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HomeMy WebLinkAbout07-05-11BUREAU OF INDIVIDUAL ~~"~~f:.; i,,~~=~~~`E NOTICE OF INHERITANCE TAX INHERITANCE TAX DIVISION ~~ ~ RAISEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 R~.:'~..~ ~ ~ ~~_ ,' y''~+! ,y, J DEDUCT IONS , AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS r~~~~! ~~L -~ E !' ~, CLERK ~~ C~RPNAfi~`~ CGURT BETTY LC~~M~~~,~~`} ~~ . p 10049 MCCREARY RD SHIPPENSBURG PA 17257 pennsylvania ~ DEPARTMENT OF REVENUE 7 REV-1548 IX AFP C12-10) DATE 07-04-2011 ESTATE OF RINEHART WILLIAM E DATE OF DEATH 02-27-2011 FILE NUMBER 21 11-0651 COUNTY CUMBERLAND SSN/DC 190-16-1997 ACN 11134830 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:RINEHART COUNTY:CUMBERLAND FILE NO.: 21 11-0651 S.S/D.C. NO.: 190-16-1997 ACM: 11134830 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PATRIOT FCU ACCOUNT NO.: 1533870-00 TYPE OF ACCOUNT: C ~ SAVINGS C ) CHECKING C )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 04-06-1987 Account Balance 2,132.72 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.166 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 355.46 UPPER PORTION OF THIS NOTICE Debts and Deductions - •00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 355.46 REGISTER OF WILLS AT THE Tax Rate x •00 ABOVE ADDRESS. MAKE CHECK Tax Due •00 OR MONEY ORDER PAYABLE T0: "REGISTER OF WILLS, AGENT." TAY f'RFTITTC PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID WILLIAM E DATE OF DEATH:02-27-2011 TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 * 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.