HomeMy WebLinkAbout01-20-11 (6)BUREAU OF INDIVI~1 L ~fi'AX~~ ' `'- ~ 'C ~~ NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIViSk~~i - APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 ' ,_ ~ OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128 00-1 - -~ - - `'~ JOINTLY HELD OR TRUST ASSETS
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DAV I D (~~;'~.,;` ?`ANTp,..IrrT C;~t Ll~~`~,
5805 STEPHEN'S CROSSING
MECHANICSBURG PA 17050
pennsylvania~ ~
DEPARTMENT OF REVENUE
REV-1!548 EX AFP C12-10)
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 10109128
APPEAL BY DATE:03-18-2011
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE "'~ RETAIN LOWER PORTION FOR YOUR RECORDS F-
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REV-1548 EX AFP (12-10)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: O1-li'-2011
ESTATE OF:ANTONICELLI
HELEN
FILE NO.: 21 10-0208 S.S/D.C. NO.: 178-22-7772
ACN: 10109128
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 15332-•04
TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING ( )TRUST
DATE ESTABLISHED 10-04-1973
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
rnx rcGnr-rc.
C )TIME CERTIFICATE
2,000.42 NOTE:
X O.lb6
333.41
- .00
333.41
x .045
15.00
TO ENSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTIOW OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF ~k'ILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE T0:
"REGISTER OF W:[LLS, AGENT."
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
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" CCR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
.~
DATE OF DEATH:O1-23-2010
COUINTY:CUMBERLAND