HomeMy WebLinkAbout09-14-11 (3)BUREAU OF INDIVIDUAL TAX~g ~r~,r~
INHERITANCE TAX DIVISION ~
PO BOX 280601 nf~,+, !"+ ~ I ~ ;.' E•ii"~~ OTICE OF INHERITANCE TAX Penns
NARRISBURG PA 17128- ~'- t t .O~ A EMENT, ALLOWANCE OR Ywarna _.
0601 ~t~.~., f ~ _ ,gi'~~E~UGTIONS, DISALLOWANCE DEPARTMENT OF
u! AND ASSESSMENT OF TAX ' REVENUE
JOINTLY HELD OR T ON REV-1548
RUST ASSETS DC AFP (12-101
4f~~I JL°R I~ ~;` ~~: ~~ DATE
ESTATE OF 09-13-2Q11
.DATE OF DEATH 09O22E2L10
CLERK ~~ FILE NUMBER WILLIAM q
MICHAEL L OD ~RPHAN~S COt)Rj COUNTY 21 11"0679
94 VICTORIA DR~~~'~"~~ Il,`.~~ pA SSN/DC CUMBERLA D
EATON TOWN ACN 186-2g_5 33
NJ 07724 APPEAL 101585881
BY DATE:11-12-2011
(See reverse side under Obi coons)
Amount Rew3tted
MAKE CHECK PAYABLE AND EMIT p
REGISTER OF WILLS AYMENT T0:
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE
REV-1548 -"""---- - y RETAIN LOWER PORTION
EX AFP C12-lOj--__'__----_____ FOR YOUR
NOTICE OF --'"______________ RECORDS ~'I
DEDUCTIONSINANDITANCE TAX APPRAISEMENT - ______
ASSESSMENT ALLOWANCE OR -"
OF TAX ON JOINTLY HELD OR DISALLOWANCE OF
ESTATE OF; TRUST ASSETS
ODONNELL DATE: 09_1
WILLIAM A DATE OF "2011
FILE NO.: DEATH:09-22-2010
21 11-0679 COUNTY:CUMBE-LA~
S.S/D.C. NO.:
TAX RETURN 186-28-5533
WAS' CX) ACCEPTED
AS FILED C ) CHANGED ACN: 10158588
FINANCIAL INSTITUTION: JOINT OR TRUST
PSECU ASSET INFORMATION
TYPE OF ACCOUNT: CX)SgV1NGS
DATE ESTABLISHED C ) CHECKING ACCOUNT NO.:
10-21-1982 C )TRUST 018628 533-S4
C )TIME CERTIFICATE
Account Balance
Percent Taxable
Amount X 9.091.82
Subject to 0.166 NOTE: TO ENSURE PROP
Debts Tax _ ~R CREDIT TO
and Deductions 1,515.33 YOUR ACCOUNT
Taxable Amount UPPE SUBMIT THE
.00 R PORTION F THIS
Tax Rate 1,515.33 WITH YOUR TAX NOTICE
Tax Due REGIST ~AYMENT TO THE
.045 ER OF WILLS AT THE
TAX CREDITS: 68.19 ABOVE ADDRESS. '',MAKE CHECK
OR MONEY ORDER ~AYABLE T0:
PAYMENT "REGISTER OF
DATE RECEIPT WILLS, AGENT.'
NUMBER DISCOUNT (+~
INTEREST/PEN PAID (_
~ AMOUNT PAID
INTEREST IS CHARGED THROUGH
AT THE RATES APPLICABLE 09-21-2011
REVERSE SIDE OF '4S OUTLINED ON THE TOTAL
THIS FORM TAX PAYMENT
BALANCE OF TAX DUE •00
INTEREST AND pEN• 68.19
TOTAL DUE •51
* IF PAID 68 • 70
IF TOTALAFTER THIS DATE, SEE REVERSE FOR
SEE REVERSEESIDEROFLECTED AS A "CREDIT^ CALCULATION OF
THIS FORM FOR CCR), ADDITIONAL INTEREST.
INSTRUCTIONS YOU MAY BE DUE A REFUND.