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HomeMy WebLinkAbout02-11-11 (6)BUREAU OF INDIVIDUAL TA r',r';~";~:r`~ NOTICE OF INHERITANCE TAX Pennsylvania ~ INHERITANCE TAX DIVISION ~ - ~~~~ A DEPARTMENT OF REVENUE ,.;,~~` ~_'~-• ~ R~SEMENT, ALLOWANCE OR DISALLOWANCE ~, ~ ! 0 PO BOX 280601 ~ +.~~ ~~,DUCTIONS, AND ASSESSMENT OF TAX ON RE\/-1548 EX AFP (12-10) HARRISBURG PA 17128-0601 r~ii '" a,• +..'; JOINTLY HELD OR TRUST ASSETS ~~ ~~ ~: ~~E~~ ~~. OR~~;`;I~~`~ ,",~~(f~ CHARLOTTE M ' ~''1 969 CHARTERHOUSE CT `~" ~~` WESTERVILLE OH 43081 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 10173680 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 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: 10173680 TAX RETURN WAS: CX1 ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: DOLLAR BANK ACCOUNT NO.: 606603].0356 TYPE OF ACCOUNT: C SAVINGS C ~ CHECKING C )TRUST C ~ TIME CERTIFICATE DATE ESTABLISHED 03-07-1994 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 15,011.86 X 0.500 7,505.93 .00 7,505.93 ~ 045 337.77 PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID (-) PAYMENT MUST BE MADE BY 07-30-2011*. 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." AMOUNT PAID TOTAL TAX PAYMENT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE * 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. .00 337.77 .00 337.77 - - ~i.~