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HomeMy WebLinkAbout02-28-11 (4)'^' ~I: 1,~; NOTICE OF INHERITANCE TAX BUREAU OF INDIVIDUAL~'T1lk~S ~ ,AppRAISEMENT, ALLOWANCE OR DISALLOWANCE INHERITANCE TAX DIVISION `.-'~~ PO BOX 280601 - - ' - --'0F DEDUCTIONS , AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS r., ~ ~ ~,. ` ,,-~ ~. LILLIAN C`~KItT'H~ =" ` ~ `._ 1113 CHARLES STREET MECHANICSBURG PA 17055 • a pennsylvan~a ~ DEPARTMENT OF REVENUE r REV-1548 EX AFP C12-10) DATE 03-01-2011 ESTATE OF RUTH PAUL DATE OF DEATH 03-05-2010 FILE NUMBER 21 10-0458 COUNTY CUMBERLAND SSN/DC 196-12-9233 ACN 10118357 APPEAL BY DATE:04-30-2011 (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: 03-01-2011 ESTATE OF:RUTH PAUL FILE NO.: 21 10-0458 S.S/D.C. NO.: 196-12-9233 COUNTY:CUMBERLAND ACN: 10118357 TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 6069-00 TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING C )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 10-01-1974 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due 2,906.13 NOTE: X 0.083 242.17 - .00 242.17 x .00 .00 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 WELLS, AGENT." PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID TOTAL TAX PAYMENT .00 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. DATE OF DEATH:03-05-2010