HomeMy WebLinkAbout10-07-11 (2)BUREAU OF ~~~~
INDIVIDUAL ~~,~~,, ~ i ~ j
INHERITANCE TAX DIVISION -,~- - ~E, ,_ ~' NOTICE DF INHERITANCE TAX
PO BOX 280601 - ~.~P~RAISEMENT, ALLOWANCE OR DISALLOWANCE
HARRISBURG PA 17128-0601 - - ~`~ '"' ~' ~ ~' FIDEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
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CL.ER,K QF
ORP~~~'~ COUP i
STANLEY F r ~ '~'
~i '~'~-' ~,~~., PA
1001 ORIOLE DR
MECHANICSBURG PA 17050-2076
pennsytvania
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-10)
DATE 10-10-2011
ESTATE OF WILSON
DATE OF DEATH 06-14-2011 FERN E
FILE NUMBER 21 11-0822
COUNTY CUMBERLAND
SSN/DC 200-24-0003
ACN 11149553
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 y RETAIN LOWER PORTION FOR YOUR RECORDS E~-~
REV-1648 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
CCTwrr ,. DATE: 10-1n-~n „
~~~..1~ ur:w1LSON FERN _~.
E DATE OF DEATH:06-14-2011
FILE NO.: COUNTY:CUMBERLAND
21 11-0822 S.S/D.C. NO.:
200-24-0003
TeY DCT11n ~~ A,~u _
""' ^^°~ cnJ ACCEPTED AS FILED
C ) CHANGED
"'• i.lt4y553
FINANCIAL INSTITUTION: PNC BANK NA INT OR TRUST ASSET INFORMATION
TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING C )TRUST AC )T ME CERTIFICATE69512
DATE ESTABLISHED 01-01-1978
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
PAYMENT RECEIPT
DATE NUMBER
8,438.00
X 0.500
_ 4,219.00
4,904.45
.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 FOR INSTRUCTIONS.