HomeMy WebLinkAbout08-31-11 (2)BUREAU OF INDIVIDUAL i]"~~~$ ,r ,- NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION { I _ ~,~A~RAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 p~ DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601
.._.i JOINTLY HELD OR TRUST ASSETS
.. 1 .. ~ i
t~~.E~}~ ~~`
DOUGLAS (~~b~N~/`' `~ ~~~;~~
709 WEST PINE'•'STRf=ET I ~ P~
MT HOLLY SPRINGS PA 17065
Pennsylvania
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-10) ~ --~_-~
DATE 08-29-2011
ESTATE OF CALAMAN LENA L
DATE OF DEATH 06-04-2011
FILE NUMBER 21 11-0829
COUNTY CUMBERLAND
SSN/DC 202-20-4328
ACN 11141673
APPEAL BY DATE:10-28-2011
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE S!~UARE
CARLISLE PA 17013
CUT ALONG THIS LINE '~ RETAIN LOWER PORTION FOR YOUR RE(:ORDS F~
REV-1548 EX AFP C12-10) -------'---------------------------------
-------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISRILLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 08-29-2011
ESTATE OF:CALAMAN LENA L DATE OF DEATH:06-04-2011,
COUNTY:CUMBERLAND
FILE NO.: 21 11-0829 S.S/D.C. NO.:
202-20-4328 ACN: 11141673
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NCi.: 381836-00
TYPE OF ACCOUNT: (X)SAVINGS C ) CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 04-07-2010
Account Balance 560.98 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500
Amount Subject to Tax YOUR ACCOUNT, SUBMIT THE
280.49 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00
Taxable Amount WI1-H YOUR TAX PAYMENT TO THE
280.49 REGISTER OF WILLS AT THE
Tax Rate x 045
Tax Due ABCIVE ADDRESS. MAKE CHECK
12.62 OR MONEY ORDER PAYABLE T0:
TAX CREDITS: "RE'GISTER OF WILLS, AGENT."
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
07-27-2011 CD014770 .63
12.62
TOTAL TAX PAYMENT 13.25
BALANCE OF TAX DUE .63CR
INTEREST AND PEN. .00
TOTAL DUE .63CR
~ 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.