HomeMy WebLinkAbout04-08-11BUREAU OF INDIVIDUAL TAXES ~~ '~~ 1`~ ,.fir. ~i'~~" ~ICE OF INHERITANCE TAX Pennsylvania ~
INHERITANCE TAX DIVISION _ A'PF~''A~•SEMENT, ALLOWANCE OR DISALLOWANCE DE:PAIRTMENTOFREVENUE
PO BOX 280601 f`~ ,;Y ~ . Of= 'D~`DIU~TIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP C12-10)
HARRISBURG PA 17128-0601 4~'.IO~INTLY HELD OR TRUST ASSETS
CLERK ~F
O~P~I,~:P~~'~:; s~;~:~~J
L UC I L L E TAY~~~~`=~=Cj.r'''`~.t`{! ~~;~~ , PA
607 GREEN ACRES STREET
MECHANICSBURG PA 17055
DATE 04-04-2011
ESTATE OF TAYLOR ROBERT D
DATE OF DEATH 04-12-2010
FILE NUMBER 21 10-0551
COUNTY CUMBERLAND
SSN/DC 160-16-4084
ACN 10125699
APPEAL BY DATE:06-03-•2011
(See reverse side under Objeci~ions)
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 F'-
REV-1548 EX AFP C12-10~--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OIF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 04-04i-2011
ESTATE OF:TAYLOR ROBERT D DATE OF DEATH:04-12-2010 COUIVTY:CUMBERLAND
FILE NO.: 21 10-0551 S.S/D.C. NO.: 1b0-16-4084 ACN;
10125699
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 147028-UO
TYPE OF ACCOUNT: (X)SAVINGS ( ) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 10-19-1994
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
23,095.32
X 0.166
3,849.30
- .00
3,849.30
x 00
.00
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID C-)
NOTE: TO ENSURE PROPER CREDIT TO
YOUR ACCOUNT, >UBMIT THE
UPPER PORTIONI OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF W'IL.LS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
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.