HomeMy WebLinkAbout06-20-11 (3)BUREAU OF INDIVIDUAL TAXES ~~ '*'~
INHERITANCE TAX DIVISION '~~t~~,~ ~~~~' '~"~ INHERITANCE TAX
PO BOX 280601 y`,~'"'''~"''~,~~I~~R*'~ "'ALLOWANCE OR DISALLOWANCE
HARRISBURG PA 17128-0601 ~ iCl~~,~f DU'eT~~~`i~~l~~ AND ASSESSMENT OF TAX ON
JOINTLS~'~ELD OR TRUST ASSETS
B E T T Y E B E N N M ~~Q~~'~ e0C1RT
ETT vI~ERIt~ Chi pA
7006 SUNDAYS LN #R3
FREDERICK MD 21702
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 IX AFP (12-10) ~'~~~~~~~~~`~
DATE 06-13-2011
ESTATE OF LEE GUST
DATE OF DEATH 08-05-2010
FILE NUMBER 21 10-0872
COUNTY CUMBERLAND
SSN/DC 172-18-1751
ACN 11110549
APPEAL BY DATE:08-12-2011
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT
T0:
R
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS E-~
REV-1548 EX AFP C12-10~--------"""'" " '-----------------------
-------
OTICE OF INHERITANCE TAX APPRAISEMENT,
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLYWHELD OR TRUSTLASSETS OF
DATE: 06-13-2011
ESTATE OF:LEE GUST R DATE OF DEATH:08-05-2010
COUNTY:CUMBERLAND
FILE NO.: 21 10-0872 S.S/D.C. NO.:
172-18-1751 ACN:
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED 11110549
FINANCIAL INSTITUTION: SOVEREIGN BANK OR TRUST ASSET INFORMATION
TYPE OF ACCOUNT: C )SAVINGS C ~ CHECKING C 3TRUST A(XjT M NO.. 1695540599
DATE ESTABLISHED 10-05-2005 E CERTIFICATE
Account Balance
Percent Taxable
X 11,640.47 NOTE: TO ENSURE PROPER CREDIT TO
Amount Subject to Tax 0.500
5,820
24
YOUR ACCOUNT, SUBMIT THE
Debts and Deductions - .
00 UPPER PORTION OF THIS NOTICE
Taxable Amount '
5,820
24 WITH YOUR TAX PAYMENT TO THE
Tax Rate
~-- .
15 REGISTER OF WILLS AT THE
Tax Due
873.04
ABOVE ADDRESS. MAKE CHECK
TAX CREDITS OR MONEY ORDER PAYABLE T0:
"
: REGISTER OF WILLS, AGENT."
PAYMENT RECEIPT
DATE
DISCOUNT (+)
---
NUMBER
03-09-2011 INTEREST/PEN PAID (-) AMOUNT PAID
CD014113
.00 873.04
TOTAL TAX PAYMENT 873.04
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* 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.