HomeMy WebLinkAbout05-20-11 (5)BUREAU OF INDIVIDUq-
INHERITANCE TAX DIVISION TAXES NOTICE OF INHERITANCE TAX Q `,
HARRISBURG PA 17128-0601
PO BOX 280601 APPRAISEMENT, ALLOWANCE OR DISALLOWANCE Pen nsylvarna ~~_
OF DEDUCTIONS, AND gggESSMENT OF TA); ON REV ARTMENT OF REVENUE
JOINTLY HELD OR TRUS7 ASSETS 1548
EX AFP (12_10)
DATE
ESTATE OF 05-16-2011
DATE OF FLUEVOG
DEATH 05-29-2010 JANET
FILE NUMBER 21 10-0837
HARLOW FLUEVOG COUNTY CUMBERLAND
14 SUNSET SSN/DC
DRIVE ACN 206-24-8892
MECHANICSBURG PA 17050 10133431
AppEAL BY DATE:07-15-2011
(See reverse side under Objections)
Amount RemittE~d
MAKE CHECK PAYABLE AND REMIT P
REGISTER OF AYMENT T0:
1 COURTHOUSE WSLLS
CARLISLE QUARE
PA 17013
CUT ALONG THIS LINE
REV-1548 ----'- _ ~ RETAIN LOWER ppRTION
EX AFP C12-10j ________________ FOR YOUR
NOTICE OF ---------------- RECORDS ~
DEDUCTIONSINANDITANCE TAX APPRAISEMENT - ______
ASSESSMENT OF TAX ON JOINTLYWANCE OR DISALLOWANCE OF
HELD OR TRUST ASSETS
ESTATE OF:FLUEVOG DATE:
JANET 05-16-2011
FILE Np,; DATE OF DEATH:05-
21 10-0837 29'2010 ~_- COUNTY:CUMBE-
S.S/D.C. NO.;
TAX RETURN 206-24-8892
WAS: CX) ACCEPTED
AS FILED ACN: 10133431
FINANCIAL INSTITUTION: C ~ CHANGED
JOINT OR TRUST ASSET INFORMATION
TYPE OF MEMBERS 1ST FCU
ACCOUNT: C )SAVINGS C ) CHECKING ACCOUNT
DATE ESTABLISHED pg_ NO•' 73374-42
17-1987 ~ TRUST CX)TIME CERTIFICATE
Account Balance
Percent Taxable 5,089,86
Amount Sub' X NOTE: TO
sect to Tax 0.166 ENSURE PROPER CREDIT
Debts and Deductions YOUR ACCOUNT TO
Taxable - 848'33 SUBMIT THE
Amount 00 UPPEF' PORTION OF
Tax Rate WITH THIS NOTICE
848.33 YOUR TAX PAYMENT Tp T
Tax Due 00 REGISTER HE
OF WILLS A7' THE
TAX CREDITS: .00 ABOVE ADDRESS. MAKE CHECK
OR MOiNEY ORDER PAYABLE T0;
PAYMENT "REGISTER OF WILLS, „
DATE RECEIPT AGENT.
NUMBER DISCOUNT ~+)
INTEREST/pEN PAID ~_) AMOUNT PAID
TOTAL TAX PAYMENT
BALANCE OF TAX DUE •00
INTEREST AND PE•N, •00
TOTAL DUE •00
* IF PAID AFTER THIS .00
IF TOTAL DUE DATE' SEE REVERSE FOR CALCULATION OF
SEE REVERSE SIDEROFLTCTED AS A "CREDIT"
HIS FORM FOR (CR)' YOU Mqy BEADDITIONAL INTEREST. *
INSTRUCTIONS. DUE A REFUND.
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