HomeMy WebLinkAbout08-31-11BUREAU OF INDIVh~~lq~~ •TgXE'S i ,~' I~If NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISIAN `,,~ APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 I--; -~ OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-b6D1
JOINTLY HELD OR TRUST ASSETS
CURE; f~
STEVEN CLII~.'~^'BL4~1~ ' ` ^ ~4
225 RUPP RD
GETTYSBURG PA 17325
Pennsylvania -;
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-10)
DATE 08-29-2011
ESTATE OF BLACK DOROTHY F
DATE OF DEATH 02-26-2011
FILE NUMBER 21 11-0283
COUNTY CUMBERLAND
SSN/DC 201-16-4635
ACN 11135071
APPEAL BY DATE:10-28-2011
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAY/1BLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SGIUARE
CARLISLE PA ].7013
CUT ALONG THIS LINE --1 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: 08-29-2011
ESTATE OF: BLACK DOROTHY F DATE OF DEATH:02-26-2011
~,_ COUNTY:CUMBERLAND
FILE NO.: 21 11-0283 S.S/D.C. NO.:
201-16-4635 ACN: 11135071
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATIOIV
FINANCIAL INSTITUTION: M ~ T BANK
TYPE OF ACCOUNT: C )SAVINGS ( ~ CHECKING ( )TRUST A( jOUIME COERTIFICATE530
DATE ESTABLISHED 08-13-1993
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
PAYMENT RECEIPT
DATE NUMBER
7,959.48
X 0.500
3,979.74
.00
3,979.74
~ 045
179.09
DISCOUNT (+)
INTEREST/PEN PAID (-)
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 IMONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
AMOUNT PAID
PAYMENT MUST BE MADE BY 11-27-2011*.
TOTAL TAX P,4YMENT .00
BALANCE OF 'SAX DUE 179.09
INTEREST ANI) PEN. .00
TOTAL DUE: 179.09
* 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.