HomeMy WebLinkAbout04-27-11`^'~' "~ NOTICE DF INHERITANCE TAX
BUREAU OF INDIVIDU/~tL TAXES -'-
INHERITANCE TAX DIVISION - +~PPPRAISEMENT, ALLOWANCE OR DISALLOWANCE
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HARRrsBURC PA 17128•D6DI JOINTLY HELD OR TRUST ASSETS
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MECHANICSBURG PA 17055
Pennsylvania ~ i ,
DEPARTMENT OF REVENUE r
REV-1548 EX AFP (12-iD) ~"*~^~~
DATE 04-25-2011
ESTATE OF DALBON HELEN C
DATE OF DEATH 08-09-2010
FILE NUMBER 21 11-0170
COUNTY CUMBERLAND
SSN/DC 204-12-7757
ACN 10173317
APPEAL BY DATE:06-24-2011
(See reverse side I~nder Objections)
Amount Remitted [
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILL'.>
1 COURTHOUSE SQUARE
CARLISLE PA 17[113
CUT ALONG THIS LINE ~'1 RETAIN LOWER PORTION FOR YOUR RECORDS F'~
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: 04-25-2011
ESTATE OF:DALBON HELEN C DATE OF DEATH:08-09-2010 COUNTY:CUMBERLAND
FILE NO.: 21 11-0170 S.S/D.C. NO.: 204-12-7757 ACN: 10173317
TAX RETURN WAS: [X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: WACHOVIA BK NA ACCOUNT NO.: 1010247376942
TYPE OF ACCOUNT: ( )SAVINGS ( ~ CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 02-05-2010
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
.00
X 1.000
.00
- .00
.00
x 15
.00
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."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
02-07-2011 CD013995 .00 23.00
TOTAL TAX PAYMENT 8.00
BALANCE OF TAX DUE 8.000R
INTEREST AND PEN. .00
TOTAL DUE 8.000R
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.