HomeMy WebLinkAbout07-29-11~~„,,r..--, ,. E ~ pennsylvania
BUREAU OF INDIVIDUAL TAXES ,''f,; _. ~ ~~ ~ "ICE OF INHERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION -r RPPRAI~E;t'IENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 ~`~'~ REV-1548 EX AFP (12-10)
i •.L •_ .. -~ ' OF DExll4C/f IONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
"'+ tt°' `' DATE 08-01-2011
CLERK CF
ORPHHN'~ CGURT
GAY M LEWI~~jP~~,~~L~~`~D C+.i, PA•
1311 LONE PINE COURT
STEELTON PA 17113
ESTATE OF MACOMBER VICTOR D
DATE OF DEATH 08-22-2010
FILE NUMBER 21 10-0884
COUNTY CUMBERLAND
SSN/DC 367-20-8172
ACN 10149338
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 ~
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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:MACOMBER VICTOR D DATE OF DEATH:08-22-2010 COUNTY:CUMBERLAND
FILE NO.: 21 10-0884 S.S/D.C. NO.: 367-20-8172
ACN: 10149338
TAX RETURN WAS: CX~ ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MID PENN BK ACCOUNT NO.: 9017617
TYPE OF ACCOUNT: ( )SAVINGS (X) CHECKING C )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 03-03-2006
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
1,045.77
X 0.500
522.89
- .00
522.89
x .045
23.53
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
INItKtSI IS CHARGED THROUGH 08-09-2011
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 23.53
INTEREST AND PEN. .15
TOTAL DUE 23.68
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ^
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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