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HomeMy WebLinkAbout03-25-11BUREAU OF INDIV~U.att TAXES .' ~:1C. LJ~ NOTICE OF INHERITANCE TAX INHERITANCE TAX DIVISION' Fik 1 ~ APPRAISEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 ~ i_. _; . :t_.~.~~ OF DEDUCTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS Cl~~.PK rr o~~~.~;~~s f~;c~~ ~~T ANGELA ~-''~-~~~ 1007 VILLA GRAN WAY FENTON MO 63026 pennsylvan~a ~ DEPARTMENT OF REVENUE REV-1548 EX AFP (12-10) DATE 03-28-2011 ESTATE OF LATIN SHIRLEY K DATE OF DEATH 07-14-2010 FILE NUMBER 21 11-0117 COUNTY CUMBERLAND SSN/DC 188-32-3180 ACN 10143453 APPEAL BY DATE:05-27-2011 (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: 03-28-2011 ESTATE OF:LATIN SHIRLEY K DATE OF DEATH:07-14-2010 COUNTY:CUMBERLAND FILE NO.: 21 11-0117 S.S/D.C. NO.: 188-32-3180 ACN: 10143453 TAX RETURN WAS: CX) ACCEPTED AS FILED C ~ CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 226404-11 TYPE OF ACCOUNT: C )SAVINGS C ~ CHECKING C TRUST C )TIME CERTIFICATE DATE ESTABLISHED 01-30-2003 Account Balance 2,523.61 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 1,261.81 UPPER PORTION OF THIS NOTICE Debts and Deductions - 1,439.56 WITH YOUR TAX PAYMENT TO THE Taxable Amount .00 REGISTER OF WILLS AT THE Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK Tax Due .00 OR MONEY ORDER PAYABLE T0: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) 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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ~L "