HomeMy WebLinkAbout01-07-11BUREAU OF INDIVIDUAL ~~`~`~f ;F~i ~ -~~ ~'~ ('~~ NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION '~ ~ ~~.~~A~PRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 i ~~'~ Y ~ ''~ 0~ DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
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423 CHESTNUT STREET
MT HOLLY SPRINGS PA 17065
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DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-10)
DATE 01-10-2011
ESTATE OF ADAMS DAVID M
DATE OF DEATH 01-16-2010
FILE NUMBER 21 10-0063
COUNTY CUMBERLAND
SSN/DC 209-36-4029
ACN 10107927
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 ~ 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: 01-10-2011
ESTATE OF:ADAMS
DAVID
COUNTY:CUMBERLAND
FILE NO.: 21 10-0063 S.S/D.C. NO.: 209-36-4029 ACN: 10107927
TAX RETURN WAS: tX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 315358-11
TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING C )TRUST t )TIME CERTIFICATE
DATE ESTABLISHED 10-05-2007
Account Balance 348.07 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 174.04 UPPER PORTION OF THIS NOTICE
Debts and Deductions - •00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 174.04 REGISTER OF WILLS AT THE
Tax Rate X •15 ABOVE ADDRESS. MAKE CHECK
Tax Due 2b.11 OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-)
AMOUNT PAID
INTEREST IS CHARGED THROUGH 01-18-2011
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
M DATE OF DEATH:O1-16-2010
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 26.11
INTEREST AND PEN. .26
TOTAL DUE 2b.37
~ 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.