HomeMy WebLinkAbout07-15-11 (5)BUREAU OF INDIVIDt77rL TF`^5s r C~
INHERITANCE TAX DIVIS~~I,,,,,,,,Vy~,~.,,, ., ~ ~',.~ ~::
PU BOX 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DED~UOINTLY ,HELD R TRUST NASSETS AX ON
C~~n'~ ~~
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TYLER
1194 IRWIN CT
WINTER SPRINGS FL 32708
pennsylvarna -~
DEPARTMENT OF REVENUE ~;
REV-1548 EX AFP C12-10)
DATE 07-18-2011 GUST R
ESTATE OF LEE=
DATE OF DEATH 28,10-0872
FILE NUMBER CUMBERLAND
COUNTY
SSN/DC 172-18-1751
ACN 10145356
APPEAL BY DATE:09-16-2011
(See reverse side ,under 06jecrions)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQLIARE
CARLISLE PA 17013
~`
-----------
~ RETAIN LOWER PORTION FOR YOUR_RECORD--------------
CUT ALONG THIS LINE _____________________________'-'
REV-1548 EX AFP C12-10~
NOTICE OF INHERITANCESMENTAOFRTAXEONNJOINTLYWHELD OR TRUDATESSEOT~-08-2011
DEDUCTIONS, AND ASSES
~~ gun
CDUN I r : ~~ '~
GUST R DATE OF DEATH:08-0~~~ ---
ESTATE OF:LEE ACN; 10145356
„o-,~ S.S/D.C. NO.: 172-18-1751
FILE NU.: tl 1V-~" " C ) CHANGtll
,.,.~ ~.~~c. [X) ACCEPTED AS FILED _
IAA rt~ ~ .,~.~, -----
JOINT OR TRUST ASSET I 240709-00
ACCOUNT NO.:
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
TYPE OF ACCOUNT: C ~ SAVINGS C ) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 02-05-2004
024 99 NOTE: TO ENSURE PROPER CREDTHETO
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
2,
X 0.166
337.51
- .00
337.51
.045
15.19
TAX CREDITS: DlscouNT c+~
PAYMENT RECEIPT
NUMBER INTEREST/PEN PAID ~-~
DATE
YOUR ACCOUNT, SUBMIT
IJPPER 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."
AMOIINT PAID
.00
-_ TOTAL TAX PAYMENT 15,19
INTEREST IS CHARGED THROUGH 07-26-2011 gpLANC:E OF TAX DUE ,10
AT THE RATES APPLICABLE AS OUTLINED ON THE INTEREST AND PEN. 15 29
REVERSE SIDE OF THIS FORM TO1"AL DUE
~ IF PA7pLADUERISHREFDECTEDSAS AEA'CREDITOR~CR~CUYOUIMAYOBEADUETAOREFUNDIEREST. ~
IF TO
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.