HomeMy WebLinkAbout02-11-11 (4)BUREAU OF INDIVIDUAL 'F~CX'~S "'~ ~~a~'` f ~ NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION r~,_;,`_ ' r„ '-~_,~,:1~PPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 tt JOINTLY HELD OR TRUST ASSETS
C~.E°~ C
~~ lkA F~~i l fir.,'," { -'-
CHARLOTTE M SAKSA
969 CHARTERHOUSE CT
WESTERVILLE OH 43081
Pennsylvania ~
DEPNRTMENT OF REVENUE
REV-1548 EX AFP C12-10)
DATE 02-14-2011
ESTATE OF POZSGAY MADELINE M
DATE OF DEATH 10-29-2010
FILE NUMBER 21 11-0042
COUNTY CUMBERLAND
SSN/DC 163-44-4552
ACN 10173684
APPEAL BY DATE:04-15-2011
(See reverse side under Objecticins)
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-~
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: 02-14••2011
ESTATE OF:POZSGAY MADELINE M DATE OF DEATH:10-29-2010
FILE NO.: 21 11-0042 S.S/D.C. NO.: 163-44-4552
COUNTY:CUMBERLAND
ACN: 10173684
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: DOLLAR BANK ACCOUNT NO.: 60668726234
TYPE OF ACCOUNT: ( )SAVINGS ( ) CHECKING C )TRUST (X)TIME CERTIFICATE
DATE ESTABLISHED 05-23-2005
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
10,003.82
X 0.500
5,001.91
- .00
5,001.91
x .045
225.09
NOTE: TO ENSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX 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 (-)
AMOUNT PAID
~ n~r~~~~t riuJi DC 1'IHLt !3T U/-3U-LUll*.
TOTAL TAX PAYMENT _ .00
BALANCE OF TAX DUE __ 225.09
INTEREST AND PEN. _ .00
TOTAL DUE 225.09
* 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.