HomeMy WebLinkAbout06-20-11BUREAU OF INDIVIDUAL TAXES ~~~~'~''~-~-~ ~} ~ SCE OF INHERITANCE TAX
PO BOX 280601 ~ ~^µ U
INHERITANCE TAX DIVISION I~~yc~;;:~~E~'~,~NS,AANDWASSESSMENTSOFLTAXNON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
Pennsylvania i
DEPARTMENT OF REVENUE
REV-1548 EX AFP C12-10) ~~~~~~~~~
3~ ~.• DATE 06-13
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`NA~U'S CQl1RT
MICHAEL ROKSAN~IC~~~ ~~``
13 VILLAGE COURT
MECHANICSBURG PA 17050
-2011
ESTATE OF NYE MILDRED
DATE OF DEATH 06-09-2010
FILE NUMBER 21 11-0010
COUNTY CUMBERLAND
SSN/DC 168-26-7427
ACN 10140848
APPEAL BY DATE:08-12-2011
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
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)--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 06-13-2011
ESTATE OF:NYE MILDRED DATE OF DEATH:06-09-2010
COUNTY:CUMBERLAND
FILE NO.: 21 11-0010 S.S/D.C. NO.: 168-26-7427
ACN: 10140848
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.: 107284-00
TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 03-18-1989
Account Balance 3,129.65 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500
YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 1,564.83 UPPER PORTION OF THIS NOTICE
Debts and Deductions - •DO WITH YOUR TAX PAYMENT TO THE
Taxable Amount 1,564.83 REGISTER OF WILLS AT THE
Tax Rate x 12
Tax Due ABOVE ADDRESS. MAKE CHECK
187'78 OR MONEY ORDER PAYABLE T0:
TAX CREDITS: "REGISTER OF WILLS, AGENT."
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER AMOUNT PAID
INTEREST/PEN PAID C-)
12-20-2010 CD013853 .00
187.78
TOTAL TAX PAYMENT 187,78
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.