HomeMy WebLinkAbout09-14-11 (2)BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601 ^~~j[ .~ ,NOTICE OF INHERITANCE TAX Pennsylvania -~
HARRISBURG PA 1 71 28-060 1 OFf~~~~MIE~NT j W .
[~DUCTIONS, ~ E OR DISALLOWANCE DEPARTMENT OF REVENUE
/ ~L~JOIk7'LY:;HEL~D,~~RUST ASS F TAX ON REV-1548
ETS EX AFP C12-10)
•w~',: ~~'~ ! ~ f a" ~'~: ~sE~,STATE OF SMYERS2~11
SATE OF DEATH 05-06-201,11 CAREY F
M LOGAN (~f~~~ERK ~~ COUNTYUMBER
STEVEN 21 11-06''69
6023 ROBERT DRIVE ~~URT CUMBERLAND
~~~~~F~p~ ~s[' (~{l . Pq ACN/DC 111336 - 3 51
MECHANICSBURG PA 17050 73'
APPEAL BY DATE:11-T~~2-2011
(See reverse side under Objections)
Amount Re~itted
MAKE CHECK PAYABLE AND EMIT P
REGISTER OF AYMENT T0:
1 COURTHOUSEWILLS
CARLISLE SQUARE
PA 17013
CUT ALONG THIS LINE
REV-1548 EX AFP --"----- ~ --RETAIN LOWER PORTION FOR
C12-10) -------- _______ YOUR RECORDS ~'
NOTICE OF INHERITANCE TAX --- " -- ______
DEDUCTIONS, AND ASSESSMENT
APPRAISEMENT, ALLOWANCE OR --- " -
OF TAX ON JOINTLY HELD OR TRUSTLOWANCE OIF
ESTATE OF:SMYERS ASSETS
DATE: 09-1 -2011
CAREY F DATE OF
FILE Np,; DEATH:05-06-2011
21 11-0669 S.S/D.C, COU~ITY:CUMBE=A~
TAX RETURN WAS; NO'P 195-30-3351
CX) ACCEPTED AS FILED aCN: 11133673
FINANCIAL INSTITUTION: ~ ) CHANGED
JOINT OR TRUST ASSET INFORMATION
TYPE OF MEMBERS 1ST FCU
ACCOUNT: C)QSAVINGS ( ) CHECKING ACCOUNT
DATE ESTABLISHED O8_ NO.c 145509'00
18-1994 ~ )TRUST C )TIME CERTIFICATE
Account Balance
Percent Taxable 1,550.53
Amount S X NOTE:
ubject to Tax 0.166 TO ENSURE PROPER CREDIT TO
Debts and Deductions 258.43 YOUR ACCOUNT,
Taxable Amount UPPER SUBMIT THE
Tax Rate 258:00 YOURTION ~F THIS NOTICE
43 WITH TAX FPgYMENT TO T
Tax Due .045 REGISTER OF W1LLS qT HE
11.63 ABOVE ADDRESS.' THE
TAX CREDITS: OR MONEY ', MAKE CHECK
ORDER (PAYABLE T0:
PAYMENT "REGISTER OF
DATE RECEIPT WILLS, AGENT."
NUMBER DISCOUNT (+~
06-10-2011 INTEREST/PEN PAID
CD014566 ~-) AMOUNT PAID
.58
11.05
TOTAL TAX PAYMENT
BALANCE OF TAX DUE 11.63
INTEREST AND PEN, •00
TOTAL DUE •00
.00
~ IF PAID AFTER THIS DATE,
IF TOTAL DUE IS SEE REVERSE FOR CALCULATION OF
SEE REVERSE SIDEROFLECTED AS A "CREDIT' ADDITIONAL INTEREST.
THIS FORM FOR INSTRUCTIONS YOU MAY BE DUE A
REFUND.