HomeMy WebLinkAbout01-07-11
"'-'• Pennsylvania
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Ci-1= OF INHERITANCE TAX DEPARTMENT OFRE:VENUE
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BUREAU OF INDIVIDUAL TAXES
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APPRk~T~ MEjN~` ALLDWANCE OR DISALLOWANCE
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VISIDNI
INHERITANCE TAX DI
- ~• ~ REV-]fi~~8 F:X AFP (12-10)
PO BOX 280601 - DF DEDU,C~T,I,•ONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 ~ JOINT-•i_Y HELD OR TRUST ASSETS
DATE 01-10-2011
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r _; ESTATE OF OTT GRETTA A
DATE OF DEATH 11-04-2010
FILE NUMBER 21 10-1201
~.~_`~ ~:.. COUNTY CUMBERLAND
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,' SSN/DC 175-34-8390
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SHUGHART BARBAF'~At
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ACN 1 O 1b57b2
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16 RAYL.EN DRIVE APPEAL BY DATE:03-11-2011
B O I L I N G S P R I N G S P A 17 0 0 7 (See revef~se side under Objec•ti~~~is)
Amount Remitted
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MAKE CHECK PAYABLE AND RENII'f PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE= SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS E-
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: 01-10-2'011
ESTATE OF:OTT-
GRETTA A DATE OF DEATH:11-04-2010
COUNT': CUMBERLAND
FILE NO.: 21 10-1201 S.S/D.C. NO.: 175-34-8390 A~C:W: 1.01657b2
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 204708-CIO
TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 05-03-2001
Account Balance 310.45 NOTE: TO ENSURE PRCIF'f.R CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 155.23 UPPER PORTIOt`I OF 1"HIS NOTICE
Debts and Deduct.io~s - •00 WITH YOUR TAB; PAYMENT TO THE
Taxable Amount 155.23 REGISTER OF 1~II:l_LS AT THE
Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 6.99 OR MONEY ORDE:F'. PAYABLE T0:
"REGISTER OF W:[LLS, AGENT."'
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-)
AMOUNT PAID
PAYMENT MUST BE MADE BY 08-05-2011*.
TOTAL TAX PAYMENT .OCI
BALANCE OF TAX DUE 6.95-
INTEREST AND PEN. .OCI
TOTAL DUE 6.95
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTIEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.