HomeMy WebLinkAbout09-14-11BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION NOTICE OF INHERITANCE TAX Pennsylvania ~
PO BOX 280601 ~j['~~~',r'.r -, .~1PP ISEMENT, ALLDWANCE OR DISALLOWANCE
HARRISBURG PA 17128-0601 i"C ` ~_'~ + ~ ~ ~DUCTIONS DEPARTMENT OF REVENUE
~ ! JOINTLY HELD RS TRUSJENT OF TAX ON
~!`_~'` '; ,_ - • %~ ~.~:C ASSETS REV-1548 EX AFP C12-10)
RALPH CLERK ~
606 SOUTH MOCHO~~H#~~+C ~~~J~3
DILLSBURG ~ r"~ p~
PA 17019
DATE 09-05-2011
ESTATE OF CHUBB
DATE OF DEATH 09-13-2D1D JOSEPHINE
FILE NUMBER 21 10-1153
COUNTY CUMBERLAND
SSN/DC 201-16-
ACN 2827
10156782
APPEAL BY DATE:11-04-2011
(See reverse side under Ob, jections)
Amount Re~aitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17D13
CUT ALONG THIS LINE
_ ~"~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1548 EX AFP (12-10~----"-- ____________ _________
DEDUCTIONSINANDIASSESSMENTAOFRTAXEONNJOI
ALLOWANCE OR DISALLOWANCE OF
NTLY HELD OR TRUST ASSETS
ESTATE nF.ru~~n„ DATE: n9_nc_-~.,,,
""°° JOSEPHINE -- ~ ~~11
DATE OF DEATH:09-13-2010
FILE NO,: COUNTY:CUMBE~ND
21 10-1153 S.S/D,C.
NO.: 201
TAX RFTUOU Llwn
- -16-2827
""'• ~^~ ACCEPTED AS FILED
~ ) CHANGEn
"`'^ ~ 10156782
rtNANCIAL INSTITUTION: MEMBERS 1ST FCU U!K TRUST ASSET INFORMATION
TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING C )TRUST ACCOUNT NO.:
DATE ESTABLISHED 03-05-1984 20585-11
~ )TIME CERTIFICATE
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
PAYMENT RECEIPT
DATE NUMBER
15,166.66
X 0.166
_ 2,527.83
.00
2,527.83
Y
00
.00
DISCOUNT (+)
INTERN PAID (-)
NOTE: TO ENSURE PRDPER 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
TOTAL TAX PAYMENT
BALANCE OF TAX DUE •00
INTEREST AND PEN, •00
TOTAL DUE •00
.00
IF TOTAL DUERISHREFLECTED AS gE~ERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~
SEE REVERSE SIDE OF THIS FORM FORRINSTRUCTIONSI'OU MAY BE DUE A REFUND.