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HomeMy WebLinkAbout07-29-11 (4) ~~ ,~,~~-_; ~ , ,,.~;^~- t~~ ~ nr Pennsylvania io- BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION CE `' '~ " , AP!PRA'~~~M~T, ` ~ OF INHERITANCE TAX ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE PO BOX 280601 r ~ ~-~'~ OF"nE~I1C'I" ONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP <12-10) HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS ~ ,.. ,. .~.,. G. ~ ~~ ~u DATE 08-01-2011 ~}{~C~LpEpRK (Cry'=~ n o1~r1 It1IV S l~V«~''T CHARLES J BROWN CIRh~~E~LA~~~) ~'{'•, PA ROOM 111 2100 BENT CREEK BLVD MECHANICSBURG PA 17050 ESTATE OF BROWN SARAH L DATE OF DEATH 03-15-2011 FILE NUMBER 21 11-0700 COUNTY CUMBERLAND SSN/DC 205-12-7624 ACN 11135928 APPEAL BY DATE:09-30-2011 (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 ~> 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:BROWN SARAH L DATE OF DEATH:03-15-2011 COUNTY:CUMBERLAND FILE NO.: 21 11-0700 S.S/D.C. NO.: 205-12-7624 ACN: 11135928 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: M & T BANK ACCOUNT NO.: 950267403 TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING C )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 07-16-2008 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 18,250.48 X 0.166 3,041.81 - .00 3,041.81 x .00 .00 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 C+) INTEREST/PEN PAID C-) AMOUNT PAID TOTAL TAX PAYMENT .00 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. W