HomeMy WebLinkAbout09-14-11BUREAU OF INDIVIDUAL TA ~r ~ ,~_,
INHERITANCE TAX DIVISION ~` '~-' NOTICE OF
PO BOX 280601 -~ E F. ' INHERITANCE TAX
HARRISBURG PA 1712a-o601 ~~, r~.~~ISEMENT, ALLDWANCE DR DISALLOWANCE
~',~" - ,;'- ~~~~EDUCTIDNS, AND ASSESSMENT OF TAX DN
` '`'~~ JOINTLY HELD OR TRUST ASSETS
~~I~ ~~~ f~ ~~' ~~~
CLERK Ofi
TERRY L ~O~RpPHAN'S CpURT
77 AIRPORT ROA1D7it?i'~~P~-r"iii'(,' !'!~1. P~
SHIPPENSBURG PA 17257
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-10)
DATE 09-13-
ESTATE OF 2011
DATE OF WAGNER JAY
DEATH 09-01-2010 K
FILE NUMBER
COUNTY °~ ~ - ~ ~ ' ~J (? ~
SSN/DC CUMBERLANb
ACN 204-30-7Ob8
APPEAL BY 10157927
DATE:11-12-2011
(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
REV-1548 EX AFP~C12-iO"j" y __RETAIN_LOWER PORTION FOR YOUR RECORDS ~
NOTICE OF INHERITANCE TAX ~~'""- ________
DEDUCTIONS, AND ASSESSMENTAOFRAISEMENT, ALLOWANCE OR DISALLOWANCE prt
TAX ON JOINTLY HELD OR TRUST ASSETS
ESTATE OF: WAGNER DATE: 09_13'2011
JAY K DATE OF DEATH:09-O1-
FILE NO.: 2010 COUN~TY:CUMBE~ R
S.S/D.C. NO.:
TAX RETURN WAS; 204-30-7008
(X) ACCEPTED AS FILED A~N' 10157927
FINANCIAL INSTITUTION:
JOINT OR TRUST ASSET)INFORMATION
BANK OF LANDISBURG
TYPE OF ACCOUNT: ( )SAVINGS (X) CHECKING ( )TRUST ACCOUNT NO.:
DATE ESTABLISHED 09- 0700150'.
23-1996 ~ )TIME CERTIFICATE
Account Balance
Percent Taxable 1,702.05 -
Amount Subject to Tax X NOTE: TO ENSURE PROP R
0.500 ~ CREDIT TO
Debts and Deductions - 851.03 YOUR ACCOUNT, SUBMIT THE
Taxable Amount .00 UPPER PORTION OIF THIS NOTICE
Tax Rate 851.03 WITH YOUR TAX PAYMENT TO THE
Tax Due .045 REGISTER OF WILDS AT THE
38.30 ABOVE ADDRESS. MAKE CHECK
TAX CREDITS: OR MONEY ORDER wAYABLE T0:
PAYMENT "REGISTER OF WILLS, AGENT. ~~
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-~
AMOUNT PAID
INTEREST IS CHARGED THROUGH 09-21-2011
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM TOTAL TAX PAYMENT
BALANCE OF TAX DUE •00
INTEREST AND PEN, 38.30
TOTAL DUE •35
38.65
IF TOTALADUERISHREFLECTED AS REVERSE FOR CALCULATION OF
SEE REVERSE SIDE OF THIS FORM FORRINSTRUCTIONS. ADDITIONAL INTEREST.
YOU MAY BE DUE A REFUND.