HomeMy WebLinkAbout07-05-11 (2)BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
KEVIN G HAWKINS
939 HERMAN DRIVE
~~Cf'~Pr~'FL~~4~S.~~~ ~~LOWANCETORCDISALLOWANCE
~~ ~~ , ~EDYl~7;,~f~~ ~ AND ASSESSMENT OF TAX ON
J~lNfi'L'f~NELD OR TRUST ASSETS
~'i i JAL -5 F~~ I ~ ~?:~
CLERK ~~
4RPHAIt~'S COURT
Cll~RFP- ~~1 ~ C.'~ PA,
MECHANICSBURG PA 17055
pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-10) `
DATE 07-04-2011
ESTATE OF HAWKINS DAISY R
DATE OF DEATH 04-05-2011
FILE NUMBER 21 11-0457
COUNTY CUMBERLAND
SSN/DC 256-44-3829
ACN 11126565
APPEAL BY DATE:09-02-2011
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
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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: 07-04-2011
ESTATE OF:HAWKINS
DAISY
R DATE OF DEATH:04-05-2011
FILE NO.: 21 11-0457 S.S/D.C. NO.: 256-44-3829
ACN: 11126565
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU .ACCOUNT NO.:
349203-11
TYPE OF ACCOUNT: C ?SAVINGS C ~ CHECKING C TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 02-13-2009
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
8,888.06 NOTE:
X 0.500
4,444.03
- .00
4,444.03
Y .045
199.98
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 (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
05-12-2011 CD014527 10.00 199.98
TOTAL TAX PAYMENT 209.98
BALANCE OF TAX DUE 10.000R
INTEREST AND PEN. .00
TOTAL DUE 10.000R
COUNTY:CUMBERLAND
~ 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.