HomeMy WebLinkAbout08-31-11 (2)BUREAU OF INDIVIDUAL f.~CxE~`: (( t~t NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION - ''~PPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 OFC,DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 ~~- ~~ - - .~..~~
JOINTLY HELD OR TRUST ASSETS
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2039 HARVEST DR
MECHANICSBURG PA 17055
Pennsylvania -;
DEPARTMENT OF REVENUE ~:
REV-1548 EX AFP (12-10)
DATE 08-29-2011
ESTATE OF DAVIES EDRIS W
DATE OF DEATH 03-26-2011
FILE NUMBER 21 11-0544
COUNTY CUMBERLAND
SSN/DC 193-24-1978
ACN 11130159
APPEAL BY DATE:10-28-2011
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAY,4BLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SI~UARE
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 DISH
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUSTLASSETS OF
DATE: 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: 11130159
TAX RETURN WAS: CX~ ACCEPTED AS FILED ( J CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SOVEREIGN BANK
TYPE OF ACCOUNT: ( SAVINGS C ) CHECKING ( )TRUST A(X)T ME COE-RTIFICATE40690
DATE ESTABLISHED 04-04-2006
Account Balance 12,148.40
Percent Taxable NOTE: TO ENSURE PROPER CREDIT TO
X 0.500 YOLIR ACCOUNT, SUBMIT THE
Amount Subject to Tax 6,074.20
Debts and Deductions - UPPER PORTION OF THIS NOTICE
.00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 6,074.20
Tax Rate REGISTER OF WILLS AT THE
~ 00 ABOVE ADDRESS. MAKE CHECK
Tax Due .00
OR MONEY ORDER PAYABLE T0:
TAX CREDITS: "REGISTER OF WILLS, AGENT."
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT P,4ID
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUIE .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.
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