HomeMy WebLinkAbout04-08-11 (5)BUREAU OF INDIVIDUAL Trd~~,~ ~"
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
"~ '~ NOTICE OF INHERITANCE TAX Pennsylvania ~
~~ DEPARTMENT OF REVENUE
"'AP,~ AISEMENT, ALLOWANCE OR DISALLOWANCE
", O~t~DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 IX AFP C12-10)
- JOINTLY HELD OR TRUST ASSETS
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[~ C~.EF?K C~
4€'P~~~~~~~, r, r, ~ T
DONALD M ~8~-U~~~'~,! - ';._;~' . FA,
292 STEELSTOWN RD
NEWVILLE PA 17241
DATE 04-11-2011
ESTATE OF STOUFFER AMY E
DATE OF DEATH 11-21-2010
FILE NUMBER ~ ~ r ~ J ~~~
COUNTY UMBERLAND
SSN/DC 204-03-14713
ACN 11114206
APPEAL BY DATE:06-10-2011
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
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 COUWTY:CUMBERLAND
FILE NO.: S.S/D.C. NO.: 204-03-1478 ~1CN: 11114206
TAX RETURN WAS: (X1 ACCEPTED AS FILED ( ~ CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ACNB BANK ACCOUNT NO.: 5990415
TYPE OF ACCOUNT: t )SAVINGS ( ) CHECKING ( )TRUST (X}TIME CERTIFICATE
DATE ESTABLISHED 12-02-1998
Account Balance 1,004.70 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0
500
Amount Subject
to Tax .
502
35 YOUR ACCOUNT, SUBMIT THE
Debts and Deduc
tions - . UPPER PORTION OF THIS NOTICE
Taxable Amount •00 WITH YOUR TAX PAYMENT TO THE
Tax Rate 502.35 REGISTER OF WI LLS AT THE
Tax Due x 045 ABOVE ADDRESS. MAKE CHECK
22.61 OR MONEY ORDER PAYABLE T0:
TAX CREDITS:
"REGISTER OF W
ILLS, AGENT."
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
PAYMENT MUST BE MADE BY 08-22-2011*. TOTAL TAX PAYMENT
.00
_
BALANCE OF TAX DUE 22.61
_
INTEREST AND PEN. .00
_
TOTAL DUE 22.61
* IF PAID AFTER THIS DATE, SEE
IF TOTAL DUE IS REFLECTED AS REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
A "CREDIT" CCR)
YOU
SEE REVERSE SIDE
OF THIS FORM ,
MAY BE DUE
FOR INSTRUCTIONS. A REFUND.
/'+~
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