HomeMy WebLinkAbout07-05-11r ~`~~~"~''": ? `f,.-. NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TA,'~`~,,kl tst;;,,,' ~,A~ ~°!
ISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION ~~~11i ~ ~;} '~~) DUCTIONS, AND ASSESSMENT OF TAX ON
PO BOX 280601 ~~,_~,",;~~ y' ~~'-~.
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
C~.ERK ~F
~~+tto~~~~~s C~u~T
SAM U E L J A#~~~~~ ~~., ~~
20 APPALOOSA WAY
CARLISLE PA 17015
pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 IX AFP (12-10)
DATE 07-04-2011
ESTATE OF ANDREOLI ROSEALIE
DATE OF DEATH 04-20-2011
FILE NUMBER 21 11-0599
COUNTY CUMBERLAND
SSN/DC 184-12-2668
ACN 11130288
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 ~
-------------------------------------------------------------------------------------------
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:ANDREOLI
ROSEALIE DATE OF DEATH:04-20-2011
COUNTY:CUMBERLAND
FILE NO.: 21 11-0599 S.S/D.C. NO.: 184-12-2668 ACN: 11130288
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 127006-11
TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 04-30-2007
Account Balance 11,977.15 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.083 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 998.06 UPPER PORTION OF THIS NOTICE
Debts and Deductions - •00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 998.06 REGISTER OF WILLS AT THE
Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 44.91 OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-) AMOUNT PAID
06-01-2011 CD014535 2.25 44.91
TOTAL TAX PAYMENT 47.16
BALANCE OF TAX DUE 2.25CR
INTEREST AND PEN. .00
TOTAL DUE 2.25CR
* 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.