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HomeMy WebLinkAbout01-20-11BUREAU OF INDIVIDUA~~ TA}C~S ~ y.-F ~. ~~ NOTICE OF INHERITANCE TAX INHERITANCE TAX DIVISIO ~ ,?1PPRAISEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 - _ _.-~dF DEDUCTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 ' ~ JOINTLY HELD OR TRUST ASSETS r'"~ ~"5 F'~. `1 Y 5 til u.. Lr 1 ~ . ... ~- ~~ ,_ ((~~' ~ I _ ;-, DAVID ~~.fibi'+t'~C~1~-~~~~`~' ~ a 5805 STEPHEN'S CROSSING MECHANICSBURG PA 17050 .~. ~. pennsylvan~a ~~ ~ DEPARTMENT OF REVENUE REV-1548 EX AFP (12-10) ~ DATE 01-17-2011 ESTATE OF ANTONICELLI HELEN DATE OF DEATH 01-23-2010 FILE NUMBER 21 10-0208 COUNTY CUMBERLAND SSN/DC 178-22-7772 ACN 10109118 APPEAL BY DATE:03-18••2011 (See reverse side under Objections) Amount Remitted V 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: 01-1~7-2011 ESTATE OF:ANTONICELLI HELEN FILE NO.: 21 10-0208 S.S/D.C. NO.: 178-22-7772 ,ACN: 10109118 TAX RETURN WAS: CX) ACCEPTED AS FILED t ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 19792••00 TYPE OF ACCOUNT: C ~ SAVINGS C ) CHECKING ( )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 10-14-1977 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 6,170.42 NOTE: X O.ld6 1,028.42 - .00 1,028.42 Y .045__ 46.28 TO ENSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TA:{ PAYMENT TO THE REGISTER OF tiJILLS AT THE ABOVE ADDRESS, MAKE CHECK OR MONEY ORDER PAYABLE TD: "REGISTER OF WILLS, AGENT." PAYMENT DATE RECEIPT NUMBER DISCOUNT t+) INTEREST/PEN PAID (-) AMOUNT PAID INTEREST IS CHARGED THROUGH 01-25-2011 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE 46.28 INTEREST AND PEN. .45 TOTAL DUE 46.73 ~ 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. ~'. DATE OF DEATH:O1-23-2010 COUNT~Y:CUMBERLAND