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HomeMy WebLinkAbout09-14-11 (2)NOTICE OF INHERITANCE TAX BUREAU OF INDIVIDUAL TAXES RAISEMENT, ALLOWANCE OR DISALLOWANCE INHERITANCE TAX DIVISIONfj~'f~ ~~,, ; ~ ~-~;`~~ DEDUCTIONS, AND ASSESSMENT OF TAX ON PO BOX 280601 iii' HARRISBURG PA 17128-0601 ~ ~, _ ,,j ~ ~ JOINTLY HELD OR TRUST ASSETS Pennsylvania ~ DEPARTMENT OF REVENUE REV-1548 EX AFP (12-10) __.a.., _. , _~_~~ -05-2011 ''iii at~ ~ 4 E `~' It = L c: CLERK OF DOROTHY E ~~~ S ~QURT ni 5435 BONNY~~. `'~`<'~ `+'~~ ~ A MECHANICSBURG PA 17050 DATE 09 ESTATE OF CORKLE ELLEN L DATE OF DEATH 06-27-2011 FILE NUMBER 21 11-0859 COUNTY CUMBERLAND SSN/DC 180-26-5692 ACN 11150019 APPEAL BY DATE:11-04-2011 (See reverse side under Objections) Amount ReAitted 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 F"' REV-1548 EX AFP C12-10) DEDUCTIONSINANDIASSESSMENTAOFRTAXEONNJOINTLYWHELD OR TRUSTLASSETS OF DATE: 09-05- O11 ESTATE OF:CORKLE ELLEN L DATE OF DEATH:06-27-2011 COUNTY:CUMBERLAND S.S/D.C. NO.: 180-26-5692 ACN: 11150019 FILE NO.: 21 11-0859 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 108460-00 TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING C )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 05-09-1989 Account Balance Percent Taxable Amount Sub]ect to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: PAYMENT RECEIPT DATE NUMBER 08-05-2011 CD014818 400.23 X 0.166 66.71 _ .00 66.71 Y .045 3.00 DISCOUNT (+) INTEREST/PEN PAID C-) .15 2.85 TOTAL TAX PAYMENT 3.00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .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." AMOUNT PAID * IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATIDN 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.