HomeMy WebLinkAbout11-07-11 (2)BUREAU OF INDIVIDUAL TAXES ~~~~ r r ~ ' `~ ~'r}'~T OF INHERITANCE TAX
INHERITANCE TAX DIVISION r~`- ,y :aPRRAI$~M,E ALLOWANCE OR DISALLOWAN(:E
PO BOX 280601 OF DEDik T:I. NS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601
JOINTLY HELD OR TRUST ASSETS
~~!i1 ~.~~ -7 f'.~~ 12~ !~
GRFN;~~~'~' ~~~~~R7
KRISTEN L NICKEYI~~~~'~4~'~~~'i'~~'~~t! Pq
1094 GRAHAMS WOOD ROAD
NEWVILLE PA 17241
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 EX AFP C12-10)
DATE 10-31-2011
ESTATE OF NICKEY DAVID
DATE OF DEATH 07-12-2011
FILE NUMBER 21 11-0852
COUNTY CUMBERLAND
SSN/DC 193-68-2976
ACN 11149313
APPEAL BY DATE:12-30-2011
(See reverse side under Objections)
A~ount Remitted
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
MAKE CHECK PAYABLE AND REMIT PAYMENT
T0:
E
CUT ALONG THIS LINE '~'~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1b48 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: 10-31-2011
ESTATE OF: NICKEY DAVID E DATE OF DEATH:07-12-2011
COUNTY:CUMBERLAND
FILE NO.: 21 11-0852 S.S/D.C. NO.:
193-68-2976 ACN:
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED 11149313
FINANCIAL INSTITUTION: MEMBERS 1ST FCU OR TRUST ASSET INFORMATION
TYPE OF ACCOUNT: C X7 SAVINGS C ) CHECKING C )TRUST AC )T IME CE'RTIFICATE4-00
DATE ESTABLISHED 01-16-1997
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
PAYMENT RECEIPT
DATE NUMBER
08-03-2011 CD014805
2,143.74
X 0.166
357.30
.00
357.30
~~ 045
16.08
DISCOUNT (+)
INTEREST/PEN PAID (-)
.80
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
16.08
TOTAL TAX PAYMENT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
16.88
.80CR
.00
.80CR
^ 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.