HomeMy WebLinkAbout01-20-11 (3)~t^^~'-'~` ~` ~~ ~t NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL ;T~1~CES `'°- '
INHERITANCE TAX DIVISION -- ' ~P+PRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 ,`" !-BFf DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
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DAVID t~-~1"i'O~iT'C~ELL-~I
5805 STEPHEN'S CROSSING
MECHANICSBURG PA 17050
Pennsylvania ~ ~ ~
DEPA,F;TMENT OF REVENUE
REV'-1!548 EX AFP (12-10) r
DATE 01-17-2011
ESTATE OF ANTONICELLl: HELEN
DATE OF DEATH 01-23-2010
FILE NUMBER 21 10-0208
COUNTY CUMBERLAND
SSN/DC 178-22-7772
ACN 10109122
APPEAL BY DATE:03-1$-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'er
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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: 01-1T-2011
ESTATE OF:ANTONICELLI
HELEN
COUNTY :CUMBERLAND
FILE NO.: 21 10-0208 S.S/D.C. NO.: 178-22-7772 ACN: 10109122
TAX RETURN WAS: CX) ACCEPTED AS FILED C ~ CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.:
19792-04
TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING ( TRUST C TIME CERTIFICATE
DATE ESTABLISHED 10-14-1977
Account Balance 2,000.42 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.166 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 333.41 UPPER PORTION OF THIS NOTICE
Debts and Deductions - •00 WITH YOUR TA}; PAYMENT TO THE
Taxable Amount 333.41 REGISTER OF WILLS AT THE
Tax Rate X .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 15.00 OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
TAX ['RFTITT4
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-)
AMOUNT PAID
INTEREST IS CHARGED THROUGH 01-25-2011
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
DATE OF DEATH:O1-23-2010
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 15.00
INTEREST AND PEN. ~ .14
TOTAL DUE 15.14
* 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.