HomeMy WebLinkAbout07-15-11 (3)BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
ennsylvania -i
DEPARTMENT OF REVENUE
~~F(bT~E OF INHERITANCE TAX REV-1548 EX AFP (12-10)
APP,R3IISfi~~~T' ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
r~ v uci D OR TRUST ASSETS
~: ' .;;~~t ; J f" : '.__ ~ ~ 07-18-2011
DATE LEE= GUST
ESTATE OF
DATE OF DEATH 08•-05-2010
C~.ERK ~~`
` FILE NUMBER CUMBERLAND
,~j ~~~~T
(~,(~~;~,"~~f COUNTY 172-18-1751
10145349
ACN
APPEAL BY DATE:09-16-2011
under 06jections)
ide
,
(See reverse s
FL 32708 Amount Remitted
REMIT PAYMENT T0:
MAKE CHECK PAYABLE AND
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
JAMES LEE
1194 IRWIN COURT
WINTER SPRINGS
•~
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REV-1548 EX AFP C12-10)
NOTICE OF INHERITANCESMENTAOFRTAXEONNJOINTLYWHELD OR DRUDATESSE07-08-2011
DEDUCTIONS, AND ASSES
w 1.l it
COON 1 r : ~~~'_~__
GUST R DATE OF DEATH:08-0-5-2_010
ESTATE OF:LEE ACN: 10145349
„ „Q-,~ S.S/D.C. NO.: 172-18-1751
FILL Nu.: ci ~~ ~~•- C ) CHANGtu
.~ ,.,wc. CX) ACCEPTED AS FILED
iAA ~c~~.,,... ...-_
JOINT OR TRUST ASSET IN 50195-42
ACCOUNT MO.:
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING C )TRUST CX)TIME CERTIFICATE
DATE ESTABLISHED 12-31-2002 1-p ENSURE PROPER CREDIT TO
0 845 66 NOTE: THE
Account Balance
Percent Taxable
Amount SubJect to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
PAYMENT RECEIPT
DATE NUMBER
3 ,
X 0.166
5,141.05
- .00
5,141.05
.045
231.35
DISCOUNT C+~
INTEREST/PEN PAID C-~
YOUR ACCOUNT, SUBMIT
IJPPER PORTION OF THIS NOTICE
Ir1ITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
AMOI~NT PAID
.00
TOTAL TAX PAYMENT 231,35
INTEREST IS CHARGED THROUGH 07-26-2011 gALANC:E OF TAX DUE 1,56
AT THE RATES APPLICABLE AS OUTLINED ON THE INTEREST AND PEN• 232,91
REVERSE SIDE OF THIS FORM TOTAL DUE
* IF POTALADUERISHREFLECTEDSAS AEVCREDITOR~CR~CUYOUIMAYOBEADDETAOREFUNDIEREST.
IF T „
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.