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HomeMy WebLinkAbout09-14-11r;~`G ~ NOTICE OF INHERITANCE TAX BUREAU OF INDIVI '~"~AXES:~ `-~-~' APPRAISEMENT, ALLOWANCE OR DISALLOWANCE INHERITANCE TAX DIVI ' i~ ! ~` PO BOX 280601 ~ ~: '~`._N J OF DEDUCTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128 061 ~`" JOINTLY HELD OR TRUST ASSETS c~.ERK c~ pRPNA"~'~. C~~PT DONNA ~L~~~kG;f~:l~ ^(1 DP 18 LONGWOOD DR MECHANICSBURG PA 17050 Pennsylvania ~ DEPARTMENT OF REVENUE REV-1548 EX AFP (12-10) DATE 09-05-2011 ESTATE OF CORKLE ELLEN L DATE OF DEATH 06-27-2011 FILE NUMBER 21 11-0859 COUNTY CUMBERLAND SSN/DC 180-26-5692 ACN 11150020 APPEAL BY DATE:11-04-2011 (See reverse side under Objections) Amount Re~itted 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) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 09-05-2011 ESTATE OF:CORKLE ELLEN L DATE OF DEATH:06-27-2011 COUNTY:CUMBE_ RLAND FILE NO.: 21 11-0859 S•`• TAX RETURN WAS: CX) FINANCIAL INSTITUTION: MEMBERS TYPE OF ACCOUNT: CX)SAVINGS DATE ESTABLISHED 05-09-1989 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due >/D.C. NO.: 180-26-5692 ACN: 11150020 ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION 1ST FCU ACCOUNT NO.: 108460-00 C ) CHECKING C )TRUST C )TIME CERTIFICATE 400.23 X 0.166 66.71 _ .00 66.71 x .045 3.00 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." TAX CREDITS: PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) 08-05-2011 CD014820 .15 2'85 TOTAL TAX PAYMENT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE 3.00 .00 .00 .00 * IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.