HomeMy WebLinkAbout04-08-11~. _
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BUREAU OF INDIVIDUAL TA,XE$,.- ~ NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION 11`` ' 'AiP~RAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 "'D`FJDEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 ^y JOINTLY HELD OR TRl1ST ecc~Tc
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RICHARD E STOUFFER
158 SPRUCE HOLLOW RD
CONNELLSVILLE PA 15425
Pennsylvania ~
DEPARTMENT OF REVENUE
RE\/-1548 EX AFP (12-10) ~~~~~~~
DATE 04-11-2011
ESTATE OF STOUFFER AMY E
DATE OF DEATH 11-21-2010
FILE NUMBER ~1 ~~~_~~
COUNTY UMBE LA D
SSN/DC 204-03-147E3
ACN 11114202
APPEAL BY DATE:06-10-2011
(See reverse side under Objectiofts)
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 01=
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 04-11-2011
ESTATE OF:STOUFFER AMY E DATE OF DEATH:11-21-2010 COUPJT'Y:CUMBERLAND
FILE NO.: S.S/D.C. NO.: 204-03-1478 ~-CN: 11114202
TAX RETURN WAS: tX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ACNE BANK ACCOUNT NO.: 4990887
TYPE OF ACCOUNT: ( )SAVINGS C ) CHECKING ( )TRUST CX)TIME CERTIFICATE
DATE ESTABLISHED 07-01-2000
Account Balance 10,067.50 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.166 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 1,677.95 UPPER PORTION OF THIS NOTICE
Debts and Deduc tions - DO
Taxable Amount .
1
677
95 WITH YOUR TAX PAYMENT TO THE
Tax Rate ,
. REGISTER OF WI LLS AT THE
Tax Due x .045 ABOVE ADDRESS. MAKE CHECK
75.51 OR MONEY ORDER PAYABLE T0:
TAX CREDITS:
"REGISTER OF W
ILLS, AGENT."
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
PAYMENT MUST BE MADE BY 08-22-2011*. TOTAL TAX PAYMENT
.00
_
BALANCE OF TAX DUE 75.51
_
INTEREST AND PEN. .00
TOTAL DUE ~ 75.51
* IF PAID AFTER THIS DATE, SEE
IF TOTAL DUE IS REFLECTED AS REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~
A "CREDIT" (CR)
YOU
SEE REVERSE SIDE
OF THIS FORM
- ,
MAY BE DUE
FOR INSTRUCTIONS. A REFUND.
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