HomeMy WebLinkAbout07-29-11 (2)BUREAU OF INDIVIDUAL TA _ _ NOTICE OF INHERITANCE TAX
~~~~'~ '-f4~P~ISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION ;~ ~J /~_ _,. _ ~ ~
PO BOX 280601 Q, ]~DUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 ~f-~ `y - ~ ~'~j ~~ JOINTLY HELD OR TRUST ASSETS
CLERK OF
STEPHEN P C ~~'~ COURT
525 LAVINA DR~ '~'~` A"~t'~' ~'~ Pp'
MECHANICSBURG PA 17055
Pennsylvania ~ i
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-10)
DATE 08-01-2011
ESTATE OF CLINE MARILYN A
DATE OF DEATH 04-30-2011
FILE NUMBER 21 11-0603
COUNTY CUMBERLAND
SSN/DC 292-44-1006
ACN 11132274
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 F~
-------------------------------------------------------------------------------------------
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:CLINE MARILYN A DATE OF DEATH:04-30-2011
FILE NO.: 21 11-0603 S.S/D.C. NO.: 292-44-1006
COUNTY:CUMBERLAND
ACN: 11132274
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
JDINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 124449-11
TYPE OF ACCOUNT: ( )SAVINGS (X) CHECKING ( )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 08-19-2002
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
1,001.08
X 0.166
166.85
- .00
166.85
x .045
7.51
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 (-)
AMOUNT PAID
05-19-2011 CD014495 .38 7.13
TOTAL TAX PAYMENT 7.51
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.