HomeMy WebLinkAbout09-26-11 (2) Pennsylvania
OF REVENUE ~
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E OF INHERITANCE TAX
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ALLOWANCE OR DISALLOWANCE
EMENT REV _1548 IX AFP
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BUREAU OF INDIVIDUAL TAXE
INHERITANCE TAX DIVISION fir ~ ~ .
pp~~~I~
-OF' ~E~ CTIONS, AND ASSESSMENT OF TAX ON
OR TRUST ASSETS
PO BOX 280601
HARRISBURG PA 17128-0601 JOINTLY HELD
DATE
~
~ ~ 09-26-2011 DANIEL M
"~`` ~ S`'P ~~ STATE OF
~'~~ ~
~ SCHIESL
.4,; ~ ~ !_
CLERK C~
pRt H~N'S~.C~ ~RjPA
HENRY W SCH1~~~~ ., ` ~ '
145 TOWER CIRCLE PA 17013
CARLISLE
E _
DATE OF DEATH 21 10-1110
FILE NUMBER CUMBERLAND
COUNTY
SSN/DC 397-26-1194
ACN 10159867
APPEAL BY DATE:11-25-2011
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
YOUR RECORDS ~ --
CUT ALONG THIS LINE ~ - RETAIN_LOWER PORTION_FOR___________________________________
REV-1548 EX AFP 012-10)
NOTICE OF INHERITANCE TANTAOFRTAXEONNJOINTLYWHELD OR TRUDATESSE09-2F-2011
DEDUCTIONS, AND ASSESSME
COUNTY:CUMBE~D
DANIEL M DATE OF DEATH:10-12-2010
ESTATE OF:SCHIESL ACN: 10159867
FILE NO.: 21 10-1110 S.S/D.C. NO.: 397-26-1194
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION 31427_11
ACCOUNT NO.:
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
PE OF ACCOUNT: C )SAVINGS (X) CHECKING ( )TRUST C )TIME CERTIFICATE
TY
DATE ESTABLISHED 09-01-1985 464 55 NOTE: TO ENSURE PROPER CREDIT TO
THE
Account Balance
Percent Taxable
Amount Sub]ect to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X 0.166
110.76
.00
110.76
.045
4.98
TAX CREDITS:
PAYMENT RECEIPT
DATE NUMBER
11-06-2010 CD013612
DISCOUNT ~+~
INTEREST/PEN PAID ~-~
.25
YOUR ACCOUNT, SUBMIT
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
AMOUNT PAID
4.98
TOTAL TAX PAYMENT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
* IF PAID AFTER THIS DATE. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~
IF TREYERSEESIDEROFLTHISDFORMAFORRINSTRUCTIONSYOU MAY BE DUE A REFUND.
SEE
5.23
.25CR
.00
.25C~