HomeMy WebLinkAbout04-08-11 (3)INHERITANCE TAX DIVISION :~tf - ~. r „i ~RAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 r`., ~, ~,' ', '~:^40,~ DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
BUREAU OF INDIVIDUAL ~~A~CE:~Y. ~ ~ ~~~,,~ j~ NOTICE OF INHERITANCE TAX
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L U C I L L E G~'F'AY'~~~~~-' ~'`; C! '~,'~ p~,
607 GREEN ACRES STREET
MECHANICSBURG PA 17055
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DEPARTMENT OF REVENUE
RE'V-1548 IX AFP (12-10) ~~~~~~
DATE 04-04-2011
ESTATE OF TAYLOR ROBERT D
DATE OF DEATH 04-12-2010
FILE NUMBER 21 10-0551
COUNTY CUMBERLAND
SSN/DC 160-16-408+
ACN 10125703
APPEAL BY DATE:06-03-2011
(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 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: 04-04E-2011
ESTATE OF:TAYLOR ROBERT D DATE OF DEATH:04-12-2010 COUNTY:CUMBERLAND
FILE NO.: 21 10-0551 S.S/D.C. NO.: 160-16-4084 ACN: 10125703
TAX RETURN WAS: (X1 ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 147028-05
TYPE OF ACCOUNT: t)U SAVINGS ( ~ CHECKING ( 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
TAX CREDITS:
98,204.64
X 0.166
16,367.77
- .00
16,367.77
x 00
.00
PAYMENT I RECEIPT I DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID (-)
NOTE: 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."
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.
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