HomeMy WebLinkAbout06-20-11 (2)NOTICE OF INHERITANCE TAX
G;~'~~r ~ r~,~lr~~'E ALLOWANCE OR DISALLOWANCE
~~ ` : ~~,~ + ~,.~~}PAISEMENT,
BUREAU OF INDIVIDUAL + ,.ti„ ,, ..
INHERITANCE TAX DIVISION ~,.~ ~ °r' ~: ',.j~,~`DEDUCTIONS, AND ASSESSMENT OF TAX 0
~J ~~ OINTLY HELD OR TRUST ASSETS
ennsylvania i
DEPARTMENT OF REVENUE
_...._r
REV-1548 IX AFP C12-10)
PO BOX 280601 ~_~~.r ,=~. J
HARRISBURG PA 17128-0601 DATE 0 6 -13 - 2011 ROSEAL I E
CLERK ~OU~t
M I C R AE L A ~!~~~~~
106 S 18TH STREETPA 17011
CAMP HILL
ESTATE OF ANDREOLI
DATE OF DEATH 21 11-0599
FILE NUMBER CUMBERLAND
COUNTY
SSN/DC 184-12-2668
ACN 11130290
pppEAL BY DATE:08-12-2011
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
PORTION FOR YOUR RECORDS ~ _____________
CUT ALONG THIS LINE ~ --RETAIN-LOWER_____________________..---------""---
REV-1548 EX AFP C12-10) pRAISEMENT, ALLOWANCE OR DISSTLASSETS OF
NOTICE OF INHERITANCE TAX AP DATE: 06-13-2011
TIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TR
DEDUC
COUNTY:CUMBERLAND
ROSEALIE DATE OF DEATH:04-20-2011
ESTATE OF:ANDREOLI ACN: 11130290
FILE NO.: 21 11-0599 S.S/D.C. NO.: 184-12-2668
..~T~~~.~ wec~ (X) ACCEPTED AS FILED ( ) CHANGED
TAX Kt ~ un~• ..,....
JOINT OR TRUST ASSET
FINANCIAL INSTITUTION: MEMBERS 1 ~ CHECKING C )TRUST
TYPE OF ACCOUNT: C )SAVINGS ~
DATE ESTABLISHED 04-30-2007
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
11,977.15
X 0.083
998.06
- .00
998.06
.045
44.91
TAX CREDITS: DISCOUNT C+)
PAYMENT RECEIPT
NUMBER INTEREST/PEN PAID C-)
DAT E
PAYMENT MUST BE MADE BY 01-21-2012*.
INFORMAL tun
ACCOUNT NO.: 127006-11
)TIME CERTIFICATE
NOTE: TO ENSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
IIPPER 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."
AMOUNT PAID
~- . 0 0
TOTAL TAX PAYMENT 44,91
BALANCE OF TAX DUE ,00
INTEREST AND PEN. 44.91
TOTAL DUE
AID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
* IF P "CREDIT" CCR), YOU MAY BE DUE A REFUND.
IF TOTAL DUE IS REFLECTED AS A
cGF REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.