HomeMy WebLinkAbout10-07-11_ _ rr._~.._____..,.. ._.- -
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1"u~rF~~, ~,i -,r ~t~O~~I OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES 1~ ~t ARP IS,6,~p~R~, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION ,~ r ~S
PO BOX 280601 ~~!~` 'OF rD&'DUCTT , AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD DR TRUST ASSETS
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ALICE W SHOUN
331 RICH VALLEY RD
CARLISLE PA 17015
pennsylvania ~~
DEPARTMENT OF REVENUE ,
REV-1548 EX AFP C12-10)
DATE 10-03-2011
ESTATE OF SHOUN KERMIT T
DATE OF DEATH 09-28-2010
FILE NUMBER a~- ~~ -I~3S
COUNTY CUMBERLAND
SSN/DC 159-32-2735
ACN 10162485
APPEAL BY DATE:12-02-2011
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~"~ RETAIN LOWER PORTION FOR YOUR RECORDS F'
REV-1648 EX AFP C12-10)----------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 10-03-2011
ESTATE OF:SHOUN KERMIT T DATE OF DEATH:09-28-2010 COUNTY:CUMBERLAND
FILE NO.: S.S/D.C. NO.: 159-32-2735 ACN: 10162485
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: FULTON BANK NA ACCOUNT NO.: 025-0253693_
TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING C )TRUST C ~ TIME CERTIFICATE
DATE ESTABLISHED 04-05-2007
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
61,067.20
X 0.166
10,178.07
- .00
10,178.07
.00
.00
NOTE: TO ENSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
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."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
Qpj(~-nr ,r~+~: (~ /`~~~ ;'~~ ICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES R(~.. rr ~~P~,[~ ~NT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION '.,~` { ~ QF- ~JF.~ IONS, AND ASSESSMENT OF TAX ON
PO BOX 280601 JOINTLY HELD OR TRUST ASSETS
HARRISBURG PA 17126-0601
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CLEftK Or
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KERMIT M SHOIFIO-'~L+~,~ "L~i` ~i~., ~ ii~
331 RICH VALLEY RD
CARLISLE PA 17015
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
^wr
pennsylvania
DEPARTMENT OF REVENUE
REY-1546 EX AFP C12-10)
10-03-2011
SHOUN KERMIT T
09-28-2010
COUNTY CUMBERLAND
SSN/DC 159-32-2735
ACN 10162486
APPEAL BY DATE:12-02-2011
(See reverse side under Objections)
Amount Repitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~"• --RETAIN_LOWER-PORTION-FOR_YOUR_RECORDS-- ~___________________
REV-1548 EX AFP C12-10)
NOTICE OFSINANDIASSESSMENTAOFRTAXEONNJOINTLYWHELD OR TRUSTLASSETS OF
DEDUCTION DATE: 10-03-2011
ESTATE OF:SHOUN KERMIT T DATE OF DEATH:09-28-2010 COUNTY:CUMBERLAND
ACN: 1016248b
FILE NO.: S.S/D.C. NO.: 159-32-2735
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
ACCOUNT NO.: 025-0253693
FINANCIAL INSTITUTION: FULTON BANK NA
TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING C )TRUST CX)TIME CERTIFICATE
neTF ESTABLISHED 04-05-2007
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
PAYMENT RECEIPT
DATE NUMBER
61,067.20
X 0.166
10,178.07
_ .00
10,178.07
.045
458.01
DISCOUNT C+)
INTEREST/PEN PAID C-)
NOTE: TO ENSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
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
TOTAL TAX PAYMENT
INTEREST IS CHARGED THROUGH 10-11-2011 BALANCE OF TAX DUE
AT THE RATES APPLICABLE AS OUTLINED ON THE INTEREST AND PEN.
REVERSE SIDE OF THIS FORM TOTAL DUE
.00
458.01
3.94
461.95
* IF TOTALADUERISHREFLECTEDSAS AE^CREDITORCCR)CUYDUIMAYOBEADUETAOREFUNDTEREST. ~
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.