HomeMy WebLinkAbout02-11-11 (5)BUREAU OF INDIVIDUAL TAXES ~~~~'~+~;~"' ('`~"~'~+~"~ Tj~~ OF INHERITANCE TAX
INHERITANCE TAX DIVISION ~ ~-i4f'F`RA~I~~j ALLOWANCE OR DISALLOWANCE
PO BOX 280601 1.~~
HARRISBURG PA 17128-0601 ! "- "; OF' DEI~f.~'C,~1~8~DNS, AND ASSESSMENT OF TAX ON
-~~ J'~iN`f~LY HELD OR TRUST ASSETS
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CHARLOTTE M SAKSAC~~'5~1~ ~~4f""'~ ~''~ ;J`t r
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WESTERVILLE OH 43081-2763
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DEPARTMENT OF REVENUE
RE'V-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 10170473
APPEAL BY DATE:04-15-2011
(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 ~'~'
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 COUNTY:CUMBERLAND
FILE NO.: 21 11-0042 S.S/D.C. NO.: 163-44-4552
ACN: 10170473
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: FIRST NIAGARA BANK ACCOUNT NO.: 4160375189
TYPE OF ACCOUNT: ( )SAVINGS ( ) CHECKING ( )TRUST (X)TIME CERTIFICATE
DATE ESTABLISHED 05-09-2006
Account Balance
Percent Tax
bl 37,688.83 NOTE: TO ENSURE PROPER CREDIT TO
a
e X
Amount Subject to Tax 0.500
18,844
42 YOUR ACCOUNT, SUBMIT THE
Debts and Deductions - . UPPER PORTION OF THIS NOTICE
Taxable Amount •00
18,844
42 WITH YOUR TAX PAYMENT TO THE
Tax Rate . REGISTER OF WI LLS AT THE
x
Tax Due 15 ABOVE ADDRESS. MAKE CHECK
2,826.66 OR MONEY ORDEIZ PAYABLE T0:
TAX CREDITS: "REGISTER OF W ILLS, AGENT."
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
PAYMENT MUST BE MADE BY 07-30-2011*. TOTAL TAX PAYMENT
.00
_
BALANCE OF TAX DUE 2,826.66
_
INTEREST AND PEN. .00
_
TOTAL DUE _
2,826.b6
* IF PAID AFTER THIS DATE, SEE
IF TOTAL DUE IS REFLECTED AS REVERSE FOR CALCULATION OF ADDI
A "CREDIT" TIONAL INTEREST. ~
SEE REVERSE SIDE OF THIS FORM (CR), YOU MAY BE DUE
FOR INSTRUCTIONS. A REFUND.
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