HomeMy WebLinkAbout06-20-11 (4) _.__._.
ennsylvania
F REVENUE
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~~ DEPARTMENT O
OF INHERITANCE TAX REV-1548 EX AFP C12-10)
ALLOWANCE OR DISALLOWANC ___„___t
BUREAU OF INDIVIDUAL T
ERITANCE TAX DIVISION ~,
el'IENT,
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AXES ~
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HELD OR TRUST ASSETS
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Po Box 2BO6oI
HARRISBURG PA I~IZB-o6ol ~
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INTLY
" 06-•13-2011
JAMES
DATE L
`y`~ ~ ~~~~ ~~ ~~a'' ~~~.~ ~,~ ~~ MEAD
ESTATE OF
OF DEATH 01•-13-2011
DATE
FILE NUMBER 21 11-0308
CUMBERLAND
~~K(.~F COUNTY
193 - O 1- 2449
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~„~~~ ~~~~~ SSN/DC
11113146
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EA ACN
PEAL BY DATE:08-12-2011
AP
JAMES M M
TH (See reverse side under Objections)
2 CONWAY
175
AMP HILL HEA
PA 17011
Amount Remitted
D REMIT PAYMENT
T0:
C MAKE CHECK PAYABLE AN
REGISTER OF WIL~•S
1 COURTHOUSE S6lUARE
CARLISLE PA 17013
TION FOR YOUR RECORDS ~ ______________
THIS LINE ~ RETAIN LOWER POR ------------------"----
CUT ALONG - _ --------------------------- OWANCE OF
ALLOWANCE OR DISALL
REV-1548 EX AFP C12-10~
SMENT OF TAX ON JOINTLY HELD OR TRUST ASSET
NOTICE OF INHERITANCE TAX APPRAISEMENT, DATE: 06-13-2011
DEDUCTIONS, AND ASSES
COUNTY:CUMBERLAND
JAMES L DATE OF DEATH:O1-13-2011
ESTATE OF:MEAD ACN: 11113146
S.S/D,C. NO.: 193-01-2449
FILE NO.: 21 11-0308 C ) CHANGED
TAX RETURN WAS: CX) ACCEPTED AS FILED
JOINT OR TRUST ASSET INFpOR~NAT ND 120001662
ACC
FINANCIAL INSTITUTION: METRO BANK, CHECKING C )TRUST C ~ TIME CERTIFICATE
TYPE OF ACCOUNT: C SAVINGS
DATE ESTABLISHED 07-23-2008 807 14 NOTE: TO ENSURE PROPERBMITDTHETO
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
10,
0.500
X 5,403.57
.00
5,403.57
.15
810.54
TAX CREDITS:
RECEIPT
PAYMENT NUMBER
DAT E ~-
03-07-2011 CD014094
DISCOUNT C+~
INTEREST/PEN PAID ~-~
40.53
YOUR ACCOUNT, SU
UPPER PORTION OFYMENT TOTTHE
WITH YOUR TAX PA
REGISTER OF SILLMAKE CHECK
ABOVE ADORES
OR MONEY ORDEWILLSABAGENT."
"REGISTER OF
AMOUNT PAID
810.54
TOTAL TAX PAYMENT
gpLANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
851.07
40.53CR
.00
40.53CR
HIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~
L DUE IS REFLECTED AS A "CRENIT" CCR), YOU MAY BE DUE A REFUN..
* IF PAID AFTER T STRUCTIONS.
IF TOTA
ccc vGVERSE SIDE OF THIS FORM FOR