HomeMy WebLinkAbout04-27-11BUREAU OF INDIVIbUpx`TAXES ~ NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISYAIa ~' ~ ~, APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 '` "`'''' OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
~ i G. ! 1 ,_
CLEPi~ OF
O~Pf-n~' ~ L;GU~T
Ct;f,~r~-~=~ ;~ -; ~G,
PATRICIA S SHEAFFER
311 BELLAIR PARK RD
CARLISLE PA 17013
Pennsylvania ~~ ,i,11
DEPARTMENT OF REVENUE `l~~,
REV-1548 EX AFP (12-10) ~``
DATE 04-25-2011
ESTATE OF SHEAFFER H W
DATE OF DEATH 09-09-2010
FILE NUMBER ~I-~~.D`~c.~5
COUNTY CUMBERLA D
SSN/DC 200-22-5198
ACN 11115627
APPEAL BY DA'IE:06-24-2011
(See reverse side ender 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 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
ESTATE OF:SHEAFFER
FILE NO.:
H
W DATE OF DEATH:09-09-2010 COUNTY:CUMBERLAND
S.S/D.C. NO.: 200-22-5198
ACN: 11115627
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT NO.: 2894077793
TYPE OF ACCOUNT: C)OSAVINGS C ) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 05-28-2008
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
5,809.67
X 0.500
2,904.84
- .00
2,904.84
x .00
.00
NOTE: TO EIJSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGI'.>TER OF WILLS AT THE
ABOVE= ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE T0:
"REGI:STER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-)
AMOUNT PAID
TOTAL TAX PAYMENT .00
BALANCE OF T,AX 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.