HomeMy WebLinkAbout08-31-11BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVI£~ION
PO BOX 280601
HARRISBURG PA 17128-Oi601
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PO BOX 301
LANDISBURG PA 17040
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~-~ ~ i'NItOTjI~E OF INHERITANCE TAX
k - APPRAI$EI~E(NT, ALLOWANCE OR DISALLOWANCE
OF DEDUC.1~LgNS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
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DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-10)
DATE 08-29-2011
ESTATE OF HENSCHEN HOMER E
DATE OF DEATH 0.6-10-2010
FILE NUMBER 21 10-0858
COUNTY CUMBERLAND
SSN/DC 2234-26-8527
ACN 111146541
APPEAL BY DATE:10-28-2011
(See reverse side under Objections)
Amount Remitted[
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILL'S
1 COURTHOUSE SQU,4RE
CARLISLE PA 171)13
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CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECOF'DS E~
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: 08-29-2011
ESTATE OF:HENSCHEN HOMER E DATE OF DEATH:08-10-2010
COUNTY:CUMBERLAND
FILE NO.: 21 10-0858 S.S/D.C. NO.:
284-26-8527 ACN:
TAX RETURN WAS: fX) ACCEPTED AS FILED f ) CHANGED 10146541
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITl1TI0N: MEMBERS 1ST FCU
TYPE OF ACCOUNT: f X3SAVINGS ( ) CHECKING f )TRUST A( )OTIME COERI~IFICATEB-00
DATE ESTABLISHED 06-22-2005
Account Balance
Percent Taxable X 678.21 NOTE: TO ENSURE PROPER CREDIT TO
Amount Subject to Tax 0.500
YOUR ACCOUNT, SUBMIT THE
Debts and Deductions - 339.11 UPPER PORTION OF THIS NOTICE
Taxable Amount '00
339.11 WITH YOUR TAX PAYMENT TO THE
Tax Rate
~ REGISTER OF WILLS AT THE
-
Tax Due
045
15.26
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE T0:
TAX CREDITS: "REGISTER OF WILLS, AGENT."
PAYMENT RECEIPT
DATE
DISCOUNT (+)
NUMBER
09-07-2010 INTEREST/PEN PAID (-) AMOUNT PAID
CD013311
.76 15.26
TOTAL TAX PAYMENT 16.02
BALANCE OF TA;X DUE .76CR
INTEREST AND PEN. .00
TOTAL DUE .76CR
* 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.