HomeMy WebLinkAbout09-14-11 (2)i
BUREAU OF INDIVIDU
INHERITANCE TAX DIVISI~~S~ , ~ p1~ NOTICE OF INHERITANCE TAX Penns
Po BOX 280601 [' ~ ~PRAISEMENT, ALLOWANCE OR DISALLOWANC D
HARRISBURG PA 1 71 28-0 601 f ~ ~ ;; ' ylvania ~""~
_ _ .,~i~~~COF DEDUCTIONS, AND ASSESSMENT OF T E EPgRTMENT OF REVENUE •
JOINTLY HELD OR TRUST AX ON
ASSETS R~'1548 D( AFp (12_10)
`' ~ ~ ~~.P (~. ~. fca. ~ t~ DATE
ESTATE OF 09-13-2x,11
IiE.EriK ~~ DATE OF DEATH 090NNELL'~
ORPH,gN' n FILE NUMBER 22'20 p WILLIAM A
MICHAEL ~~~v4URT COUNTY 21 11-06 g
94 VICTORIA D~~'~'`{t~, P~4; SSN/DC CUMBERLA D
EATON TOWN ACN 186-28-533
NJ 07724 APPEAL 10158590',
(See rev BY DATE:11-1 -2011
erse side under Obj ~hons)
Amount Remitted
MAKE CHECK PAYABLE AND
REGISTER OF REMIT PAYMENT T0:
1 COURTHOUSEWILLS
CARLISLE SQUARE
CUT ALONG PA 17013
THIS LINE
REV-1548---'----- ~ RETAIN
EX AFP __ LOWER PORTION
C12-10)--------- ______
NOTICE OF INHERITANCE TAX ---__-FOR YOUR RECORDS ~',
DEDUCTIONS, AND ASSESSMENTAPpRAISEMENT ---"
OF TAX ON ' ALLOWANCE --~---------------
JOINTLY OR DISALLOWANCE p~
HELD OR TRUST ASSETS
ESTATE OF;ODONNELL
WILLIAM ~ DATE: 09_13-2011
FILE A DATE OF DEATH:09-
NO.: 21 11- 22-2010
0679 S.SID. COUN
C' NO'' 186- ICY~CUMBE-D
TAX RETURN WAS: 28-5533
CX) ACCEPTED
AS FILED A~N:
FINANCIAL C ) CHANGED 10158590
INSTITUTION: JOINT OR TRUST
TYPE OF PSECU ASSET INFORMATION
ACCOUNT: C )SAVINGS ( ) CHECKING
DATE ESTABLISHED ACCOUNT NO..
12-21-1982 C )TRUST 0186285133-C51
Account CX7TIME CERTIFICATE
Balance
Percent Taxable
Amount X 1'077.11
Subject to Tax 0.166 NOTE: TO ENSURE P
Debts and Deduct' ROPE CREDIT TO
Taxable Ions - 179.52 YOUR ACCOUNT,
Amount UPPE S BMIT THE
Tax Rate •00 R PORTION 0J THIS
Tax Due 179.52 WITH YOUR TqX P~FYMENT TU TICE
.045 REGISTER OF WILLS THE
TAX CREDITS: 8.08 ABOVE ADDRESS. AT THE
OR MONEY AKE CHECK
PAYMENT ORDER P YABLE
DATE RECEIPT / "REGISTER OF T0:
NUMBER DISCOUNT ~+) WIL~.S, AGENT, ~~
INTEREST/PEN PAID C_~
AMOUNT PAID 1
INTEREST IS CHARGED
AT THE RATES THROUGH 09-21-2011
REVERSE APPLICABLE AS OUTLINED
SIDE OF THIS FORM ON THE TOTAL TAX p
BALANCE AYMENT
OF TAX DUE •00
INTEREST AND PEN. ~ 8.08
TOTAL DUE .06
IF PAID AFTER 8 • 14
IF TOTAL DUE THIS DATE, SEE REVERSE F
SEE REVERSE IS REFLECTED AS q .. OR CALCULATION OF
SIDE OF THIS FORM FORREDIT^ (CR), ADDITIONAL
INSTRUCTIONS YOU MAY BE DUE INTEREST.
A REFUND.