HomeMy WebLinkAbout04-08-11 (15)BUREAU OF INDIVIDUAL TAXES `~'~'' -'t~~ ICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION !z-.r', ~ I -APRRA,~f` h~'NT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 ' '~ '- ... :0`E~': D~b~l~~,EiONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
CLERK ~;~
~~1 ua~r;~~ r7r T
DONALD M STOUF'~E}'R~~-'~;~._,'~;:`~,''-, ',-•i.-' . F~.
292 STEELSTOWN RD
NEWVILLE PA 17241
pennsylvania ~,
DEIPARTMENT OF REVENUE
REV-1!548 IX AFP C12-10)
DATE 04-11-2011
ESTATE OF STOUFFER AMY E
DATE OF DEATH 11-21-2010
FILE NUMBER `~-~~~
COUNTY C~MBE~E~L~i~,~r~
SSN/DC 204-03-1478
ACN 11114201
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 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 OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 04-1]L-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 : 11 114201
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
FINANCIAL INSTITUTION: ACNB BANK
TYPE OF ACCOUNT: C )SAVINGS
DATE ESTABLISHED 07-01-2000
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
JOINT OR TRUST ASSET INFORMATION
ACCOUNT NO.: 4990887
CHECKING C )TRUST (X)TIME CERTIFICATE
10,067.50
X 0.166
1,677.95
.00
1,677.95
x .045
75.51
NOTE: TO ENSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTIOIJ OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF tiJILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-)
AMOUNT PAID
~.-~~r,~~~~ r~u~l DC 1'IHUC DT uB-LL-LU11*.
TOTAL TAX PAYMENT _ .00
BALANCE OF TAX DUE _ 75.51
INTEREST AND PEN. _ .00
TOTAL DUE 75.51
* 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.