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HomeMy WebLinkAbout03-15-11BUREAU OF INDIVIDUAL TAX'E'S - ~~~~~- NOTICE OF INHERITANCE TAX INHERITANCE TAX DIVISION APPR~kfiSEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 OF ~~,DUCTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 ~ JOINTLY HELD OR TRUST ASSETS - - ,-r ., ~ -, ANGEL A L M1J'L L I 5~ `r, 16 BENTLEY PL CARLISLE PA 17013-2262 Pennsylvania ~ ~ DEPARTMENT OF REVENUE ' REV-1548 EX AFP C12-10) DATE 03-14-2011 ESTATE OF SMITH JACKSON M DATE OF DEATH 08-08-2010 FILE NUMBER 21 10-0806 COUNTY CUMBERLAND SSN/DC 201-16-5737 ACN 10147984 APPEAL BY DATE:05-13-2011 (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 (12-10) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 03-14-2011 ESTATE OF:SMITH JACKSON M DATE OF DEATH:08-08-2010 COUNTY:CUMBERLAND FILE NO.: 21 10-0806 S.S/D.C. NO.: 201-16-5737 ACN: 10147984 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT NO.: 0511086148 TYPE OF ACCOUNT: t: )SAVINGS (X) CHECKING ( )TRUST t: )TIME CERTIFICATE DATE ESTABLISHED 10-19-2009 Account Balance •00 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 1.000 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax •00 UPPER PORTION OF THIS NOTICE Debts and Deductions - •00 WITH YOUR TAX PAYMENT TO THE Taxable Amount •00 REGISTER OF WILLS AT THE Tax Rate x •15 ABOVE ADDRESS. MAKE CHECK Tax Due •00 OR MONEY ORDER PAYABLE T0: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) 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. _ ;-~