HomeMy WebLinkAbout07-15-11BUREAU OF INDIVIDUAL TAXES~~C.~j~l i~`r'r _+-;-r,.~,_ ~_`
INHERITANCE TAX DIVISION `l~ '~' ~- `'~~" " ICE OF INHERITANCE TAX Pennsylvania ~' ~~
PO BOX 280601 ~'~~`' _ ~P~' `IS ENT, ALLOWANCE OR DISALLOWANCE
HARRISBURG PA 17128-0601 ~'~[.~x ~' `-' ~ :.AF ~ ~.~ TIONS
~~ ~ DEPARTMENT OF REVENUE • . •
REV-1548 EX AFP (12_10)
JOINTLY HELD RS TRUSTE ASSETS AX ON
~-
~: k.€ t ! ~,,` 1. ~ J ~i,~ ! s r- DATE
".~ 07-12-2011
ESTATE OF MANLEY
Q~ C~E~K a~ FILE NUMBER TH 21 19_2010 DAVID L
((~~ vd~~~ 0 0 314
THERESA A MAN'C~ ~~~ r SSUNTY CUMBERLAND
y~ C~.. ~A, N/DC 210 - 24 - 6510
306 N 17TH ST ACN
CAMP HILL 10145041
PA 17011 APPEAL BY DATE:09-10-2011
(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 'y RETAIN LOWER PORTION
REV-1548 EX AFP C12-10~~---"" " " __________________FOR_YOUR_RECORDS ~
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD
OR DISALLOWANCE OF
OR TRUST ASSETS
ESTATE OF:MANLEY DATE: 07-12-2011
DAVID L DATE OF DEATH:03-19-2010
FILE Np,; COUNTY:CUMBERLAND
21 10-0314 S.S/D.C,
NO " 210-24-6510
TAX RETURN WAS; CX~ ACCEPTED AS FILED C ~ CHAN ACN: 10145041
GED
FINANCIAL INSTITUTION: BANK OF AMER CA NA TRUST ASSET INFORMATION
TYKE OF ACCOUNT: C SAVINGS CX) CHECKING C QTR ACCOUNT NO.; 001551189488
DATE ESTABLISHED 02-25-1992 UST C TIME CERTIFICATE
Account Balance
Percent Taxable 6,611.67 NOTE: TO ENSURE PROPER CREDIT
Amount Subject to Tax X 0.166 TO
1,101.97 YOUR ACCOUNT, SUBMIT THE
Debts and Deductions - UPPER PORTION OF THIS NO
Taxable Amount '00 WITH YOUR TAX PAYMENT TO TICE
Tax Rate 1,101.97 THE
~ 045 REGISTER OF WILLS AT THE
Tax Due ABOVE ADDRESS.
49.59 OR MONEY ORDER PAYABLEHTOK
TAX CREDITS:
"REGISTER OF WILLS, AGENT."
PAYMENT RECEIPT
DATE NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-~ AMOUNT PAID
INTEREST IS CHARGED THROUGH 07-20-2011
AT THE RATES APPLICABLE AS OUTLINED ON THE TOTAL TAX PAYMENT
REVERSE SIDE OF THIS FORM BALANCE OF TAX DUE •00
INTEREST AND PEN, 49.59
TOTAL DUE •88
50.47
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL I
IF TOTAL DUE IS REFLECTED AS A "CREDIT"
SEE REVERSE SIDE OF THIS FDRM FOR INSTRUCTIONS YOU MAY BE DUE A REFUND TEREST.
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