HomeMy WebLinkAbout04-08-11 (14)
BUREAU OF INDIVIDUAL
TAXES r^("T+. ~ '
,-1 ~"~-:n~JO FLE
r OF INHERITANCE TAX Pennsylvania ~
INHERITANCE TAX DIVISION ' ~- Ap`PR~4M.8CE
T
ALLOWANCE OR DISALLOWAN
CE DEIPARTMENT OF REVENUE
PO BOX 280601 ,
-
~ ~ °; aF':'DE~}~d1C~ONS,
AND ASSESSMENT OF TAX ON REV-1!548 EX AFP C12-10) `
HARRISBURG PA 17128-0601 'JOY'}d~TLY HELD OR TRUST ASSETS
''' DATE 04-11-2011
~' '~ ~ ~~' G, ! ESTATE OF STOUFFER AMY E
DATE OF DEATH 11-21-2010
CC
ERK ~F FILE NUMBER ~~ .-~
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~FT COUNTY ~~~
UM AND
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~~11
STOUI~l~T~i ,_'~',`;;'_1 ~ ;~ FA SSN/DC
ACN 204- 03- 147Et
158 SPRUCE
HOLLOW RD
APPEAL BY 11114200
DATE:06-10-2011
C O N N E L L S V I L L E P A 15 4 2 5 (See reverse side under Ob 'ections)
J
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 OI~
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 COUNTY:CUMBERLAND
FILE NO.:
S.S/D.C. NO.: 204-03-1478
ACN: 11114200
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
FINANCIAL INSTITUTION: ACNB BANK
TYPE OF ACCOUNT: C )SAVINGS
DATE ESTABLISHED 07-25-1999
JOINT OR TRUST ASSET INFORMATION
ACCOUNT NO.: 4990616
) CHECKING C )TRUST CXITIME CERTIFICATE
Account Balance 3,036.51 NOTE: TO ENSURE PRCIPER CREDIT TO
Percent Taxable X 0.166 YOUR ACCOUNT, ~~UBMIT THE
Amount Subject to Tax 506.10 UPPER PORTION OF THIS NOTICE
Debts and Deductions - •00 WITH YOUR TAX: PAYMENT TO THE
Taxable Amount 506.10 REGISTER OF WI LLS AT THE
Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 22.77 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 PAYM
ENT .00
_
BALANCE OF TAX DUE 22.77
_
INTEREST AND PEN. .00
_
TOTAL DUE 22,77
* IF PAID AFTER THIS DATE, SEE
IF TOTAL DUE IS REFLECTED AS REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
A "CREDIT" (CR)
YOU M
SEE REVERSE SIDE OF THIS FORM ,
AY BE DUE
FOR INSTRUCTIONS. A REFUND.