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HomeMy WebLinkAbout06-20-11BNHERITANOCE TAXDD YISIONL TAXES C "A~P;R~,,~y NTE ALLOWANCETORCDISALLOWANCE PO BOX 280601 ~4.~a~ ~ ~+OF DED~~~ONS, AND ASSES HARRISBURG PA 17128-0601 SMENT OF TA.X ON JOINTLY HELD OR TRUST ASSETS Pennsylvania ~ DEPARTMENT OF REVENUE REV-1548 IX AFP (12-10) ~~ ~~ DATE 06-20-2011 ESTATE OF SCHLUSSER MICHELLE M ~~~K ~~ DATE OF DEATH 07-12-2010 ~+ ~~~ ~ v~~~~ FILE NUMBER 21 11 - 0470 ~`~`~~~~~ ~~., Pi~ SSN/DC CUMBERLAND THOMAS G SCHLIk,$,SER 179-52-0355 2 SHEA CT ACN 11124491 CARLISLE APPEAL BY DATE:08-19-2011 PA 17 015 (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 E~- REV-1548 EX AFP C12-10~----------"--- " ------------------------------- ---------------- ALLOWANCE OR DISALLOWANCE OF DEDUCTIONSINANDIASSESSMENTAOFRTAXEONNJOI NTLY HELD OR TRUST ASSETS DATE: 06-20-2011 ESTATE OF:SCHLUSSER MICHELLE M DATE OF DEATH:07-12-2010 COUNTY:CUMBERLAND FILE NO.: 21 11-0470 S.S/D.C. NO.: 179-52-0355 ACN: 11124491 TAX RETURN WAS: CX~ ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: SOVEREIGN BANK TYPE OF ACCOUNT: C )SAVINGS C ~ CHECKING CX)TRUST AC ~0 IN ENO.: 2895548911 DATE ESTABLISHED 12-31-2008 ERTIFICATE Account Balance 2,034.23 Percent Taxable NOTE: TO ENSURE PROPER CREDIT TO X 1.000 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 2,034.23 Debts and Deductions - UPPER PORTION OF THIS NOTICE .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 2,034.23 Tax Rate REGISTER OF WILLS AT THE ~- 00 ABOVE ADDRESS. MAKE CHECK Tax Due .00 OR MONEY ORDER PAYABLE T0: TAX CREDITS: "REGISTER OF WILLS, AGENT." PAYMENT RECEIPT DISCOUNT C+) DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 i' I `~~0'~'#~ * IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~ IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.