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HomeMy WebLinkAbout10-07-11 (3)~' of P'y r err BUREAU OF INDIVIDUAL TA~~ ~~ -1 ~ ~+1~.~r. O~ NOTICE OF INHERITANCE TAX Pennsylvania ~ INHERITANCE TAX DIVISION ~.. ~ l`AIP~~f4ISEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 DEPARTMENT OF REVENUE HARRISBURG PA 17128-0601 ~aR~DUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REV-1548 IX AFP (12-10) i, ry ~ ~ ~ n`' ~ i ~ ~ -` / r•'~ ~c ~' i C.. " CLERK Cr (;(JoR~~,A~v~s ca~~,~ Lt.. DONNA M BAE~~~f~''..r,',~~ (;(~, P~. 18 LONGWOOD DR MECHANICSBURG PA 17050 DATE 10-10-2011 ESTATE OF CORKLE ELLEN L DATE OF DEATH 06-27-2011 FILE NUMBER 21 11-0859 COUNTY CUMBERLAND SSN/DC 180-26-5692 ACN 11150022 APPEAL BY DATE:12-09-2011 (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 E~ ----------- _ REV-1548 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: 10-10-2011 ESTATE OF:CORKLE ELLEN L DATE OF DEATH:06-27-2011 COUNTY:CUMBERLAND FILE NO.: 21 11-0859 S.S/D.C. NO.: 180-26-5692 ACN: TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED 11150022 FINANCIAL INSTITUTION: MEMBERS 1ST FCU OR TRUST ASSET INFORMATION TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING ( )TRUST A( )T ME CE•RTIFICATEO-11 DATE ESTABLISHED 05-09-1989 Account Balance Percent Taxable 1,114.02 NOTE: TO ENSURE PROPER CREDIT TO X 0.166 Amount Subject to Tax YOUR ACCOUNT, SUBMIT THE Debts and Deductions - 185.67 UPPER PORTIDN OF THIS NOTICE Taxable Amount 397.66 WITH YOUR TAX PAYMENT TO THE Tax Rate '00 REGISTER OF WILLS AT THE Y 045 Tax Due ABOVE ADDRESS. MAKE CHECK .00 OR MONEY ORDER PAYABLE T0: TAX CREDITS: "REGISTER OF WILLS, AGENT.' PAYMENT RECEIPT DATE DISCOUNT C+) NUMBER INTEREST/PEN PAID ~_) 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" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.