HomeMy WebLinkAbout04-08-11 (10)~~~ - F NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAX ~+~, , "~'+;~-
INHERITANCE TAX DIVISION ~ '' ' "l ~iAQ,FiR~FSEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 ~'_~i UFy ~~DUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 - - ~i ~~JJOINTLY HELD OR TRUST ASSETS
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ORF~~I~'S ~U~'R~"
158 SPRUCE HOLLOW RD
CONNELLSVILLE PA 15425
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DEPARTMENT OF REVENUE
REV-1!548 EX AFP (12-10)
DATE 04-11-2011
ESTATE OF STOUFFER AMY E
DATE OF DEATH 11-21-20 Q
FILE NUMBER `'`t - `~
COUNTY ~~MBERLA D
SSN/DC 204-03-1478
ACN 11114129
APPEAL BY DATE:06-10-2011
(See reverse side under Objectio~zs)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~"i 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: 04-11.-2011
ESTATE OF:STOUFFER AMY E DATE OF DEATH:11-21-2010 COUIyTY:CUMBERLAND
FILE NO.: S.S/D.C. NO.: 204-03-1478 /RCN: 11114129
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ACNB BANK ACCOUNT NO.: 4990157
TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING C )TRUST C)U TIME CERTIFICATE
DATE ESTABLISHED 05-05-1998
Account Balance 1,003.10 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 501.55 UPPER PORTION OF THIS NOTICE
Debts and Deductions - •00 WITH YOUR TAB; PAYMENT TO THE
Taxable Amount 501.55 REGISTER OF HIII_LS AT THE
Tax Rate x .045 ABOVE ADDRESS;. MAKE CHECK
Tax Due 22.57 OR MONEY ORDER PAY
TAX CREDITS:
ABLE T0:
"REGISTER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-)
AMOUNT PAID
~ ~~~~~-~~~ riuJl DC 1'IHUC 1ST u23-11-1011*.
TOTAL TAX PAYMENT _ .00
BALANCE OF TAX DUE _ 22.57
INTEREST AND PEN. _ .00
TOTAL DUE 22,57
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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