HomeMy WebLinkAbout08-31-11BUREAU OF INDIVIDR~S,{~Yk'~+TAXES _ _ NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISiI'ON_ ~ ',~. Uf APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 ~ !~1 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601u'. ::..
`'j JOINTLY HELD OR TRUST ASSETS
EDITH C~~+a(~A~/I,~~~; /_"`~ p~
2039 HARVEST DR
MECHANICSBURG PA 17055
Pennsylvania ; ,
DEPARTMENT OF REVENUE ~:
REV-1548 EX AFP (12-10)
DATE 08-29-2011
ESTATE DF DAVIES EDRIS -,~
DATE OF DEATH 03-26-2011
FILE NUMBER 21 11-0544
COUNTY CUMBERLAND
SSN/DC 193-24-1978
ACN 11130158
APPEAL BY DATE:10-28-2011
(See reverse side under Ohjections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE S6IUARE
CARLISLE PA ].7013
CUT ALONG THIS LINE '~"> RETAIN LOWER PORTION FOR YOUR RECORDS F-•
REV-1548 EX AFP C12-10~--~----~----""'--_'------------------------
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NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
D~4TE: 08-29-2011
ESTATE OF:DAVIES EDRIS W DATE OF DEATH:03-26-2011
COUNTY:CUMBERLAND
FILE NO.: 21 11-0544 S.S/D.C. NO.:
193-24-1978 ACN:
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED 11130158
JOINT OR TRUST ASSET INFORMATIOIN
FINANCIAL INSTITUTION: SOVEREIGN BANK
TYPE OF ACCOUNT: C )SAVINGS ( X) CHECKING C )TRUST A( ~OTIME COERTIFOICATE24798
DATE ESTABLISHED 02-22-1994
Account Balance 19,235.56
Percent Taxable NOTE: TO ENSURE PROPER CREDIT TO
X 0.500
Amount Subject to Tax YOUR ACCOUNT, SUBMIT THE
9,617.78 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00
Taxable Amount WITH YOUR TAX PAYMENT TO THE
9,617.78 REGISTER OF WILLS AT THE
Tax -Rate ~ 00
Tax Due ABOVE ADDRESS. MAKE CHECK
.00 OR MONEY ORDER PAYABLE T0:
TAX CREDITS: "REGISTER OF WILLS, AGENT."
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) 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" CCR), YOU MAY BE DUE A REFUND. NA
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.