HomeMy WebLinkAbout05-20-11BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601 NOTICE OF INHERITANCE TAX
HARRISBURG Pq 17128-0601 APPRgISEMENT, gLLOWgNCE OR
OF DEDUCTIONS, qND gggESSMENTSOFLDWR~NCE
JOINTLY HELD OR TRUST ASSETSTA~ ON
HARLOW FLUEVOG
14 SUNSET DRIVE
MECHANICSBURG PA 17050
Pennsylvania
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-10)
DATE 05-16-
ESTATE OF 2011
DATE OF FLUEVOG
DEATFI 05-29-2010 JANET
FILE NUMBER 21 10-0837
COUNTY CUMBERLAND
SSN/DC 206-24-
ACN 8892
10133423
APPEAL BY DATE:07-15-2011
(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
REV-1548 --~- " '-----____~ RETAIN LOWER PORTION FOR YOUR
EX AFP C12-10) " ' ----_ _
NOTICE OF --- " '-----_____ REC'ORDS ~
INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWA
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR
TRUST NCE OF
ASSETS
ESTATE OF: FLUEVOG DI1TE:
JANET 05-16-2011
DATE OF DEATH:05-29-2010
FILE NO.: 21 10-0837 _~ COUNTY:CUMBE_ R=
S•S/D.C. NO.:
TAX RETURN WqS; 206-24-8892
CX) ACCEPTED AS FILED ACN: 10133423
~ ) CHANGED
FINANCIAL INSTITUTION: JOINT OR TRUST ASSET INFORMATION
TYPE OF MEMBERS 1ST FCU
ACCOUNT: (X)SAVINGS C ) CHECKING ACCOUNT
DATE ESTABLISHED 08- NO•~ 73373-00
17-1978 ~ )TRUST C )TIME CEF'TIFICATE
Account B
glance
Percent Taxable
2,854
85
Amount Sub"
sect to Tax
Debts .
X
0.166 NOTE: TO ENSURE
PROPER CREDIT
and Deductions
Taxabl
- 475.82
YOUR ACCOUNT TO
IT THE
B
e
Amount
Tax Rate .00 UPPER PORTION
WITH T
OF
HIS NOTICE
Tax Due 475 82 YOUR
TAX
REGISTER PAYMENT TO THE
TAX CREDITS 00
'00 OF
ABOVE ADDRESSI
O
LLS AT THE
MAKE CHECK
:
PAYMENT R MONEY ORDER
"REGISTER PAYABLE T0:
DgTE RECEIPT
NUMBER
DISCOUNT (+) OF WILLS, „
AGENT.
INTEREST/PEN pgID ~_) AMOUNT PgID
~_
TOTAL TAX PAYMENT
BALANCE OF TAX DUE •00
INTEREST AND pl=N, •00
TOTAL DUE •00
* IF PAID AFTER THIS DATE, SEE R
IF TOTAL DUE IS REFLECTED
SEE
EVERSE FOR CALCULA .00
TION OF
AS A "CREDIT" CCR),
ADDITIO
REVERSE SIDE OF THIS FORM FOR IN
YOU MAY BE D
NAL INTEREST
UE A
STRUCTIONS, .
REFUND.