HomeMy WebLinkAbout09-14-11BUREAU OF INDIVIDUA y~
INHERITANCE TAX DIVISION~~~+_~~ ~' ` { 1 ~[ //''~~~ NOTICE OF INHERITANCE TAX
PO BOX 280601 ~ ~ ~! !~ ~~[. ~PRAISEMENT, ALLOWANCE OR DISALLDWANCE
HARRISBURG PA 17128-0601 ~ ~ y ,';~ j 40F DEDUCTIONS, AND ASSESSMENT OF TAX ON
~_k ," ,'.~..J
JOINTLY HELD OR TRUST ASSETS
"~.:'~;' ~4 rF i~': ~t
GLERK 0~
OANH HAWS COURT
108 WESLEY ~~ '"~.~~~'1 (`~;~ Qp.
E,,,.
MECHANICSBURG PA 17055
Pennsylvania ,
DEPARTMENT OF REVENUE
REV-1546 EX AFP Q 2-10)
DATE 09-05-2011
ESTATE OF QUAN
DATE OF DEATH 03-09-2011 LANPHUONG
FILE NUMBER 21 11-0423
COUNTY CUMBERLAND
SSN/DC 586-54-8474
ACN 11118632
APPEAL BY DATE:11-04-2011
(See reverse side under Objections)
Amount ReAtitted ~---
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 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
ESTATE OF:QUAN DATE: 09-05-2011
LANPHUONG DATE OF DEATH:03-09-2011
FILE NO.: COUNTY:CUMBE~D
21 11-0423 S.S/D.C.
NO.: 586-
TAX RFTUOU IJwn
54-6474
"~~ ~^~ acCEPTED AS FILED C ) CHANGEn
^`'^ ~ 11118632
FINANCIAL INSTITUTION: MEMBERS 1ST CU OR TRUST ASSET INFORMATION
TYPE OF ACCOUNT: C )SAVINGS C ~ CHECKING C )TRUST ACCOUNT NO.:
DATE ESTABLISHED 07-09-2005 267701-11
C )TIME CERTIFICATE
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
PAYMENT --
DATE RECEIPT
NUMBER
03-31-2011 CD014232
DISCOUNT (+)
INTEREST/PEN PAID (-)
4.14
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
82.73
TOTAL TAX PAYMENT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE -,
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
SEETREVERSEESIDEROFLTHISDFORMAFORRINSTRUCTIONSYOU MAY BE DUE A REFUND.
3,677.04
X 0.500
- 1,838.52
.00
1,838.52
x
045
82.73
86.87
4 14C
00
4 14C~
ay