HomeMy WebLinkAbout06-20-11 (8)BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
pp gOX 280601
HARRISBURG PA 17128-0601
CLARK CF ~1RT
~~
S P E E Sf'~I~E~~L~ CO., P~-
SHARON
1332 SCENERY DRIVPA 17050
MECHANICSBURG
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ennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 EX AFP C12-10)
DATE 06-13-2011 ELIZABETH
ESTATE OF CAL.VER
DATE OF DEATH 21 11_0558
FILE NUMBER CUMBERLAND
COUNTY
SSN/DC 185-16-5437
ACN 11129173
APPEAL BY DATE:OS-12-2011
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE S9UARE
CARLISLE PA 17013
,:-. ,-
"~~~~~~'`,~~ j F ;~-~~~EN~iCE OF INHERITANCE TA
~' APPR ~1~ENT, ALLOWANCE OR DISALLOWANCE
~y ' ~~-, ~~~ AND ASSESSMENT OF TAX ON
Ir~r+~r,,}";~ :~0~%tDL~TJiONS,
JOINTLY HELD OR TRUST ASSETS
TION FOR YOUR RECORDS ~ _________--
LINE ~ RETAIN LOWER POR ----------------,------------"__--
CUT ALONG THIS ________________________
E TAX APPRAISEMENT, ALLOWHECE OR DISALLOWANCE D
REV-1548 EX AFP C12-10) LD OR TRUST ASSETS
NOTICE OF INHERITANC DATE: 06-13-2011
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY
COUNTY:CUMBERLAND
ELIZABETH DATE OF DEATH:04-15-2011
ESTATE OF:CALVER ACN; 11129173
E NO.: 21 11-0558 S.S/D.C. NO.: 185-16-5437
FIL
RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGE TION
TAX
JOINT OR TRUST ASSET INFORM 11450-00
ACCOUNT NO.:
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
INGS C ) CHECKING C )TRUST C )TIME CERTIFICATE
TYPE OF ACCOUNT: CX)SAV
DATE ESTABLISHED 02-02-1977 31,861.27 NOTE: 1'0 ENSURE PROPER CREDIT TO
count Balance 0.166 YOUR ACCOUNT, SUBMIT THE
Ac X IJPPER PORTION OF THIS NOTICE
Percent Taxable 5,310.32
t Subject to Tax •00 WITH YOUR TAX PAYMENT TO TH
Amoun _ REGISTER OF WILLS AT THE
Debts and Deductions 5,310.32 MAKE CHECK
.045 ABOVE ADDRESS.
Taxable Amount
Rate 238.96 OR MONEY ORDER PAYABLE T
Tax 'REGISTER OF WILLS, AGENT."
Tax Due
TAX CREDITS : DISCOUNT ~+~ AMOUNT PAID
RECEIPT
PAYMENT NUMBER INTEREST/PEN PAID C-~
DAT E
.00
TOTAL TAX PAYMENT 238,96
PAYMENT MUST BE MADE BY 01-16-2012*• BALANCE OF TAX DUE ,00
INTEREST AND PEN• 238,96
TOTAL DUE
FTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
* IF PAID A 'CREDIT" CCR), YOU MAY BE DUE A REFUND.
IF TOTAL DUE IS REFLECTED AS A
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.