HomeMy WebLinkAbout04-27-11 (2)BUREAU OF INDIVIDUAL TAXES ~~~ ICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION _ ~ - APPRA~~~ENT, ALLOWANCE DR DISALLOWANCE
PO BOX 280601 ~ ~` `- - - DF DE~4lCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
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/'~ C~E~K ~~~
l:'a~~n`~r n l~1 t'~1~~ IY;'
Ae.r ~ h , I
DEBORAH LUCY ,, t ~ ~'~ ~~ ~ '`~~
124 WOODS DR LOT 9A
MECHANICSBURG PA 17050
Pennsylvania
DEPARTMENT OF REVENUE
REV-1546 EX AFP (12-10)
DATE 04-25-2011
ESTATE OF KAUTZ PETET A
DATE OF DEATH 09-28-2010
FILE NUMBER 21 11-0215
COUNTY CUMBERLAND
SSN/DC 183-12-4098
ACN 10159413
APPEAL BY DATE:06-24-2011
(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 ~'1 RETAIN LOWER PORTION FOR YOUR RECORDS E'er
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
n e r r . ,, . -„- -... , ,
ESTATE OF:KAUTZ PETET A DATE OF DEATH:09-28-2010 COUNTY:CUMBERLAND
FILE NO.: 21 11-0215 S.S/D.C. NO.: 183-12-4098
ACN: )n1s94I~
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MID PENN BK ACCOUNT NO.: 309002948
TYPE OF ACCOUNT: t )SAVINGS C ) CHECKING C )TRUST (X)TIME CERTIFICATE
DATE ESTABLISHED 06-15-2010
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
7,033.40
X 1.000
7,033.40
- .00
7,033.40
x.045
316.50
NOTE: TO EIVSURE 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:
"REG]STER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
02-17-2011 CD014028 .00 31E~.50
TOTAL TAX PAYMENT 316.50
BALANCE OF T,AX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER THIS DATE, SEE REVERSE FDR 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 FDR INSTRUCTIONS.