HomeMy WebLinkAbout07-05-11`-rt~~ Q~ NOTICE OF INHERITANCE TAX
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BUREAU OF INDIVID~~.A~s•~' ', ~ ~; F APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISIO ~ f('1~'.;.,, y.j,~.,.`J OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
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HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
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1072 LANCASTER BLVD #13
MECHANICSBURG PA 17055
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DEPARTMENT OF REVENUE
REV-1548 IX AFP (12-10)
DATE 06-27-2011
ESTATE OF REBOVICH LOTTIE S
DATE OF DEATH 02-27-2011
FILE NUMBER 21 11-0310
COUNTY CUMBERLAND
SSN/DC 199-12-7297
ACN 11116760
APPEAL BY DATE:OS-26-2011
(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 TRUDATESSEOT6-27-2011
ESTATE OF:REBOVICH LOTTIE S DATE OF DEATH:02-27-2011 COUNTY:CUMBERLAND
FILE NO.: 21 11-0310 S•`•
TAX RETURN WAS: CX)
FINANCIAL INSTITUTION: MEMBERS
TYPE OF ACCOUNT: C )SAVINGS
DATE ESTABLISHED 09-12-2005
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
/D.C. NO.: 199-12-7297 ACN: 1111b7b0
ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
1ST FCU ACCOUNT NO.: 141065-11
CX) CHECKING C )TRUST C )TIME CERTIFICATE
4,199.55
X 0.500
2,099.78
_ 2,099.78
.00
x .045
.00
I P DATE T I NUMBER
DISCOUNT C+~
INTEREST/PEN PAID C-)
NOTE: 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."
AMOUNT PAID
TOTAL TAX PAYMENT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
.00
.00
.00
.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.