HomeMy WebLinkAbout09-14-11 (3)BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
~`~~+~' ,~_~ OF INHERITANCE TAX
((''~~ ` kRPRAIt$~~'~-'b 11LLOWANCE OR DISALLOWANCE
f's~'t~; `, CAF 15Eb~~#~5~, AND ASSESSMENT OF TAX ON
J~f~'L~Y HELD OR TRUST ASSETS
ORP~~ERK OF
JOSEPH A MARTII~;(J(~J~~'Fy~~~ ~~U~~
104 HEMLOCK DR '" ~~~ ~~., Pq
CLARKS SUMMIT PA 18411
~pennsy(vania ~';
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-10)
DATE 09-13-
ESTATE OF 2011
DATE OF MARTIN LILLIAN G
FILE NUMBERTH 09_25-2Q10
COUNTY 21 10-101,85
SSN/DC CUMBERLAI,ND
ACN 196-22-4!140
APPEAL BY 10158960
DATE:11-,~2-2011
(See reverse side under Ob.~ections)
Amount Rewitted
MAKE CHECK PAYABLE ANDEMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE
REV-1548 --------------- y ------ _____
EX AFP RETAIN LOWER PORTION FOR YOUR
C12-10) --___ _______ RECORDS ~
NOTICE OF INHERITANCE TAX APPRAISEMENT ___
DEDUCTIONS, AND ASSESSMENT OF ALLOWANCE OR DISALLOWANCE ~F
TAX ON JOINTLY HELD OR TRUST ASSETS
ESTATE pF;MARTIN DATE:
LILLIAN 09-1 -2011
G DATE OF DEATH:09-
FILE NO.: 21 10-1085 25'2010 COU~ITY:CUMBE~ R_ L
S.S/D.C. NO.:
TAX RETURN WqS; 196-22_4140
CX) ACCEPTED AS FILED I~CN:
C ) CHANGED 10158960
FINANCIAL INSTITUTION: JOINT OR TRUST
PSECU ASSET INFORMATION
TYPE OF ACCOUNT: (X)SAVINGS
DATE ESTABLISHED 11_ ~ ) CHECKING C )TRUST ACCOUNT NO.: 984884 973-S1
24-2008 ~ )TIME CERTIFICATE
Account Balance
Percent Taxable 43,099.90
Amount Subject to X NOTE: TO ENSURE
Debts Tax 0.166 PROPER CREDIT TO
and Deductions - 7,183.46 YOUR ACCOUNT,]
Taxable Amount UPPER PORTION SUBMIT THE
Tax Rate •00 pF THIS NOTICE
7,183.46 WITH YOUR TAX ~gYMENT
Tax Due REGISTER pF TO THE
•045 WILLS AT THE
323.26 ABOVE ADDRESS.' MAKE CHECK
TAX CREDITS: OR MONEY ORDER 'P
PAYMENT "REGISTER ~ AYABLE T0:
DATE RECEIPT OF WT!LLS, AGENT.'
NUMBER DISCOUNT (+)
INTEREST/PEN pgID (_) AMOUNT PAID
INTEREST IS CHARGED THROUGH
A7 THE RATES APPLICABLE AS 09-21-2011
REVERSE SIDE OUTLINED ON THE TOTAL TAX PAYMENT
OF THIS FORM
BALANCE OF TAX DUE •00
INTEREST AND PEN. 323'26
TOTAL DUE 2.33
325.59
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF
IF TOTAL DUE IS REFLECTED AS A "CREDIT"
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ADDITIONAL INTEREST.
CCR), YOU MAY BE DUE A REFUND.