HomeMy WebLinkAbout09-14-11y ~ r ~[ NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAI~fT`~A~C~B .!", a,l. Q~pRAISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION' ~ ',f~~ F DEDUCTIONS, AND ASSESSMENT OF TAX ON
PO BOX 280601 }''i°_t_~.r ~._ ~ JOINTLY HELD OR TRUST ASSETS
HARRISBURG PA 17128-0601
_'~ ~ SEA' i ~ ~~' 1~~ ~
CLERK. C~
ORPHA ~'n_~C~~~ PA:
JOHN ~,,;~
103 EGE DR
CARLISLE PA 17013
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 IX AFP (12-10)
DATE 09-05-2011
ESTATE OF SNAMANEDWARDS SUE
DATE OF DEATH 05-14-2011
FILE NUMBER 21 11-0843
COUNTY CUMBERLAND
SSN/DC 228-82-3510
ACN 11150306
APPEAL BY DATE:11-04-2011
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
1 COURTHOUSE SRUARE
CARLISLE PA 17013
T0:
CUT ALONG THIS LINE ~ __RETAIN_LOWER_PORTION_FOR_YOUR_RECORDS__ ~___________________
REV-1548 EX AFP C12-10)
DEDUCTIONSINANDIASSESSMENTAOFRTAXEONNJOINTLYWHELD OR TRUSTLASSETS OF
DATE: 09-D5- 011
ESTATE OF:SNAMANEDWARDS SUE DATE OF DEATH:05-14-2011 COUNTY:CUMBERLAND
AC'N: 11150306
FILE NO.: 21 11-0843 S.S/D.C. NO.: 228-82-3510
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
ACCOUNT NO.: 106000163
FINANCIAL INSTITUTION: ORRSTOWN SANK
TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING C )TRUST
DATE ESTABLISHED 01-12-1998
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
PAYMENT RECEIPT
DATE NUMBER
5,442.09
X 0.500
2,721.05
_ .00
2,721.05
.045
122.45
DISCOUNT C+)
INTEREST/PEN PAID (-)
( )TIME CERTIFICATE
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
TOTAL TAX PAYMENT
PAYMENT MUST BE MADE BY 02-15-2012*. gpLANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
* IF TOTALADUERISHREFLECTEDSAS AE"CREDITOR(CR)CUYOUIMAYOBEADUETAOREFUNDTEREST.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
.00
122.45
.00
122.45