HomeMy WebLinkAbout09-14-11BUREAU OF INDIVIDUAL TAXHSf_l, 1+~ ij ." '-~ ~~'~ OTICE OF
INHERITANCE TAX DIVISION r ([~}~ INHERITANCE TAX
PO BOX 280601 ~ A~~A'f~EMENT, ALLOWANCE OR DISALLOWANCE
HARRISBURG PA 1 7128-0601 "!` t ~ ~- D~'~,I~E~UCTIONS,
u AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
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826 ANTHONY DRIVE
MECHANICSBURG PA 17050
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DEPARTMENT OF REVENUE
REV-1548 EX AFP C12-1D)
DATE 09-05-2011
ESTATE OF ARTZ
DATE OF DEATH 05-11-2011 JEAN J
FILE NUMBER 21 11-0749
COUNTY CUMBERLAND
SSN/DC 202-20-7215
ACN 11134194
APPEAL BY DATE:11-04-2011
(See reverse side under Od jeetions)
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 RECORDS ~
REV-1548 EX AFP (12-10~------' ____________ _________
NOTICE OF INHERITANCE TAX APPRAISEMENT,
---------- _
ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
ESTATE OF:ARTZ DATE: 09-'05-2011
JEAN J DATE OF DEATH:05-11-2011
FILE NO.: COUMTY:CUMBE~ND
21 11-0749 S.S/D.C.
NO.: 202_20-7215
TAX RETUaN we~_
-"" "^" • ~^~ ACCEPTED
AS FILED '"`'ry ~ 11134194
C
) CHANGED
FINANCIAL INSTITUTION: MEMBERS OR TRUST ASSET INFORMATION
TYPE OF ACCOUNT: ( )SAVINGS
DATE ESTABLISH 1ST CU
ACCOUNT NO.:
17525-11
(X) CHECKING C )
ED 11-09-1992 TRU ST
~ )TIME CERTIFICATE
Account Balance
Percent Taxable
X 34,913.97 NOTE
Amount Subject to Tax
0.500 :
TO ENSURE PROPER CREDIT TO
Debts and Deductions -
17,456.99 YOUR ACCOUNT, SUBMIT THE
Taxable
Amount 4,617.34 UPPER PORTION OF THIS NOTICE
Tax Rate
Y
12,839.65 WITH YOUR TAX PAYMENT TO THE
Tax Due 045 REGISTER OF WILLS AT THE
577.78 ABOVE ADDRESS. MAKE CHECK
TAX CREDITS: OR MONEY ORDER PAYABLE T0:
"
PAYMENT RECEIPT REGISTER OF WILLS, AGENT.~~
DATE NUMBER DISCOUNT (+)
06-07-2011
CD014675 INTEREST/PEW PAID (-) AMOUNT PAID
27.03
513.59
PAYMENT MUST BE MADE BY 02-12-2012*.
TOTAL TAX PAYMENT
BALANCE OF TAX DUE 540.62
INTEREST AND PEN, 37.16
TOTAL DUE •00
37.16
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF
SEETR
ADDI
E
R
L
D
A
R
EVERSE
SIDE
OF
THIS
FORM
FOR
INST
TIONAL INTEREST.
RUCTIONSYOU MAY BE DUE A REFUND.