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HomeMy WebLinkAbout06-20-11_ pennsylvan~a : ~ ~~~(~~~'j~l'` t~ ~;~;.~ OF INHERITANCE TAX DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES ' ... , ~ Fa`~ INHERITANCE TAX DIVISION nor,.>-P~ ~S ALLOWANCE OR DISALLOWANCE _,_,_„ PO BOX 280601 ~~~;~`~''~-~I'~ ~;~I~~D~~T~~I~NS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-10) a.e i ; HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS ~~~ ~ ~~~ ~'"'~ ~J'.~ ~~ ~ ~'~ ~ ESTATE OF SAMPSONOI I DAISY DATE OF DEATH 03-02-2011 ~L.~RK (J~ FILE NUMBER ~ COUNTY CUMBERLAND M PNANS G~URT SSN/DC 202-20-1048 MARY S M i L L S ~`~~~~~~-~~~ r~ , Ri4 ACN 1112 6 210 LOT 529 90 SALEM CHURCH RD MECHANICSBURG PA 17050 APPEAL BY DATE:08-12-2011 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE S6IUARE 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: 06-13-2011 ESTATE OF:SAMPSON DAISY DATE OF DEATH:03-02-2011 FILE NO.: S.S/D.C. NO.: 202-20-1048 COUNTY:CUMBERLAND ACN: 11126210 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: M ~ T BANK ACCOUNT NO.: 9843866808 TYPE OF ACCOUNT: C )SAVINGS CX} CHECKING C )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 03-11-2008 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 1,970.18 X 0.500 985.09 - .00 985.09 x .045 44.33 NOTE: TO ENSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE T0: "REGISTER OF WILLS, AGENT." PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID rrarri~w~ r~uJl Dt 1'IALt !ST 1L-US-LU11*. TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE 44.33 INTEREST AND PEN. .00 TOTAL DUE 44.33 * 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.