HomeMy WebLinkAbout10-07-11 (4)~-
BUREAU OF INDIVIDUAL TAXES ~ ~ ~~i , 1~ !~ (~'
INHERITANCE TAX DIVISION ~L~ .~' ~ { ~'~ ~OTICE OF INHERITANCE TAX
PO BOX 280601 ~+~~,,i. ~ `-A?~'~~~EMENT, ALLOWANCE OR DISALLOWANCE
HARRISBURG PA 17128-0601 ~~OFtHEDUCTIONS, AND ASSESSMENT OF TAX ON
r.~ „ .pry JOINTLY HELD OR TRUST ASSETS
~=' = 4 D
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 EX AFP C12-10)
- ATE 1
OL~'R}~ Ofi
ORa~~.~~~~~ c"u1 t ;*
DOROTHY E KLECIN~4r~ t1~`~f~ 4r'~~~a
5435 BONNYRIGG CT
MECHANICSBURG PA 17050
ESTATE OF 0-10-2011
DATE OF DEATH 06R27E2011 ELLEN L
FILE NUMBER 21 11-0859
COUNTY CUMBERLAND
SSN/DC 180-26-5692
ACN 11150021
APPEAL BY DATE:12-09-2011
(See reverse side under Objections)
Amount Renitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
CUT ALONG THIS LINE y RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1548 EX AFP C12-10) ---- " _ _
----------------- _
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NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 10-10-~nII
CcTwr~
_...,•• ~ •,~ : wrcRLt ELLEN
L DATE OF DEATH:06-27-2011
COUNTY:CUMBERLAND
FILE NO.: 21 11-0859
S.S/D.C. NO.: 180-26-5692
TAY DLTUnu eru_
"""' ^'''~~ «~ ACCEPTED AS FILED C ) CHANGED
- i117UUZ1
FINANCIAL INSTITUTION: MEMBERS 1ST CU OR TRUST ASSET INFORMATION
TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING C )TRUST (C )O IME CERTIFICATED-11
DATE ESTABLISHED 05-09-1989
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
PAYMENT RECEIPT
DATE NUMBER
1,114.02
X 0.166
_ 185.67
397.66
.00
Y 045
.00
DISCOUNT (+)
INTEREST/PEN PAID (-)
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
BALANCE OF TAX DUE •00
INTEREST AND PEN. •00
TOTAL DUE •00
.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 FDR INSTRUCTIONS.