HomeMy WebLinkAbout04-27-11BUREAU OF INDIVID~~E!~' i ~~+ }'I~~ 0~ NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISIO ~ ~~1~' ~ APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 ~i < <:"; ~, ,1j~_~,J OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601
JOINTLY HELD OR TRUST ASSETS
~t'R 27 ~'~ c ;~~.
CLERK OF
ORPH,R~V'S COURT
212 WALNUT BOTTOM RD
SHIPPENSBURG PA 17257
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-10)
DATE 04-25-2011
ESTATE OF ADAMS EDWARD
DATE OF DEATH 04-13-2010
FILE NUMBER
COUNTY CUMBERLAND
SSN/DC 341-26-0195
ACN 10130075
APPEAL BY DATE:06-24-2011
(See reverse side under Objections)
Amount Remitted
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
W
CUT ALONG THIS LINE '~1 RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1648 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: 04- 5-2011
ESTATE OF:ADAMS EDWARD W DATE OF DEATH:04-13-2010
COUNTY:CUMBERLAND
FILE NO.: S.S/D.C. NO.:
341-26-0195 ACN: 10130075
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ORRSTOWN BANK
TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING C )TRUST AC )O IME CERTIFICATE0577
DATE ESTABLISHED 04-13-1997
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
PAYMENT RECEIPT
DATE NUMBER
12,113.04
X 0.500
6,056.52
.00
6,056.52
]L 15
908.48
DISCOUNT (+)
INTEREST/PEN PAID (-)
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:
"REGISTER DF WILLS, AGENT."
AMOUNT PAID
INTEREST IS CHARGED THROUGH 05-03-2011
AT THE RATES APPLICABLE AS OUTLINED ON THE TOTAL TAX PAYMENT .00
REVERSE SIDE OF THIS FORM BALANCE OF TAX DUE 908.48
INTEREST AND PEN. 8.19
TOTAL DUE 916.67
~ 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.