HomeMy WebLinkAbout11-07-11 (2)BUREAU OF INDIVIDUA~''~~AXE~g! ~-~!;~' ~~ NOTICE OF INHERITANCE TAX Pennsylvania ~
POHBOXT2806o1~ DIVISIDI~r y ,_ ir~ O%-ppRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
HARRISBURG PA 17128-0601 = _~ j OF DEDUCTIONS, AND ASSESSMENT OF TAX DN REV-154B EX AFP (12-10)
JOINTLY HELD OR TRUST ASSETS
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CYNTHIA C~1ht?~~b~'E`jM~pN~UM~QT
436 C STREET
CARLISLE PA 17013
DATE 10-31-2011
ESTATE OF FOREMAN JOYCE q
DATE OF DEATH 08-24-2011
FILE NUMBER 21 11-0965
COUNTY CUMBERLAND
SSN/DC 162-32-4905
ACN 11159994
APPEAL BY DATE:12-30-2011
(See reverse side under Objections)
Amount Rewitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA ]'.7013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1548 EX AFP C12-10)_______---"'"--------------------------
-----------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, ANb ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 10-31-2011
ESTATE OF:FOREMAN JOYCE A DATE OF DEATH:08-24-2011
COUNTY:CUMBERLAND
FILE NO.: 21 11-0965 S.S/D.C. NO.:
162-32-4905 ACN:
TAX RETURN WAS: {X) ACCEPTED AS FILED C ) CHANGED 11159994
FINANCIAL INSTITUTION: MEMBERS 1ST FCU OR TRUST ASSET INFORMATION
TYPE OF ACCOUNT: C )SAVINGS ( X) CHECKING C )TRUST A{ )O INME CE.RTIFICATEO-11
DATE ESTABLISHED 02-29-2008
Account Balance
Percent Taxable X 1,064.36
NOTE: TO ENSURE PROPER CREDIT TO
Amount Subject to Tax 0.500
532
18 YOUR ACCOUNT, SUBMIT THE
Debts and Deductions - . UPPER PORTION OF THIS NOTICE
Taxable Amount '00
532
18 WITH YOUR TAX PAYMENT TO THE
Tax Rate
~- .
~~~ REGISTER OF WILLS AT THE
Tax Due
23.95
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE T0:
TAX CREDITS: "REGISTER OF WILLS, AGENT."
PAYMENT RECEIPT
DATE
DISCOUNT (+)
NUMBER
09-13-2011 INTEREST/PEN PAID C-) AMOUNT PAID
CD014961
1.20 23.95
TOTAL TAX PAYMENT 25.15
BALANCE OF TAX DUE 1.20
INTEREST AND PEN. .00
TOTAL DUE 1.201
~ 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 INSTRUCTIDNS.