HomeMy WebLinkAbout01-20-11 (5)BUREAU OF INDIVI~(J~L TAKES `' "„ ~E NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVP5~ON ~ APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-o~OI ~ JOINTLY HELD OR TRUST ASSETS
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DAV I D ~ V' ` ANA C~~I,C ELL I` ~'
5805 STEPHEN'S CROSSING
MECHANICSBURG PA 17050
pennsylvania ~ ~,
DEPARTMENT OF REVENUE
REV-1!548 EX AFP C12-10)
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 10109126
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 <'~
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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: 01-1;~-2011
ESTATE OF:ANTONICELLI
HELEN
DATE OF DEATH:O1-23-2010 COUNTY:CUMBERLAND
FILE NO.: 21 10-0208 S.S/D.C. NO.: 178-22-7772
~ACN: 10109126
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT DR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.:
15332 •• 1 1
TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 12-31-1979
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
rwv rorr~rrc.
12,536.08 NOTE:
X 0.166
2,089.39
- .00
2,089.39
~ .045
94.02
TO ENSURE PR17PER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTIOIJ 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 (+)
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
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE ~ 94.02
INTEREST AND PEN. .91
TOTAL DUE 94.93
* 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. ~=''~~;1