HomeMy WebLinkAbout09-14-11 (2)BUREAU OF INDIVIDUAL S
INHERITANCE 7AX DIVISION ~1.f. _ ~ ~ } ,(('~~ NOTICE OF I
PO BOX 280601 C; ' -'' ~~~~'~"^~~gISEMENT, NHERITANCE TAX
HARRISBURG P ~ ` J, ALLOWANCE
A 1128-0681 `~gF('DEDUCTIONS, OR DISALLOWANCE
~'"~`" .~J JOINTLY AND ASSESSMENT OF TAX ON
HELD OR TRUST ASSETS
~'~~E SCE ~~+ Fs.: I~~ C r
CiL.CCIf\ nt
RALPH ~~~'~S ~iQtJRT
606 SOUTH MO -i` ,4f4(~? t ,~ pp.
DILLSBURG ROAD
PA 17019
Pennsylvania
DEPARTMENT OF REVENUE
REV-1548 EX AFP C12-101
DATE 09-05-2011
ESTATE OF CHUBB
DATE OF DEATH 09-13-2010 JOSEPHINE
FILE NUMBER 21 10-1153
COUNTY CUMBERLAND
SSN/DC 201-16-
ACN 2827
APPEAL BY DATE618004-
(See reverse side under Ob, jection )1
Amount ReAftted
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
REV-1548 EX AFP C12-10~ -
NOT ----- ------------------------- RECORDS (~
DEDUCTIONSINANDIASSESSMENTAOFRTAXEONNJO
ALLOWANCE OR DISALLOWANCE OF
INTLY HELD OR TRUST ASSETS
ESTATE OF:CHUBB DATE: 09- 5-2011
JOSEPHINE DATE OF DEATH:09-13-
FILE NO.: 21 10-1153 2010 COUNTY:CUMBE_ R~ L~D
S.S/D.C. NO.:
TAX RETURN WqS; 201-16-2827
CX) ACCEPTED AS FILED ACN: 10156780
C ) CHANGED
FINANCIAL INSTITUTION: JOINT OR TRUST ASSET INFORMATION
MEMBERS 1ST FCU
TYPE OF ACCOUNT: CX3SAVINGS C ) CHECKING C )TRUST ACCOUNT NO.:
DATE ESTABLISHED 11- 20585-05
27-1985 C )TIME CERTIFICATE
Account Balance
Percent Taxable 4.972.43
Amount S X NOTE: TO ENSURE PROPER
ubject to Tax 0.166 CREDIT TO
Debts and Deductions - 828.75 YOUR ACCOUNT, SUBMIT THE
Taxable Amount .00 UPPER PORTION OF THIS NOTICE
Tax Rate 828 75 WITH YOUR TAX PAYMENT
Tax Due REGISTER OF WILLS AT THE THE
.00
.00 ABOVE ADDRESS. MAKE CHECK
TAX CREDITS: OR MONEY ORDER PAYABLE T0:
PAYMENT "REGISTER OF WILLS, AGENT. ~~
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (_~ AMOUNT PAID
TOTAL TAX PAYMENT
BALANCE OF TAX DUE •DO
INTEREST AND PEN. •00
TOTAL DUE •00
.00
IF TOTALADUERIS REFLECTED AS pEVERSE FOR CALCULATIDN OF
SEE REVERSE SIDE OF THIS FORM FOR RINSTRUCTIONS. ADDITIONAL INTEREST.
YOU MAY BE DUE A REFUND.