HomeMy WebLinkAbout09-14-11 (2)NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL j~~~ ,- ,,~r{':~AISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION ' ~ , ~~`~ `a
DEDUCTIONS, AND ASSESSMENT OF TAX ON
PO BOX 260601 ~ i'I~C JOINTLY HELD OR TRUST ASSETS
HARRISBURG PA 17128-0601 ~,` . ,_ _~,
CLERK ~F
'S ~OJRY
JANET B
1806 THERES '" ~ ` r '
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 11145366
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
CUMBERLAND
ESTATE OF:WEYANT
FILE NO.: 21 11-085 6 S•`•
TAX RETURN WAS: CX)
FINANCIAL INSTITUTION: MEMBERS
TYPE OF ACCOUNT: CX)SAVINGS
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
29.32
TOTAL TAX PAYMENT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
29.32
.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. ""77
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
ALTHEA DATE OF DEATH:02-14-2011 COUNTY:
~/D.C. NO.: 204-01-1957 ACN: 11145366
ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION.
1ST FCU ACCOUNT NO.: 239164-DO
CHECKING C )TRUST C )TIME CERTIFICATE
1,303.02
X 0.500
b51.51
_ .00
651.51
.045
29.32
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 ORAER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
AMOUNT PAID