HomeMy WebLinkAbout06-20-11 (4)_ T
ennsylvan~a ~
DEPARTMENT OF REVENUE
~„ ~{,.~ t.,_s-~#~ E OF INHERITANCE TAX REV-1548 EX AFP (12-10)
r,~
~~' i~t, ~ ~% ~•~'` ~ M T , ALLOWANCE OR DISALLOWANC
~~~~~~.~b~;~~~ `, ONS> AND ASSESSMENT OF TAX ON
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION ~pINTLY HELD OR TRUST ASSETS 06-13-2011 R
Po Box zao6ol DATE _ GUST
HARRISBURG PA 17128-0601 A r -~ ~ L E L
.~~ ~~ ~"~'i ~L `•' r ESTATE OF
DATE OF DEATH 08-05-2010
FILE NUMBER 21 10-0872
CUMBERLAND
Ci~K~}~ R~ SSNNDC 172-18-1751
~~~~~"' S 1 ].110 5 4 6
~~~~i~~ ~~.' {~ ACN
E BENN APPEAL BY •DAu der Objections)
BETTY (See reverse side
7006 SUNDAYS LN # MD 21702 Amount Remitted T ppYMENT T0:
FREDERICK
MAKE CHECK PAYABLE AND REM
REGISTER OF WILLS
1 COURTHOU PA SQ ~ UR 3
CARLISLE
FOR YOUR RECORDS ~ ---------------
TAIN LOWER PORTION __ ____,.__-------"-"-
CUT ALONG THIS LINE__--- ~ --RE_---------"- ------- OR DISALLOWANCE OF
C12-10~
HERITANCE TAX APPRAAXEONN~OINTLYWHELD OR TRUDSATESSEOT~-13-2011
REV-1548 EX AFP
NOTICE OF IN
DEDUCTIONS, AND ASSESSMENT OF T Y;CUMBERLAND
COUNT
R DATE OF DEATH:Og-05-2010
GUST ACN; 11110546
ESTATE OF:LEE
S•S~U,C. NO.: 172-18-1751
FILE NO.: 21 10-0872 C ) CHANGED
RETURN WAS: CX~ ACCEPTED AS FILED
TAX 1695540532
JOINT OR TRUST ASSET INF DUNTT NO.:
ACC
NCIAL INSTITUTION: SOVEREIGN BANK Coq TIME CERTIFICATE
FINA C ) CHECKING C TRUST
C SAVINGS
TYPE OF ACCOUNT:
ESTABLISHED 09-01-2005 56 NOTE: TO ENSURE PROPEUBMITDTHET
DATE 11,674.
R ACCOUNT,
0.500
Account Balance X 837.28
5
percent Taxable ,
00
Amount SubJect to Tax -
ns ,
g37.28
5
Debts and Deductio ,
,15
Taxable Amount g75,59
Tax Rate
Tax Due
TAX CREDITS :
RECEIPT DISCOUNT ~+~
TEREST/PEN PAID ~'~
pAYMENT NUMBER IN
, 0 0
DAT E
CD014113
03-09-2011
YOU
UPPER PORTION OF TENT TOTTHE
WITH YOURO~AWILLSMAT THE
REGISTER
MAKE CHECK
ABOVE ADDRESS.
OR MONEY ORDER LLSABAGENO •"
"REGISTER OF WI
AMOUNT PAID
875.59
TOTAL TAX PAYMENT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
875.59
00
:00
00
EE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
"CREDIT" CCR), YOU MAY BE DUE A REFUND.
* IF TOTALADUERISHREFLECTEDSAS A
___.~.,~~ cTnE OF THIS FORM FOR INSTRUCTIONS.