HomeMy WebLinkAbout01-07-11BUREAU OF INDIVIDUAL TAXES ~= ~'~' '~' ~~~'~ TICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION ^' r AP~ ~ ENT, ALLOWANCE OR DISALLOWANCE
~` ~ ,;; i i,; ;°: ~,_,Q~ ~~, TIONS, AND ASSESSMENT OF TAX ON
PO BOX 280601
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
CLERK ~(~~
((~~~~ ~~A4#i i ~,' ``i'ai ~ t,,
JOSHUA ORR`T~ - ~~
2579 RALEIGH RD
HUMMELSTOWN PA 17036
• ~_ '~~s
pennsylvan~a~. k.G,
DEPARTMENT OF REVENUE
REV-1548 IX AFP (12-10)
DATE 01-10-2011
ESTATE OF ORRIS ANNA M
DATE OF DEATH 01-23-2010
FILE NUMBER ~~ ` I~ - O ~~~
COUNTY CUMBERLAND
SSN/DC 195-07-5626
ACN 10130402
APPEAL BY DATE:03-11-2011
(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 ~
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REV-1548 EX AFP t12-10)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 01-10-2011
ESTATE OF:ORRIS
ANNA
FILE NO.:
S.S/D.C. NO.: 195-07-5626
COUNTY:CUMBERLAND
ACN: 10130402
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MID PENN BANK ACCOUNT NO.: 801-301-3
TYPE OF ACCOUNT: t )SAVINGS C ~ CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 02-01-1978
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
Tex rQ~nrrc.
1,182.44 NOTE:
X 0.166
197.08
- .00
197.08
~ .15
29.56
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
INTEREST IS CHARGED THROUGH 01-18-2011
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 29.56
INTEREST AND PEN. .27
TOTAL DUE 29.83
~ 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.
M DATE OF DEATH:O1-23-2010