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HomeMy WebLinkAbout07-15-11 (2)-- ~- - __ - _, . ennsylvania ~ ` i •^ ~[nr! _ _ ~_ ~~~'}- r ~"~~~Ipp~CE OF INHERITANCE TAX DEPARTMENT OF REVENUE FP c12-lo) NDIVIDUAL TAXES r~ U '; ppP~A~'S~~~f'~T, ALLOWANCE OR DISALLOWANCE T OF TAX ON REV-1548 EX A BUREAU OF I INHERITANCE TAX DIVISION ~ ~`~ `' `"OF DEDUCTIONS, AND ASSESSMEN ELD OR TRUST ASSETS PD BOX 280601 HARRISBURG PA 17128-0601 JOINTLY ' ' ~ `~ H 07-18-2011 R ,..e !tt'._ `iJ r ~ ',..,,,. ~• DATE GUST LEE= JAMES LEE 1194 IRWIN COURT WINTER SPRINGS CLERK Cr pRFf~~N'; i;n`.JRT t r // in FL 32708 ESTATE OF - DATE OF DEATH 2$ 0_0872 FILE NUMBER CUMBERLAND COUNTY SSN/DC 172-18-1751 ACN 10145347 APPEAL BY DATE:09-16-2011 (See reverse side ,under 06jections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 t~ _ ___ ---- -~ RETAIN LOWER PORTION FOR YOUR RECS)R____-~ OF CUT ALONG THIS LINE __________________________________"- REV-1548 EX AFP C12-10) NOTICE OF INHERIASSESSMENTAOFRTAXEONNJOINTLYWHELD OR TRUDATESSEO~-18-2011 DEDUCTIONS, AN1 COUNTY:CUMBERLAND GUST R DATE OF DEATH:08-0=2010_ ~- ESTATE OF:LEE ACN: 10145347 FILE NO.: 21 10-0872 S.S/D.C. NO.: 172-18-1751 TAX RETURN WAS: CX) ACCEPT OR TRUST ASSET INFORMATION - J~IN ACCOUNT NIO.: 5015 41 FINANCIAL INSTITUTION: MEMBERS 1ST FCU TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING C )TRUST CX)TIME CERTIFICATE DATE ESTABLISHED 03-26-2004 44 676.08 NOTE: TO ENSURE PROPER CREDTHETO Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due 0.166 X 7,446.16 - .00 7,446.16 .045 335.08 TAX CREDITS: DlscouNT c+~ PAYMENT RECEIPT NUMBER INTEREST/PEN PAID C-~ DATE YOUR ACCOUNT, SUBMIT UPPER PORTION OF THIS NOTICE b~ITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ,ABOVE ADDRESS. MAKE CHECK DR MONEY ORDER PAYABLE T0: "REGISTER OF WILLS, AGENT." AMOUNT PAID TOTAL TAX PAYMENT INTEREST IS CHARGED THROUGH 07-26-2011 gpLANCE OF TAX DUE AT THE RATES APPLICABLE AS OUTLINED ON THE INTEREST AND PEN. REVERSE SIDE OF THIS FORM TOTAL DUE .00 335.08 2.25 337.33 * IF TOTALADUERISHREFLECTEDSAS AEVCREDITORICR)CUYOUIMAYOBEADUETAOREFUNDTEREST. ~ SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIDNS.