HomeMy WebLinkAbout08-31-11BUREAU OF INDIVIDUAL TAXES ~! ~~D~~~ E OF INHERITANCE TAX
INHERITANCE TAX DIVISION ~ -- APPRAI`S~MENT, ALLOWANCE OR DISALLOWANI:E
PO BOX 280601 f . '_ QF DEDlNC7QONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 1 7128-0601 ~ ~ ~ JOrN~ILY HELD OR TRUST ASSETS
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DIANE CLIN~tJt~g4.; ~ 'I-` ~r f~
525 LAVINA DRIVE
MECHANICSBURG PA 17055
Pennsylvania
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-10)
DATE 08-29-2011
ESTATE OF CLINE MARILYN A
DATE OF DEATH 04-30-2011
FILE NUMBER 21 11-0603
COUNTY CUMBERLAND
SSN/DC 292-44-1006
ACN 11132276
APPEAL BY DATE:10-28-2011
(See reverse slide 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 REI:ORDS F~
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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 TRU:iT ASSETS
HATE: 08-29-2011
ESTATE OF:CLINE
MARILYN A DATE OF DEATH:04-30-201:
FILE NO.: 21 11-0603 S.S/D.C. NO.: 292-44-1006
TAX RETURN WAS: {X) ACCEPTED AS FILED C ) CHANGED
ACN: 11132276
JOINT OR TRUST ASSET INFORMATICIN
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.: 175387-00
TYPE OF ACCOUNT: (X)SAVINGS { ~ CHECKING { TRUST { )TIME CERTIFICATE
DATE ESTABLISHED 04-18-1998
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
PAYMENT RECEIPT
DATE NUMBER
07-23-2011 CD014760
54,681.60
X 0.500
27,340.80
.00
27,340.80
045
1,230.34
DISCOUNT (+)
INTEREST/PEN PAID (-)
61.52
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:
"RE.GISTER OF WILLS, AGENT."
AMOUNT f~AID
1,:?30.34
TOTAL TAX (PAYMENT
BALANCE OF TAX DUE
INTEREST AIVD PEN.
TOTAL DUE
+ 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.
COUNTY:CUMBERLAND
1,291.86
61.52CR
.00
61.52CR
~P