HomeMy WebLinkAbout07-05-11 (2)~+ ~'''` "°';"Gl~''~ NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL i'`'• ~ ta! f '1~ .
~ '-~~--' ',-hr je, PRAISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION
PO BOX 280601 ` ~w~~~;~i';.~';t ':,~~" ~r`'~}~,,~iR DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 ~~„1,,t1~1 ~`' ~ 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 EX AFP C12-10)
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 11116759
APPEAL BY DATE:08-26-2011
(.See reverse side under Objections)
Amount Remitted 1
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: 06-27-2011
ESTATE OF:REBOVICH
LOTTIE
COUNTY:CUMBERLAND
FILE NO.: 21 11-0310 S.S/D.C. NO.: 199-12-7297 ACN: llllb759
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 1410b5-00
TYPE OF ACCOUNT: C ~ SAVINGS C ) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED Ob-21-1994
Account Balance 738.37 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 369.19 UPPER PORTION OF THIS NOTICE
Debts and Deductions - 3b9.19 WITH YOUR TAX PAYMENT TO THE
Taxable Amount •00 REGISTER OF WILLS AT THE
Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK
Tax Due •00 OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
TOX CRFiITTS
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
S 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.