HomeMy WebLinkAbout05-20-11 (2)BUREAU OF INDIVIDUAL FAXES
INHERITANCE TAX DIVISION NOTICE OF INHERITANCE TAX
PO BOX 280601 ~ APPRAISEMENT, pennsy(vania ;-~;~~~
HARRISBURG PA 1 7128-0601 ' ALLOWANCE OR F
DF DEDUCTIONS, DISALLOWANCE DEPARTMENT OF REVENUE
JOINTLY HELDD DRS TRUSTENT OF TAB' ON REV-1548
ASSETS ~ AFP (12-10)
HARLOW FLUFVOG
14 SUNSET DRIVE
MECHANICSBURG PA 17050
DATE 05-16-
ESTATE OF 2011
DATE OF FLUEVOG
DEATFI 05-29-2010 JANET
FILE NUMBER 21 10-0837
COUNTY CUMBERLAND
SSN/DC 206-24-8892
ACN 10133425
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 EX -------_-- y _ RETAIN LOWER PORTION FOR YOUR
AFP C12-10) --------------- _______ RE(:ORDS E~
NOTICE OF INHERITANCE TAX APPRAISEMENT _
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TR
, ALLOWANCE OR DISALLOWANCE OF
UST ASSETS
ESTATE OF:FLUEVOG D,4TE: 05_16-2011
JANET DATE OF DEATH:05-29_
FILE NO.: 21 1p-0837 ~1~~_ COUNTY:CUMBE
S•S/D.C. NO.:
TAX RETURN WqS; 206-24-8892
CX) ACCEPTED AS FILED ACN: 10133425
C ) CHANGED
FINANCIAL INSTITUTION: JOINT OR TRUST ASSET INFORMATIONi
MEMBERS 1ST FCU
TYPE OF ACCOUNT: C )SAVINGS C)0 CHECKING C )TRUST ACCOUNT NO.:
DATE ESTABLISHED 08- 73373-11
19-1987 C )TIME CERTIFICATE
Acc
ount Balance
Percent Taxable 560
54
Amount Sub' X
sect to Tax
Debt .
0.166 NOTE: TO ENSURE P
ROPER CREDIT T
s and Deductions -
Taxabl
93.43
YOUR ACCOUNT,
U O
SUBMIT THE
e Amount
Tax Rate .00 PPER PORTION
WITH OF
THIS NOTICE
lax Due 93.43 YOU
R TAX
REGISTER PAYMENT
TO THE
.00
.00 OF
WI
ABOVE: ADDRESS LLS AT THE
TAX CREDITS: .
OR MCINEY ORDER MAKE CHECK
PAYMENT
RECEIPT
D PAYABLE T0:
"REGISTER OF WILLS
ATE
NUMBER DISCOUNT
(+~ , AGENT."
INTEREST/PEN P AID (-~ AMOUNT PAIL1
----~
TOTAL TAX PAYMENT
BALANCE OF TAX' DUE •00
INTEREST AND pEN, •DO
TOTAL DUE •00
.00
* IF PAID AFTER THIS DATE, SEE REVERSE FO
T
E
R
R CALCULATION OF
SEE
REVER3E
SIDE
ADDITIONAL INTEREST
DFLTHISDFORMAFDRR
YOU MAY BE
*
INSTRUCTIONS.
DUE A
.
REFUND.