HomeMy WebLinkAbout09-14-11BUREAU OF INDIVIDUAL~~,~jf6~_` ~ ' ',~ :~~: C
INHERITANCE rAX DIVISION i- NOTICE OF INHERITANCE TAX
PO BOX 280601 ' ,~~~ t PRAISEMENT, ALLOWANCE OR DISALLOWANCE:
HARRISBURG PA 17128-0601 ~~ ~1;; ~ -~f DEDUCTIONS,
JOINTLY HELD RS TRUSTS ASSETS AX ON
CLERK OF
CHRISTINE C~~~~ ~/~~ D~Rj
. ~~, PA.
521 HILLTOP ROAD
MILLERSTOWN PA 17062
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 IX AFP (12-10)
DATE 09-05-2011
ESTATE OF MITCHELL
DATE OF DEATH 05-29-2011 MABEL M
FILE NUMBER 21 11-0794
COUNTY CUMBERLAND
SSN/DC 578-24-
ACN 8866
11145595
APPEAL BY DATE:11-04-2011
(See reverse side under Objections)
A®ount Re~eitted
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 RECORDS ~
REV-1548 EX AFP C12-10~------' -------___ _________
DEDUCTIONSINANDIASSESSMENTAOFRTAXEONNJO -
ALLOWANCE OR DISALLOWANCE OF
INTLY HELD OR TRUST ASSETS
ESTATE nr. urr,.,,.-,
-DATE: no_nr
- """` MABEL - `mil
M DATE OF DEATH:05-29-2011
FILE NO.: COUNTY:CUMBE~ND
21 11-0794 S.S/D.C.
NO.: 578-24-8866
TAX RFTUOU ~.,.~
"'^"• ~^~ ACCEPTED AS FILED
C ) CHANGED
"`'n ~ 11145595
FINANCIAL INSTITUTION: MEMBERS 1ST ~U OR TRUST ASSET
TYPE OF ACCOUNT: ( )SAVINGS C ) CHECKING C )TRUST
DATE ESTABLISHED 09-29-2006
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX. CREDITS:
PAYMENT RECEIPT
DATE
NUMBER
07-29-2011 CD014784
2,287.47
X 0.500
- 1,143.74
.00
1,143.74
Y
045
51.47
DISCOUNT C+)
INTEREST/PEN PAID (-~
2.57
INFORMATION
ACCOUNT NO.: 44443-40
CX)TIME CERTIFICATE
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 OF WILLS, AGENT.~~
AMOUNT PAID
51.47
TOTAL TAX PAYMENT
BALANCE OF TAX DUE 54.04
INTEREST AND PEN, 2.57CF
TOTAL DUE •00
2.57CR
IF TOTALADUERISHREFLECTEDSAS REVERSE FDR CALCULATION OF ADDITIONAL INTEREST. ~
SEE REVERSE SIDE OF THIS FORM FOR RINSTRUCTIONSI'OU MAY BE DUE A REFUND.