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HomeMy WebLinkAbout09-14-11r (,nib:;::';;.' BUREAU OF INDIVIDl7AY:-?A'XES INHERITANCE TAX DIYIST~Lj,_. ;~ PO BOX 280601 HARRISBURG PA 17128-0601 ~- ~ ,_'~E OF ;,: , S ~ ~; NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS _!S~p ~~i ~t'I~r~ L~ CLERK QF ORPHANS.((ra~R aA. JANET C'~~~~~'~MCC~AItTH1f 180.6 THERESA WAY LANSDALE PA 19446 Pennsylvania ~ DEPARTMENT OF REVENUE REV-1548 EX AFP C12-10) DATE 09-05-2011 ESTATE OF WEYANT ALTHEA DATE OF DEATH 02-14-2011 FILE NUMBER 21 11-0856 COUNTY CUMBERLAND SSN/DC 204-01-1957 ACN 11145367 APPEAL BY DATE:11-04-2011 (See reverse side under Objections) Amount Remitted 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) DEDUCTIONSINANDIASSESSMENTAOFRTAXEONNJOINTLYWHELD OR TRUSTLASSETS OF DATE: 09-05- -011 ESTATE OF:WEYANT ALTHEA DATE OF DEATH:02-14-2011 COUNTY:CUMBERLAND S.S/D.C. NO.: 204-01-1957 ACN: 11145367 FILE NO.: 21 11-0856 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION ACCOUNT NO.: 239164-11 FINANCIAL INSTITUTION: MEMBERS 1ST FCU TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING C )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 12-27-2003 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: PAYMENT RECEIPT DATE NUMBER 08-03-2011 CD014811 DISCOUNT C+) INTEREST/PEN PAID C-) .00 25.77 TOTAL TAX PAYMENT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE * IF TOTALADUERISNREFLECTEDSAS AE^CREDITORCCR)CUYOUIMAYOBEADUETAOREFUNDTEREST. ~ SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. 1,145.40 X 0.500 572.70 _ .00 572.70 Y .045 25.77 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 25.77 .00 .00 .00