HomeMy WebLinkAbout01-20-11 (2)~ (1t NOTICE OF INHERITANCE TAX
BUREAU OF INDIVI~{,J~q'L 'FAXES .'~ ~~~
INHERITANCE TAX DIVIST'QN ~ APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 -" C~...,i OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0661 JOINTLY HELD OR TRUST ASSETS
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5805 STEPHEN'S CROSSING
MECHANICSBURG PA 17050
CUT ALONG THIS LINE "~ RETAIN LOWER PORTION FOR YOUR RECORDS E-
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REV-1548 EX AFP (12-10~
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OIF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 01-17-2011
ESTATE OF:ANTONICELLI
HELEN
pennsylvania ~~ ,
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-10) ~
COUINTY:CUMBERLAND
FILE NO.: 21 10-0208 S.S/D.C. NO.: 17g-22-7772
l4CN: 10109120
TAX RETURN WAS: (X~ ACCEPTED AS FILED C 3 CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.:
TYPE OF ACCOUNT: C )SAVINGS (X) CHECKING C TRUST
DATE ESTABLISHED 12-31-1979
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
reX rRFnrT~~
19792-11
C TIME CERTIFICATE
632.29 NOTE:
X 0.166
105.38
- .00
105.38
.045
4.74
TO ENSURE PROPER CREDIT TO
YOUR ACCOUNT,, SUBMIT THE
UPPER PORTIOPJ OF THIS NOTICE
WITH YOUR TA}: 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 t-)
AMOUNT PAID
01-10-2011 SBADJUST .00 4.78
TOTAL TAX PAYMENT 4.74
BALANCE OF TAX DUE ~ .00
INTEREST AND PEN. ~ .00
TOTAL DUE .00
* 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. '~~
<: l` J`/
DATE 01-17-2011
ESTATE OF ANTONICELL:[ HELEN
DATE OF DEATH 01-23-2010
FILE NUMBER 21 10-0208
COUNTY CUMBERLAND
SSN/DC 178-22-7772
ACN 10109120
APPEAL BY DATE:03-18-2011
(See reverse side under Objectio~ts)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
DATE OF DEATH:O1-23-2010