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HomeMy WebLinkAbout08-31-11,_ _ pennsy(vania ~-; BUREAU OF INI~M/~IpUAi'TAXES: ll~~ NOTICE OF INHERITANCE TAX INHERITANCE TAX DIVISION „~ APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE PO BOX 280601 - ~ , HARRISBURG PA 1718-0601 OF DEDUCTIONS, AND ASSESSMENT OF TAX CIN REV-1548 EX AFP (12-10) JOINTLY HELD OR TRUST ASSETS n~ Ci~C~~ ~. I J TERRYC~~ar,`:~~: Wry§'ON F~,~. 607 COPPER CIRCLE CARLISLE PA 17015 DATE 08-29-2011 ESTATE OF LONG JANE DATE OF DEATH 04-26-2011 FILE NUMBER 21 11-0763 COUNTY CUMBERLAND SSN/DC 246-28-1785 ACN 11136181 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 ~'1 RETAIN LOWER PORTION FOR YOUR RECORDS 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:LONG JANE DATE OF DEATH:04-26-2011 COUNTY:CUMBERLAND FILE NO.: 21 11-0763 S.S/D.C. NO.: 246-28-1785 ACN: 11136181 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING C )TRUST AC )T ME COE=RTIFICATE6-00 DATE ESTABLISHED 10-30-2007 Account Balance 687.30 Percent Taxable NOTE: TO ENSURE PROPER CREDIT TO X 0.500 YOIIR ACCOUNT, SUBMIT THE Amount Subject to Tax 343.65 Debts and Deductions - UPPER PORTION OF THIS NOTICE .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 343.65 Tax Rate REGISTER OF WILLS AT THE Tax Due 045 ABOVE ADDRESS. MAKE CHECK 15.46 OR MONEY ORDER PAYABLE T0: TAX CREDITS: "REGISTER OF WILLS, AGENT." PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID C-) AMOUNT P,4ID 07-11-2011 CD014690 ~_ .77 15.46 TOTAL TAX PAYMENT 16.23 BALANCE OF TAX DUE .77CR INTEREST AND PEN. .00 TOTAL DUIE .77CR * 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.