CLERK Q~ ~~~~~~~ ~d~~~T HILARY BONIN 99 W GREEN ST WEST HAZLETON PA 1$202 ESTATE OF BONIN MARTHA G DATE OF DEATH 02-25-2010 FILE NUMBER 21 10-0261 COUNTY CUMBERLAND SSN/DC 205-26-2115 ACN 10045598 APPEAL BY DATE:02-25-2011 (See reverse side under Objections) Amount Remitted 1 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: 12-27-2010 ESTATE OF:BONIN MARTHA FILE NO.: 21 10-02b1 S.S/D.C. NO.: 205-26-2115 COUNTY:CUMBERLAND ACN: 10045598 TAX RETURN WAS: CX~ ACCEPTED AS FILED C ? CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: ALLSTATE LIFE INSURANCE CO ACCOUNT NO.: GA16881057 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 (`DG[1TTC 136,287.79 X 1.000 136,287.79 - .00 136,287.79 Y .15 20,443.17 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 (-) AMOUNT PAID 08-17-2010 CD013224 .00 20,251.16 INTEREST IS CHARGED THROUGH 01-04-2011 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM G DATE OF DEATH:02-25-2010 TOTAL TAX PAYMENT 20,251.16 BALANCE OF TAX DUE 192.01 INTEREST AND PEN. .82 TOTAL DUE 192.83 ~ 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.