HomeMy WebLinkAbout05-20-11 (3)BUREAU OF INDIVIDUAL TAXES
INHERITANCE 7AX DIVISION
PO BOX 280501 NOTICE OF INHERITANCE TAX
HARRISBURG PA 17128-0601 AP'PRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX' ON
JOINTLY HELD OR TRUST ASSETS
HARLOW FLUEVOG
14 SUNSET DRIVE
MECHANICSBURG PA 17050
Pennsylvania `y .''°"
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-10)
DATE 05-16-
ESTATE OF 2011
DATE OF DEATFI 05~EVOG
29-2010 JANET
FILE NUMBER 21 10-0837
COUNTY CUMBERLAND
SSN/DC
ACN 206-24-8892
10133427
APPEAL BY DATE:07-15-2011
(See reverse side ender Objections)
Amount RemittEed
MAKE CHECK PAV'ABLE AND REMIT PAYMENT T0;
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE
REV-1548 ---'-- ~ RETAIN LOWER PORTION FOR
EX AFP C12-10~--------------------------------
YOUR RECORDS E~
NOTICE OF INHERITANCE TAX APPRAISEMENT ____
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLYWHELD UR DISALLOWANCE OF
R TRUST ASSETS
ESTATE OF: FLUEVOG DtITE:
JANET 05-16-2011
FILE Np,: DATE OF DEATH:05-
21 10-0837 29-2010 -_ COUNTY:CUMBE_=L
S.S/D.C. NO.:
TAX RETURN WqS; 206-24-8892
CX) ACCEPTED AS FILED ACN:
C ~ CHANGED 10133427
FINANCIAL INSTITUTION: JOINT OR TRUST ASSET INFORMATION
TYPE OF MEMBERS 1ST FCU
ACCOUNT: CX)SAVINGS C 7 CHECKING ACCOUNT
DATE ESTABLISHED pg_ NO•' 73374-00
17-1987 C )TRUST C )TIME CERTIFICATE
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
PAYMENT --~
DATE RECEIPT
NUMBER
X 41,051.22
0.166
_ 6,842.01
.00
6,842.01
.00
.00
DISCOUNT C+)
INTERPEN PAID C-)
NOTE: TO ENSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE T0:
"REGI:STER OF WILLS, AGENT.~~
AMOUNT PAID
TOTAL TAX PAYMENT
BALANCE OF TAX DUE
INTEREST AND PE:N.
TOTAL DUE -7
* IF PAID gFTER THIS DATE,
IF TOTgL DUE IS SEE REVERSE FOR CALCULATION OF
SEE REVERSE SIDEROFLTHISDFORMAFORRINSTRUCTIONS.
CCR), YOU MAY BE ADDITIONAL INTEREST. *
DUE A REFUND.
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.00
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