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HomeMy WebLinkAbout05-20-11BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION NOTICE OF INHERITANCE TAX ennsy PD BOX 2BU60I P lvania =` HARRISBURG PA 17128-0601 APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, DEPARTMENT OF REVENUE f JDINTLY HELD RS TRUSTENT OF TA;( ON REV-1548 ASSETS EX AFP (12 -IO> ,°°"~°°'~°'"~" CHARLOTTE M SAKSA 969 CHARTERHDUSE CT WESTERVILLE OH 43081-2763 DATE 05-16- ESTATE OF 2011 DATE OF DEATiH 10?SGAY MADELINE M FILE NUMBER 29-2010 COUNTY 21 11-0042 SSN/DC CUMBERLAND ACN 163-44-4552 APPEAL g~~ 11116864 DATE:07-15-2011 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF W:[LLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE __~_ RETAIN LOWER PORTION FOR REV-1548 EX AFP C12-10~ "- " --------___ ______ YOUR NOTICE OF INHERITANCE TAX APPRAISEMENT ___-RECORDS F~ DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRU~~ . ALLOWANCE OR DIS/1LLOWANCE OF T ASSETS ESTATE OF:POZSGAY DATE: 05-16-2011 MADELINE M DATE OF DEATH:10- FILE NO.: 29-2010 21 11-0042 ~~~_ COUNTY:CUMBE= D S.S/D.C. NO.: TAX RETURN WAS; 163-44-4552 (X~ ACCEPTED AS FILED ACN: 11116864 ~ ~ CHANGED FINANCIAL INSTITUTION: PNC BANK NA INT OR TRUST ASSET INFORMATIOW TYPE OF ACCOUNT: ( )SAVINGS CX) CHECKING ( )TRUST ACCOUNT DATE ESTABLISHED Og_ NO.: 1005091188 24-1998 ~ )TIME CERTIFICATE Acc ount Balance Percent Taxable X 2,853.26 Amount Sub' sect to Tax D 0.166 NOTE: TO ENSURE P ROPER CREDIT ebts and Deductions - 475.55 YOUR ACCOUNT, TO SUBMIT Taxable Amount •00 UPPER PORTION OF T THE HIS Tax Rate 475.55 WITH YOUR TAX NOTICE PAYMENT Tax Due ~ ~ 045 REGISTER OF WI TO THE LLS qT TAX CREDITS 21.40 ABOVE ADDRESS. OR T HE MAKE CHECK : PAYMENT MONEY ORDER "REG:STER PAYggLE T0: DATE RECEIPT OF W ILLS, AGENT " NUMBER 11-07-2010 DISCOUNT (+} INTEREST/PEN PA . CD014275 ID (-} AMOUNT PAID 1 . 0 7 _~ _ 21.40 TOTAL TAX PAYIMENT BALANCE OF TA:K DUE 22.47 INTEREST AND PEN. 1.07CR TOTAL DUE •00 1.07CR * IF PgID AFTER THIS DATE, SEE REVERSE FOR CALCULATI IF TOTAL DUE IS REFLECTED AS SEE " ON OF A CREDIT" (CR), ADDITIONAL INTEREST. ~ REVERSE SIDE OF THIS FORM FOR INSTRU YOU MAY BE DUE A R CTIONS. EFUND.