HomeMy WebLinkAbout01-07-11BUREAU OF INDIVIDUAL ~~~et~ ~~ ''^ y~~ ~~- NOTICE OF INHERITANCE TAX
~ '. ~- `' `~~E•A RAISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION
PO BOX 280601 ~~ '~. ~ ``~~ ~~ DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 }'1-- - - "'~`"'~~ JOINTLY HELD OR TRUST ASSETS
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MECHANICSBURG PA 17055
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DEPARTMENT OF REVENUE
REY-1548 EX AFP (12-10)
DATE 01-10-2011
ESTATE OF KIRBY HELEN B
DATE OF DEATH 11-06-2010
FILE NUMBER 21 10-1160
COUNTY CUMBERLAND
SSN/DC 206-10-9115
ACN 10166582
APPEAL BY DATE:03-11-2011
(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 "'i 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: 01-10-2011
ESTATE OF:KIRBY
HELEN
FILE NO.: 21 10-1160 S.S/D.C. NO.: 206-10-9115
ACN: 101665$2
TAX RETURN WAS: CX) ACCEPTED AS FILED t ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.:
360869-45
TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING C )TRUST C ~ TIME CERTIFICATE
DATE ESTABLISHED 11-12-2009
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
22,336.71 NOTE:
X 1.000
22,336.71
- .00
22,336.71
x .045
1,005.15
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
11-29-2010 CD013719 50.26 954.90
B DATE OF DEATH:11-06-2010
TOTAL TAX PAYMENT 1,005.16
BALANCE OF TAX DUE .O1CR
INTEREST AND PEN. .00
TOTAL DUE .O1CR
COUNTY:CUMBERLAND
* 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.