HomeMy WebLinkAbout02-11-11BUREAU OF INDIVIDUAL TA ~,, ~~ r ~ ~ ~+
NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION ~~$ ~~' ``!~~~A~nFRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 `' `' `"' ,' ~" "' ~ ~'~
HARRISBURG PA 17128-0601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
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NANCY COULSON ~-.. ~~
203 S STONER AVENUE
SHIREMANSTOWN PA 17011-6758
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DEPARTMENT OF REVENUE
REV-1548 EX AFP C12-10)
DATE 02-14-2011
ESTATE OF HAZZARD ESTHER D
DATE OF DEATH 04-23-2010
FILE NUMBER 21 10-1195
COUNTY CUMBERLAND
SSN/DC 195-16-2682'
ACN 10168252
APPEAL BY DATE:04-15-2011
(See reverse side under Objectr'ons)
Amount Remitted -~
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
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:HAZZARD ESTHER D DATE OF DEATH:04-23-2010
COUNTY:CUMBERLAND
FILE NO.: 21 10-1195 S.S/D.C. NO.: 195-16-2682
ACN: 10168252
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SOVEREIGN BANK
ACCOUNT NO.: 1685396374
TYPE OF ACCOUNT: ( )SAVINGS ( ) CHECKING ( )TRUST CX)TIME CERTIFICATE
DATE ESTABLISHED 05-15-1998
Account Balance 5,455.05 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500
YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 2,727.53 UPPER PORTION OF THIS NOTICE
Debts and Deductions - •DO WITH YOUR TAX PAYMENT TO THE
Taxable Amount 2,727.53 REGISTER OF WILLS AT THE
Tax Rate x 045
Tax Due ABOVE ADDRESS. MAKE CHECK
122.74 OR MONEY ORDER PAYABLE T0:
TAX CREDITS: "REGISTER OF WILLS, AGENT."
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER AMOUNT PAID
INTEREST/PEN PAID (-)
12-03-2010 CD013742 .00
122.74
TOTAL TAX PAYMENT __ 122.74
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.
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