HomeMy WebLinkAbout07-29-11 (2)BUREAU OF INDIVIDUAL TAXE~~tif u~I `fir' ~r-'(y:~ (~~NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION AP EMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 r;~ I- ~ ~. OF+'jb~~UCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
CLERK ~JF
cO1R,~PHAN'S COURT
P H Y L L I S L MAIfiI?J[7tE~;~`~~ ,~+1^![~'~ f ;(~ PA
1416 RITNER HWY
SHIPPENSBURG PA 17257
Pennsylvania
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-10)
DATE 08-01-2011
ESTATE OF BLACK THELMA A
DATE OF DEATH 05-12-2011
FILE NUMBER 21 11-0670
COUNTY CUMBERLAND
SSN/DC 180-01-9730
ACN 11136931
APPEAL BY DATE:09-30-2011
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS •~
REV-1548 EX AFP C12-10)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 08-01-2011
ESTATE OF: BLACK THELMA A DATE OF DEATH:05-12-2011 COUNTY:CUMBERLAND
FILE NO.: 21 11-0670 S.S/D.C. NO.: 180-01-9730
ACN: 11136931
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ORRSTOWN BANK ACCOUNT NO.: 33665
TYPE OF ACCOUNT: CX)SAVINGS ( ) CHECKING C )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 02-21-1995
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
19,969.89
X 0.500
9,984.95
- .00
9,984.95
x .15
1,497.74
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:
"REGISTER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
06-10-2011 CD014567 74.89 1,422.85
TOTAL TAX PAYMENT 1,497.74
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
+ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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