HomeMy WebLinkAbout05-20-11 (6)BUREAU DF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION NOTICE OF INHERITANCE TqX p n
PO BOX 280601 APPRAISEMENT, Pennsywarn(~ ,_- .`
HARRISBURG PA 1 7128-0601 ALLOWgNCE OR
OF DEDUCTIONS, AND gSSESSMENTSOFLDw~~NCE DEPARTMENT OF REVENUE
JOINTLY HELD OR TA%~ ON REV-1548 EX qFP c12-10)
TRUST ASSETS
DArE
ESTATE OF 05-1G-2011
DATE OF FLUEVOG
FILE NUMBERT'i 05-29-2010 JANET
HARLOW COUNTY 21 10-0837
FLUEVOG SSN/DC CUMBERLAND
14 SUNSET DRIVE 206-24_
MECHANICSBURG ACN 8892
APPEAL By' 10133433
PA 17050
DA7E:07-15-2011
(See reverse :tide under Objections)
Amount Remitt,~d
MAKE CHECK PAYABLE AND REMIT P
REGISTER OF AYMENT T0:
1 COURTHOUSE WILLS
CARLISLE QUARE
PA 17013
CUT ALONG THIS LINE
REV-1b48 _ ~ RETAIN LOWER PORTION FOR YOUR
EX AFP C12-10~ ___
NOTICE OF INHERITANCE TAX APPRAISEMEN ____REC:ORDS (~
DEDUCTIONS, AND ASSESSMENT OF T, ALLOWANCE OR DISALLOWANCE OF
TAX ON JOINTLY HELD OR TRUST ASSETS
ESTATE OF:FLUEVOG DATE:
JANET 05-16-2011
FILE Np,; DATE OF DEATH:05-
21 10_ 29-2010
0837 S.S/D.C, ~-~ COUNTY:CUMBE=
TAX RETURN NO ~ 206-24-8892
WAS` CX) ACCEPTED ACN:
AS FILED ( ) CHANGED 10133433
FINANCIAL INSTITUTION: JOINT OR TRUST ASSET
TYPE OF MEMBERS 1ST FCU INFORMATION
ACCOUNT: C )SAVINGS C ) CHECKING C )TRUST ACCOUNT
DATE ESTABLISHED 08- NO•' 73374-47
17-1987 ~ ~OTIME CEF'TIFICATE
Account Balance
Percent Taxable 20,082.98
Amount S X NOTE: TO ENSURE P
ubject to Tax 0.166 ROPER CREDIT
Debts and Deductions _ 3,347.23 YOUR ACCOUNT TO
Taxable UPPER PO SUBMIT THE
Amount •00 RTION pF T
Tax Rate 3,347.23 WITH YOUR HIS NOTICE
Tax Due REGISTER TAX PAYMENT TO THE
.00 OF WILLS AT THE
.00 ABOVE ADDRESS. MAKE CHECK
TAX CREDITS: OR MONEY ORDER P
PAYMENT "REGISTER AYABLE T0:
DATE RECEIPT OF WILLS, AGENT.'
NUMBER INTEREST/PENTPAID (-1 AMOUNT PAID
TOTAL TAX PAYMENT
BALANCE OF TAX DUE •00
INTEREST AND p~=N. .00
TOTAL DUE •00
.00
* IF PgID AFTER THIS DATE,
IF TOTAL DUE IS SEE REVERSE FOR CALCULATION OF
SEE REVERSE SIDEROFLTCTED AS A "CREDIT"
HIS FORM FDR INSTRUCTIONS YOU MAY BEADDITIONAL INTEREST.
DUE A REFUND.